California Code of Regulations
Title 10 - Investment
Chapter 5 - Insurance Commissioner
Subchapter 7.6 - Insurance Mediation Program
Section 2696.5 - Mandatory Participation; Appeal
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) No insurer may be compelled to participate in mediation except where the Commissioner finds that the insurer has engaged in an arbitrary or unreasonable refusal or refusals to mediate a dispute which the Commissioner has deemed appropriate for mediation. Where the Commissioner so finds, the Commissioner shall issue upon the insurer an Order to Participate, citing the Commissioner's reasons therein.
(b) Any insurer to whom an Order to Participate has been issued may seek a review of said Order by filing in a court of competent jurisdiction within 30 calendar days of the issuance of that Order. The Commissioner's Order to Participate, however, may not be stayed during the pendency of any judicial proceeding for any period beyond 60 calendar days after the initial date of the Order to Participate. The basis for the Commissioner's decision to require an insurer to participate in the mediation program shall not be made public unless review is sought.
(c) Any insured whose request to mediate said insured's claim under this subchapter was declined by an insurer may file a written request to the Commissioner to require the insurer to participate in the mediation program. Upon receipt of such request, the Commissioner shall either:
(d) Any insured to whom a Decision Not to Compel Mediation has been issued, may seek a review of said Decision by filing in a court of competent jurisdiction within 30 calendar days of the issuance of that Decision.
1. New section
filed 10-15-96; operative 10-15-96 (Register 96, No. 42). A Certificate of
Compliance must be transmitted to OAL by 2-12-97 or emergency language will be
repealed by operation of law on the following day.
2. Repealed by
operation of Government Code section
11346.1(g)
(Register 97, No. 10).
3. New section filed 3-4-97 as an emergency;
operative 3-4-97 (Register 97, No. 10). A Certificate of Compliance must be
transmitted to OAL by 7-2-97 or emergency language will be repealed by operation of
law on the following day.
4. Certificate of Compliance as to 3-4-97 order
transmitted to OAL 7-3-97 and filed 8-13-97 (Register 97, No. 33).
5.
Renumbering of former section 2696.5 to section
2696.4 and renumbering of former
section 2696.6 to new section 2696.5, including
amendment of section, filed 12-29-2006; operative 1-28-2007 (Register 2006, No.
52).
6. Change without regulatory effect amending subsections (a) and (c)
filed 7-14-2021 pursuant to section
100, title 1, California Code of
Regulations (Register 2021, No. 29). Filing deadline specified in Government Code
section
11349.3(a)
extended 60 calendar days pursuant to Executive Order
N-40-20.
Note: Authority cited: Section 10089.83, Insurance Code. Reference: Sections 10089.76 and 10089.77, Insurance Code.