Cal. Code Regs. tit. 10 § 2699.500

Current through Register 2024 Notice Reg. No. 48, November 29, 2024

Section 2699.500 - Appeals to the Board

(a) If a subscriber is dissatisfied with any action or failure to act which has occurred in connection with a participating health plan's coverage the subscriber's remedy shall be to file an appeal with the Board.

(b) In addition, the following decisions may be appealed to the Executive Director only:

(1) A program determination as to eligibility of any applicant.

(2) A program determination to disenroll a subscriber or infant from the program.

(3) A program determination to deny a subscriber request or to grant a participating health plan request to transfer the subscriber to a different participating health plan.

Cal. Code Regs. Tit. 10, § 2699.500

1. New section filed 12-12-91 as an emergency; operative 12-12-91 (Register 92, No. 10). A Certificate of Compliance must be transmitted to OAL 4-10-92 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 12-12-91 order transmitted to OAL 4-8-92 and filed 5-20-92 (Register 92, No. 21).
3. Amendment of subsection (b) filed 1-10-95 as an emergency; operative 1-10-95 (Register 95, No. 2). A Certificate of Compliance must be transmitted to OAL 5-10-95 or emergency language will be repealed by operation of law on the following day.
4. Editorial correction of Reference cite (Register 95, No. 13).
5. Certificate of Compliance as to 1-10-95 order transmitted to OAL 4-25-95 and filed 6-7-95 (Register 95, No. 23).

Note: Authority cited: Section 12696.05, Insurance Code. Reference: Sections 12696 and 12698.20, Insurance Code.