This article sets forth the procedural requirements and standards applicable to employers, insurers, rating organizations and other persons in the initiation of and response to requests for review, requests for policyholder information, and requests for reconsideration provided in Insurance Code sections 11737(f), 11752.6(c), 11753.1(a) and 11753.1(b), found in Articles 2 and 4 of Chapter 3 of Part 3 of Division 2 of the California Insurance Code, entitled “Regulation of Business of Workers' Compensation Insurance.” This article also sets forth the rules of practice and procedure governing appeals to the Insurance Commissioner and proceedings conducted pursuant to Insurance Code sections 11737(f), 11752.6(c), 11753.1(a) and 11753.1(b). The regulations set forth in this article supersede any previously adopted regulations regarding complaints and appeals to the extent that such previously adopted regulations are inconsistent with these regulations.

Note: Authority cited: Section 11400.20, Government Code; and Section 11753.1, Insurance Code. Reference: Section 11415.10, Government Code; and Sections 11734, 11737(f), 11750, 11752.6(c) and 11753.1, Insurance Code.

History

1. New article 9.7 (sections 2509.40-2509.78) and section filed 2-22-99 as an emergency; operative 2-22-99 (Register 99, No. 9). A Certificate of Compliance must be transmitted to OAL by 6-18-99 or emergency language will be repealed by operation of law on the following day.

2. New article 9.7 (sections 2509.40-2509.78) and section refiled 6-18-99 as an emergency; operative 6-18-99 (Register 99, No. 25). A Certificate of Compliance must be transmitted to OAL by 10-18-99 or emergency language will be repealed by operation of law on the following day.

3. New article 9.7 (sections 2509.40-2509.78) and section refiled 10-18-99 as an emergency; operative 10-19-99 (Register 99, No. 43). A Certificate of Compliance must be transmitted to OAL by 2-16-2000 or emergency language will be repealed by operation of law on the following day.

4. Repealed by operation of Government Code section 11346.1(g) (Register 2000, No. 6).

5. New article 9.7 (sections 2509.40-2509.78) and section filed 2-10-2000; operative 3-11-2000 (Register 2000, No. 6).

6. Change without regulatory effect amending section and Note filed 1-2-2003 pursuant to section 100, title 1, California Code of Regulations (Register 2003, No. 1).

7. Change without regulatory effect amending article heading and amending Note filed 6-3-2003 pursuant to section 100, title 1, California Code of Regulations (Register 2003, No. 23).