Cal. Code Regs. Tit. 10, § 2699.503 - Administrative Review

Current through Register 2021 Notice, Register No. 40, October 1, 2021

(a) Any appeal filed pursuant to this Article will be given an administrative review.
(b) Administrative reviews of appeals shall be conducted by the Executive Director.
(c) In conducting an administrative review of an appeal, the Executive Director may contact the appellant and/or the participating health plan for further information.
(d) The Executive Director's decision shall be in writing.
(e) If an appeal was filed pursuant to section 2699.500(a), the appellant retains the right to request an administrative hearing if the appellant is not satisfied with the decision of the Executive Director. Such a request shall be filed within thirty (30) calendar days of receipt of the Executive Director's decision. It shall include a clear and concise statement of what action is being appealed, and the reason(s) the Executive Director's decision is not correct.

Notes

Cal. Code Regs. Tit. 10, § 2699.503

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

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 A Certificate of Compliance must be transmitted to OAL 4-10-92 or emergency language will be repealed by operation of law on the following day.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 subsections (a) and (e) 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 A Certificate of Compliance must be transmitted to OAL 5-10-95 or emergency language will be repealed by operation of law on the following day.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. Certificate of Compliance as to 1-10-95 order transmitted to OAL 4-25-95 and filed 6-7-95 (Register 95, No. 23).

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