California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 3 - Insurers › Article 9.7 - Workers' Compensation Insurance Procedural Requirements and Standards Applicable to Employers, Insurers, and Rating Organizations 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), and, Rules of Practice and Procedure for Appeals to the Insurance Commissioner Pursuant to Insurance Code Sections 11737(f), 11752.6(c), 11753.1(a), 11753.1(b) and 11753.1 › Section 2509.43 - Complaints and Requests for Action. Office Designated for Receipt of Complaints and Requests for Action

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Every insurer and rating organization subject to this article shall designate
				  an office within this state for receipt of Complaints and Requests for Action.
				  An insurer or rating organization may designate more than one office to receive
				  Complaints and Requests for Action.
(b) Every insurer and rating organization
				  subject to this article shall provide the address, telephone and facsimile
				  number of a designated office to employers, insurers, insureds, insurance
				  agents and brokers, or other persons inquiring about or making complaints
				  regarding the actions of the insurer or rating organization. A rating
				  organization shall also provide such persons with the telephone number and
				  address of its policyholder ombudsman.
(c) Every insurer subject to this article and
				  any insurance agent or broker through which an employer's insurance was
				  transacted, shall provide the address, telephone and facsimile number of a
				  designated office to employers in the notice required by subdivision (b) of
				  Insurance Code section
				  11753.1
				  when the insurer adopts a change in classification that results in an increased
				  premium. The notice required by subdivision (b) of Insurance Code section
				  11753.1
				  shall inform the employer of the right to request reconsideration of the
				  classification assignment, and the right to appeal a decision rejecting
				  reconsideration to the Commissioner pursuant to Insurance Code section
				  11753.1 and
				  these regulations.
(d) Every
				  insurer subject to this article shall include a notice which includes the
				  information set forth in section
				  2509.77 with each policy of
				  insurance issued or renewed beginning May 23, 1999.
1. New
					 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 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 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 section filed 2-10-2000; operative
					 3-11-2000 (Register 2000, No. 6).
6. Change without regulatory
					 effect amending NOTE filed 6-3-2003 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2003, No. 23).
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
						(h),
						11753.1(a)
						and
						11753.1(b),
						Insurance Code.