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 2509.47 - Form of Appeal and Information Required

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An appeal shall be in writing. It need not be in any
					 particular form, but must include:
(a)
				  The name, address, telephone number, and fax number of the appellant;
(b) The name, address, telephone number, and
				  fax number of the appellant's representative, if any;
(c) Copies of correspondence between the
				  appellant and the insurer and/or rating organization regarding the subject of
				  the appeal, to include: complaints, responses, inquiries, initial decisions,
				  requests for review and action, requests for reconsideration, requests for
				  policyholder information, acknowledgements, notices, and the written decisions
				  of insurers and rating organizations;
(d) A statement as to why the appellant
				  believes the insurer's or rating organization's decision or action is
				  wrong;
(e) Any documents which
				  support the appellant's position, which are reasonably available to the
				  appellant at the time of the filing of the appeal, and upon which the appellant
				  intends to rely at the hearing. The documents should be marked consecutively by
				  letter as provided in section
				  2509.62(c).
(f) A statement that the appellant has or has
				  not filed a complaint with the Department requesting review of the same
				  transactions, actions or omissions which constitute the subject matter of the
				  appeal. If such a complaint has been previously filed or is pending, the
				  appellant shall provide the Department's assigned file number.
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					 language will be repealed by operation of law on the following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),
						11753.1(a)
						and
						11753.1(b),
						Insurance Code.