reglab/statecodes huggingface dataset:
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 1 - Submission and Approval Procedures, Fees › Section 2199.2.1 - Preamble

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Section
					 1855.1 of
					 the California Insurance Code states that the Legislature intended to promote
					 competition in the insurance business and provide a means whereby insurance
					 customers can more easily comparison shop for insurance coverage by allowing
					 advisory organizations to develop and draft for use by insurers in California
					 common forms, coverages, endorsements and manuals. Section
					 1855.5
					 provides that the Commissioner shall approve only those manuals that are found
					 by the Commissioner to contemplate activities and practices that are not
					 unfair, unreasonable or otherwise inconsistent with the insurance code. The
					 Insurance Commissioner promulgates these regulations in order to:
(1) interpret the provisions of Insurance
					 Code section
					 1855.5 as applied to manuals,
					 and
(2) interpret the provisions of
					 Insurance Code sections
					 1855.4 and
					 1861.03 as
					 applied to manuals with respect to the application of the terms "unfair,
					 unreasonable or otherwise inconsistent with the provisions of this code" in
					 Insurance Code section
					 1855.5.
1. New
					 subchapter 1.6 (articles 1-4), article 1, (sections
					 2199.2.1 --2199.2.8) and
					 <section filed 6-26-96; operative 7-26-96 (Register 96, No.
					 26).
2. Change without regulatory effect amending first paragraph
					 filed 7-14-2021 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2021, No. 29). Filing deadline specified in Government
					 Code section
					 11349.3(a)
					 extended 60 calendar days pursuant to Executive Order
					 N-40-20.
Note: Authority cited: Section
						12921,
						Insurance Code; Calfarm Insurance Company, et al. v. Deukmejian, et al, 48 Cal.
						3d 805, 824 (1989); and 20th Century v. Garamendi, 8 Cal.4th 216 (1994).
						Reference: Sections
						1855.1
						through
						1855.5,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 1 - Submission and Approval Procedures, Fees › Section 2199.2.2 - Authority and Scope

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
This subchapter is promulgated pursuant to Insurance Code
					 Sections
					 1855.1
					 through
					 1855.5.
					 This subchapter shall only apply to advisory organizations and shall not be
					 construed to require or permit advisory organizations to submit any documents
					 to the Department of Insurance not provided for in the Insurance Code, or other
					 Subchapters of the California Code of Regulations.
1. New
					 section filed 6-26-96; operative 7-26-96 (Register 96, No.
					 26).
Note: Authority cited: Section
						12921,
						Insurance Code; Calfarm Insurance Company, et al. v. Deukmejian, et al. (1989)
						48 Cal. 3d 805, 824; and 20th Century v. Garamendi, 8 Cal. 4th, 216 (1994).
						Reference: Sections
						1855.1
						through
						1855.5,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 1 - Submission and Approval Procedures, Fees › Section 2199.2.5 - Fees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A one hundred
				  dollar ($100) fee shall be paid at the time an application is filed for
				  submission.
(b) Applications which
				  are not accompanied by the appropriate fee shall be rejected.
1. New
					 section filed 6-26-96; operative 7-26-96 (Register 96, No.
					 26).
Note: Authority cited: Section
						12921,
						Insurance Code; and Calfarm Insurance Company et al. v. Deukmejian, et al.
						(1989) 48 Cal. 3d 805, 824. Reference: Sections
						1855.5 and
						12973.9,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 1 - Submission and Approval Procedures, Fees › Section 2199.2.6 - Filing Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All manuals developed or prepared by an advisory
					 organization, shall be filed with the California Department of Insurance, Rate
					 Regulation Division, Rate Filing Bureau, 1901 Harrison Street, 3rd Floor
					 Mailroom, Oakland, CA 94612, in compliance with the following standards:
(a) All manuals shall be filed with a
				  transmittal letter.
(b) Every
				  transmittal letter shall include the following information:
(1) Name and address of advisory
				  organization
(2) Name, address and
				  telephone number of contact person
(3) Title of the manual submitted
(4) A general description of the manual
				  submitted
(5) Whether the manual
				  revises a manual previously filed with or approved by the Commissioner, and if
				  so. identifying the manual.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 1 - Submission and Approval Procedures, Fees › Section 2199.2.7 - Information Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each application shall include the following, if applicable:
(1) if the application relates to a new
				  program or line of business, the applicant shall provide a written explanation
				  of the purpose and intent of the new manual;
(2) if the application is a revision or
				  replacement of a previously approved manual, the application must describe each
				  revision or replacement and the reasons for each revision or replacement, and
				  must include copies of the revised or replaced manual;
(3) information in support of applicant's
				  claim that the manual is technically correct and will not have an adverse
				  effect on competition;
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 1 - Submission and Approval Procedures, Fees › Section 2199.2.8 - Service and Computation of Time

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Whenever a writing is due from the Commissioner, an
					 applicant or any other person, it shall be served in accordance with the
					 procedures set forth in sections
					 2651.1-2660.1 of these
					 regulations.
1. New
					 section filed 6-26-96; operative 7-26-96 (Register 96, No.
					 26).
Note: Authority cited: Section
						12921,
						Insurance Code; and Calfarm Insurance Company, et al. v. Deukmejian, et al.
						(1989) 48 Cal. 3d 805, 824. Reference: Section
						1855.5,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 2 - Actions on Approval › Section 2199.3.1 - Review of Applications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The Insurance Department shall review any submitted application to determine
				  whether or not the application complies with applicable procedural requirements
				  and whether or not the manual contents or the use thereof would be inconsistent
				  with the Insurance Code or would result in activities and practices by insurers
				  that are unfair, unreasonable or otherwise inconsistent with the Insurance
				  Code.
(b) Within fifteen days of
				  receipt by the Department, applications which do not meet the requirements of
				  sections 2199.2.6 and
				  2199.2.7 may be rejected. A
				  rejection shall constitute an act by the Commissioner on the manual application
				  and no application that has been rejected shall be deemed approved. In the case
				  of a rejection, the Commissioner shall notify the applicant in writing of the
				  reason(s) for the rejection. Acceptance of an application is not a
				  determination that the application complies with all requirements and shall not
				  constitute a waiver of any requirements.
(c) The Commissioner may allow or require an
				  applicant to modify, supplement, or amend an application.
(d) A rejection shall be effective on the
				  date it is served.
1. New
					 article 2 (sections
					 2199.3.1 --2199.3.6) and section
					 filed 6-26-96; operative 7-26-96 (Register 96, No.
					 26).
Note: Authority cited: Section
						12921,
						Insurance Code; and Calfarm Insurance Company, et al. v. Deukmejian, et al.
						(1989) 48 Cal. 3d 805, 824. Reference: Section
						1855.5(a) and
						(b), Insurance
						Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 2 - Actions on Approval › Section 2199.3.2 - Approval of Applications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Reviewed applications shall be approved if the Commissioner determines that the
				  manual or manual contents or the use thereof would be consistent with the
				  Insurance Code and would not result in activities and practices by insurers
				  that are unfair, unreasonable or otherwise inconsistent with the Insurance
				  Code.
(b) Approvals shall be in
				  writing, served on the applicant. No manual may be distributed for use in
				  writing risks located in California until it has been approved. Approval of a
				  manual shall remain in effect until such time as such approval is revoked
				  pursuant to section
				  2199.3.4 of these
				  regulations.
(c) After a manual has
				  been approved, if it is revised, the revised pages must be submitted for the
				  Commissioner's review and approval. The revised pages may not be distributed
				  for use in writing risks located in California until they have been approved by
				  the Commissioner. If approval of the revised pages is denied, such denial will
				  not affect the status of the remaining portion of the manual. The same
				  standards and procedures which apply to approval of a manual and hearings
				  related to the disapproval of a manual, will apply to determinations regarding
				  revised pages.
1. New
					 section filed 6-26-96; operative 7-26-96 (Register 96, No.
					 26).
Note: Authority cited: Section
						12921,
						Insurance Code; and Calfarm Insurance Company, et al. v. Deukmejian, et al.
						(1989) 48 Cal. 3d 805, 824. Reference: Sections
						1855.4 and
						1855.5(a),
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 2 - Actions on Approval › Section 2199.3.3 - Disapproval

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  Commissioner shall disapprove any manual which is found by the Commissioner to
				  contemplate activities and practices that are unfair, unreasonable, or
				  otherwise inconsistent with the provisions of the Insurance Code. A manual
				  shall not be disapproved as contemplating activities and practices that are
				  unfair, unreasonable or otherwise inconsistent with the Insurance Code based on
				  technical or actuarial grounds unless the manual fails to meet the requirements
				  of section
				  2199.3.5. A manual shall not be
				  disapproved as contemplating activities and practices that are unfair,
				  unreasonable or otherwise inconsistent with the provisions of the Insurance
				  Code based on the grounds of an adverse effect on competition unless the
				  requirements of section
				  2199.3.6 are met.
(b) If the Department of Insurance reviews an
				  application and determines that the application should be disapproved, the
				  Commissioner shall issue a Notice of Determination to Hold Hearing. A Notice of
				  Determination to Hold Hearing shall set forth the basis for
				  disapproval.
(c) Within fifteen
				  days of service of a Notice of Determination to Hold Hearing, an applicant must
				  elect to either:
(1) modify, supplement,
				  amend or withdraw the application;
(2) acknowledge receipt of the notice and
				  request a hearing pursuant to section
				  2199.4.4 or
(3) waive the right to a hearing and accept
				  the disapproval. All elections must be written and filed. An applicant who
				  fails to so elect will be deemed to have requested a
				  hearing.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 2 - Actions on Approval › Section 2199.3.4 - Revocation of Approval

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Approval of a manual may be revoked for good cause after a hearing. Good cause
				  to revoke approval shall be only on the same grounds and conditions which would
				  permit disapproval if the manual were submitted for approval at the time of
				  hearing. The hearing shall be conducted in accordance with the provisions of
				  Insurance Code section
				  1861.08 and
				  sections 2649.1-2662.8 of these
				  regulations.
(b) Revocations of
				  approval shall be in writing, served on the applicant.
1. New
					 section filed 6-26-96; operative 7-26-96 (Register 96, No.
					 26).
Note: Authority cited: Section
						12921,
						Insurance Code; and Calfarm Insurance Company, et al. v. Deukmejian (1989) 48
						Cal. 3d 805, 824. Reference: Sections
						1855.4 and
						1855.5(a),
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 2 - Actions on Approval › Section 2199.3.5 - Standards for Technical or Actuarial Review of Manuals

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A manual shall not be found to contemplate activities or
					 practices that are unfair, unreasonable or otherwise inconsistent with the
					 provisions of the Insurance Code based on the grounds that the contents of the
					 manual fails to meet technical or actuarial requirements unless:
(a) the manual contents violate any provision
				  of the Insurance Code, or
(b) the
				  actuarial analyses underlying the contents of the manual are not actuarially
				  sound according to the standards contained in the Statement of Principles
				  Regarding Property and Casualty Insurance Ratemaking of the Casualty Actuarial
				  Society (CAS) or other generally accepted actuarial standards.
1. New
					 section filed 6-26-96; operative 7-26-96 (Register 96, No.
					 26).
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 2 - Actions on Approval › Section 2199.3.6 - Standards for Review of Manuals' Effect on Competition

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Absent a finding of an agreement by
				  insurers to adhere to the manual as described in paragraph (c), an applicant
				  shall be deemed to have met its burden of proving that a manual does not
				  contemplate activities or practices that are unfair, unreasonable or otherwise
				  inconsistent with the Insurance Code based on the grounds of an adverse effect
				  on competition by presenting evidence sufficient to show that:
(1) the statewide market concentration, as
				  measured by the Herfindahl-Hirschman Index, of all insurers licensed to write
				  the lines of insurance for such market (using the statewide total written
				  premium for the applicable lines of business as reported on the Annual
				  Statement Statutory Page 14 for the most recently available calendar year) is
				  less than 1000; or
(2) if the
				  statewide market concentration of all insurers exceeds the standard set forth
				  in 2199.3.6(a)(1) the statewide market concentration of insurers authorized to
				  use the advisory organization manual (as demonstrated by records of the
				  advisory organization submitted to the Commissioner), as measured by the
				  Herfindahl-Hirschman Index (using the statewide total written premium for the
				  applicable lines of business as reported on the Annual Statement Statutory Page
				  14 for the most recently available calendar year), for such insurers is less
				  than 1000.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 3 - Hearing Procedures › Section 2199.4.1 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In addition to the definitions set forth in section
					 2199.2.4, and except for the
					 definition of "Proceeding" set forth herein, the definitions contained in
					 section 2651.1 of these regulations shall
					 apply to hearings held pursuant to this subchapter regarding the disapproval of
					 advisory organization manuals:
(a)
				  "Proceeding" means any hearing conducted pursuant to Insurance Code section
				  1855.5,
				  which shall be conducted in accordance with the provisions of Insurance Code
				  section
				  1861.08 and
				  these regulations.
1. New
					 article 3 (sections
					 2199.4.1 --2199.4.4) and section
					 filed 6-26-96; operative 7-26-96 (Register 96, No.
					 26).
Note: Authority cited: Section
						12921,
						Insurance Code; and Calfarm Insurance Company, et al. v. Deukmejian, et al.
						(1989) 48 Cal. 3d 805, 824. Reference: Section
						1855.5,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 3 - Hearing Procedures › Section 2199.4.2 - Procedural Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
With the exception of the requirements which follow, all
					 procedural and evidentiary requirements in hearings regarding advisory
					 organization manuals shall conform with the requirements of sections
					 2650.1-2659.4 of these
					 regulations.
(a) Copies.
Unless otherwise required by the Insurance Commissioner, an
					 original plus four copies of each pleading or other document, including the
					 application, filed pursuant to this subchapter shall be filed with the
					 Commissioner.
(b) Place of
				  Filing.
Unless otherwise directed, all pleadings and other
					 documents other than applications filed pursuant to this subchapter shall be
					 filed with the Administrative Law Bureau, California Department of Insurance,
					 1901 Harrison Street, 3rd Floor Mailroom, Oakland, CA 94612.
Applications and manuals submitted for review shall be
					 submitted to California Department of Insurance, Rate Regulation Division, Rate
					 Filing Bureau, 1901 Harrison Street, 3rd Floor Mailroom, Oakland, CA
					 94612.
(c) Rejection of
				  Documents.
Pleadings which are not in substantial compliance with
					 applicable statutes, these regulations, or an order of the Insurance
					 Commissioner or Administrative Law Judge, may be rejected. When pleadings and
					 other documents submitted for filing pursuant to this subchapter are rejected,
					 the sender will be provided with the reasons for the rejection. Acceptance of a
					 document for filing is not a determination that the document complies with all
					 requirements and is not a waiver of those requirements. The Commissioner may
					 require amendment of a document.
1. New
					 section filed 6-26-96; operative 7-26-96 (Register 96, No. 26).
2.
					 Change without regulatory effect amending subsection (b) filed 8-27-2020
					 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2020, No. 35).
Note: Authority cited: Section
						12921,
						Insurance Code; and Calfarm Insurance Company, et al. v. Deukmejian, et al,
						(1989) 48 Cal. 3d 805, 824. Reference: Section
						1855.5,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 3 - Hearing Procedures › Section 2199.4.3 - Decision to Hold Hearing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The Insurance Commissioner shall exercise discretion in
					 deciding whether or not to disapprove a manual and serve a Notice of
					 Determination to Hold Hearing pursuant to section
					 2199.3.3 of these regulations
					 because it fails to meet the requirements of Insurance Code section
					 1855.5. The
					 Commissioner will serve a Notice of Determination to Hold Hearing when the
					 Commissioner reviews an application and determines that it should be
					 disapproved or revoked. Hearings shall be conducted in accordance with the
					 provisions of Insurance Code section
					 1861.08 and
					 sections 2649.1-2662.8 of these
					 regulations.
1. New
					 section filed 6-26-96; operative 7-26-96 (Register 96, No. 26).
2.
					 Change without regulatory effect amending section filed 7-14-2021 pursuant to
					 section 100, title 1, California Code of
					 Regulations (Register 2021, No. 29). Filing deadline specified in Government
					 Code section
					 11349.3(a)
					 extended 60 calendar days pursuant to Executive Order
					 N-40-20.
Note: Authority cited: Section
						12921,
						Insurance Code; and Calfarm Insurance Company, et al. v. Deukmejian, et al.
						(1999) 48 Cal. 3d 805, 824. Reference: Section
						1855.5,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 3 - Hearing Procedures › Section 2199.4.4 - Notice of Hearing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
If applicant acknowledges receipt of the Notice of
					 Determination to Hold Hearing and requests a hearing, the Department shall
					 serve written notice of hearing not less than 10 days prior to the first
					 scheduled appearance for any such hearing.
1. New
					 section filed 6-26-96; operative 7-26-96 (Register 96, No.
					 26).
Note: Authority cited: Section
						12921,
						Insurance Code; and Calfarm Insurance Company, et al. v. Deukmejian, et al,
						(1989) 48 Cal. 3d 805, 814. Reference: Section
						1855.5,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1.6 - Advisory Organizations, Manuals Approval › Article 4 - Consumer and Interested Party Participation › Section 2199.5.1 - Intervention

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Intervention in any proceeding having to do with an
					 advisory organization manual shall be pursuant to sections
					 2661.1-2662.8 of these
					 regulations.
1. New
					 article 4 (section
					 2199.5.1) and section filed
					 6-26-96; operative 7-26-96 (Register 96, No.
					 26).
Note: Authority cited: Section
						12921,
						Insurance Code; and Calfarm Insurance Company, et. al. v. Deukmejian, et al.
						(1989) 48 Cal. 3d 805, 824. Reference: Section
						1855.5(b),
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2200 - Authority. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Repealer
					 and new Article 1 (Sections
					 2200-2218.1) filed 10-4-79;
					 designated effective 1-2-80 (Register 79, No. 40). Sections
					 2218.2-2218.10 of former Article
					 1.2 incorporated into Article 1. For prior history, see Registers 65, No. 16,
					 76, No. 46, 77, No. 19, 78, No. 4 and 78, No. 34.
2. Repealer filed
					 2-11-97; operative 3-13-97 (Register 97, No. 7).
Note: Authority cited and Reference: Sections
						779.8,
						779.13,
						795.5,
						1320,
						9080.1,
						10191,
						10205,
						10225,
						10270.1,
						10270.2,
						10270.3,
						10270.5,
						10270.57,
						10270.9,
						10270.93,
						10271,
						10290,
						10292,
						10506,
						10507.2,
						11027,
						11029,
						11066,
						11069,
						11512.4,
						11513,
						11522,
						11658,
						11659,
						12250,
						12763,
						12973.9,
						California Insurance Code and Sections
						2249.2,
						2249.5,
						2266,
						2529, California Administrative
						Code, Title 10.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2202 - Documents to be Submitted; Fees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The fees to be charged for the
				  Commissioner's actions on documents submitted to the Commissioner are
				  determined according to the document classes below. The fees for each document
				  class are set forth in the Fee Table in subsection (b).
(1) "Health Insurance." Group, blanket or
				  individual documents that provide health insurance coverage as defined in
				  subdivision (b) of Ins. Code §
											106 and disclosure material
				  required by Ins. C. §
											10270.3.
This class of documents:
(A) Includes documents which also provide
				  coverages described elsewhere in this Section, such as group documents
				  providing life insurance in addition to "health insurance" coverage.
(B) Includes rates and risk classifications
				  for individual "health insurance" policies.
(C) Includes small employer health insurance
				  including, but not limited to:
1.
				  Rates;
2. Rating plans;
3. Lists and statements of plan benefit
				  designs, including statements of the factors used to establish rates for each
				  benefit plan design or statements of the standard employee risk rate for each
				  category of each benefit plan design and the highest and lowest risk adjustment
				  factors to be used in determining rates for each benefit plan design;
4. Lists of associations to which or through
				  which small employer health insurance benefit plans are marketed and
				  information pertaining thereto.
(D) Does not include documents providing only
				  dental and/or vision coverage or documents providing only coverage for
				  treatment of accidental injuries unless they are included with filings of
				  documents that are not so limited.
(E) Does not include documents providing
				  stop-loss coverage to self-insured plans or to providers in capitated
				  plans.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2203 - Fee Computation Rules

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  fee for a "policy" (including fraternal benefit society certificates) is for
				  the policy alone. A separate fee shall be charged for every other document
				  (e.g., contract, application, enrollment form, rider, endorsement, amendment,
				  insert policy page, certificate or other evidence or notice of insurance,
				  reports and other filings pertaining to health insurance, statement of
				  variability, schedule of rates and classification of risks except for workers'
				  compensation insurance, actuarial memorandum, advertisement, and any
				  modification thereto) as set forth in §
										2202(b). The
				  exceptions to this rule are as follows:
(1)
				  If both rates and an actuarial memorandum are filed together, one fee shall be
				  charged for both documents.
(2) If
				  more than one subdivision of §
											2202(a) applies
				  to a document, the fee for the document shall be the sum of the fees set forth
				  in §
											2202(b) for all
				  subdivisions of §
											2202(a) that
				  apply to the document.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2204 - Billing and Payment of Fees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Fees for documents described in
				  subdivisions (1) through (12) of §
										2202(a) shall be
				  computed and entered by the Commissioner on the Document Submission Form
				  accompanying the submission. See §
										2216 for instructions on preparing
				  the Document Submission Form.
(b)
				  Fees for all other documents described in this Article shall be entered on a
				  Filing Fee Invoice supplied and prepared by the Commissioner.
(c) All filing fees shall be due and payable
				  upon receipt of an invoice from the Commissioner.
1. Amendment
					 of subsection (c) filed 1-9-86; designated effective 2-2-86 pursuant to
					 Government Code Section
					 11346.2(d)
					 (Register 86, No. 2).
2. Amendment of section and repealer and new
					 NOTE filed 2-11-97; operative 3-13-97 (Register 97, No. 7).
3.
					 Amendment of subsections (a) and (c) and amendment of NOTE filed 2-4-2016;
					 operative 4-1-2016 (Register 2016, No. 6).
Note: Authority cited: Sections
						742.43,
						779.21,
						10168.92,
						10192.3,
						10234,
						10292,
						10327,
						10506,
						10506.3,
						10704,
						12921.6 and
						12973.9,
						Insurance Code. Reference: Sections
						742.42,
						779.8,
						795.5,
						1320,
						9080.1,
						10112.5,
						10113.95(c),
						10123.36,
						10123.135,
						10123.137(d),
						10133.5,
						10163.35,
						10168.93,
						10181.3,
						10192.13(a)(7),
						10192.14(b)(1),
						10192.15,
						10192.19,
						10192.22,
						10198.61,
						10205,
						10225,
						10231.2,
						10231.6,
						10232,
						10234.9,
						10234.93,
						10234.97,
						10236.11,
						10236.13,
						10270,
						10270.1,
						10270.2,
						10270.3,
						10270.5,
						10270.507,
						10270.57,
						10270.9,
						10270.93,
						10271,
						10271.1,
						10290,
						10292,
						10295.2,
						10436,
						10506,
						10705,
						10717,
						10753.05,
						10753.17,
						11011,
						11027,
						11029,
						11066,
						11069,
						11522,
						11658,
						12250,
						12921.6 and
						12973.9,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2206 - Mailing Address

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Submissions of any documents described in subdivisions (1) through (11) of
				  Section 2202(a), except
				  for subdivision (4)(C), that are submitted in paper form shall be addressed to:
CALIFORNIA DEPARTMENT OF INSURANCE
POLICY APPROVAL BUREAU
1901 HARRISON STREET, 3RD FLOOR MAILROOM
OAKLAND, CA 94612
(b) Submissions of documents described in
				  subdivisions (4)(C), (12) and (13) of Section
				  2202(a) that are
				  submitted in paper form shall be addressed to:
CALIFORNIA DEPARTMENT OF INSURANCE
OFFICE OF THE CHIEF ACTUARY
300 SOUTH SPRING STREET
LOS ANGELES CA 90013
(c) Submissions of documents described in
				  subdivisions (14) through (16) of Section
				  2202(a) shall be
				  addressed to:
CALIFORNIA DEPARTMENT OF INSURANCE
CORPORATE AFFAIRS BUREAU
1901 HARRISON STREET, 3RD FLOOR MAILROOM
OAKLAND, CA 94612
1.
					 Renumbering and amendment of former section
					 2206 to section
					 2205 and new section
					 2206 filed 2-11-97; operative
					 3-13-97 (Register 97, No. 7).
2. Amendment of section and NOTE filed
					 2-4-2016; operative 4-1-2016 (Register 2016, No. 6).
3. Change
					 without regulatory effect amending subsections (a) and (c) filed 8-27-2020
					 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2020, No. 35).
Note: Authority cited: Sections
						742.43,
						779.21,
						10168.92,
						10192.3,
						10234,
						10292,
						10327,
						10506,
						10506.3,
						10704,
						12921.6 and
						12973.9,
						Insurance Code. Reference: Sections
						742.42,
						779.8,
						795.5,
						1320,
						9080.1,
						10112.5,
						10113.95(c),
						10123.36,
						10123.135,
						10123.137(d),
						10133.5,
						10163.35,
						10168.93,
						10181.3,
						10192.13(a)(7),
						10192.14(b)(1),
						10192.15,
						10192.19,
						10192.22,
						10198.61,
						10205,
						10225,
						10231.2,
						10231.6,
						10232,
						10234.9,
						10234.93,
						10234.97,
						10236.11,
						10236.13,
						10270,
						10270.1,
						10270.2,
						10270.3,
						10270.5,
						10270.507,
						10270.57,
						10270.9,
						10270.93,
						10271,
						10271.1,
						10290,
						10292,
						10295.2,
						10436,
						10506,
						10705,
						10717,
						10753.05,
						10753.17,
						11011,
						11027,
						11029,
						11066,
						11069,
						11522,
						11658,
						12250,
						12921.6 and
						12973.9,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2207 - Form in Which Documents Must be Filed, and Filer's Responsibility for Complying with California Law

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Only those documents submitted in the final form in which
					 they will be issued will be approved or accepted for filing by the
					 Commissioner. The insurer is responsible for conforming its documents to
					 California law before submitting those documents to the
					 Commissioner.
1. Amendment
					 of section heading, section and repealer and new NOTE filed 2-11-97; operative
					 3-13-97 (Register 97, No. 7).
2. Amendment of section heading,
					 section and NOTE filed 2-4-2016; operative 4-1-2016 (Register 2016, No.
					 6).
Note: Authority cited: Sections
						742.43,
						779.21,
						10168.92,
						10192.3,
						10234,
						10292,
						10327,
						10506,
						10506.3,
						10704,
						12921.6 and
						12973.9,
						Insurance Code. Reference: Sections
						742.42,
						779.8,
						795.5,
						1320,
						9080.1,
						10112.5,
						10113.95(c),
						10123.36,
						10123.135,
						10123.137(d),
						10133.5,
						10163.35,
						10168.93,
						10181.3,
						10192.13(a)(7),
						10192.14(b)(1),
						10192.15,
						10192.19,
						10192.22,
						10198.61,
						10205,
						10225,
						10231.2,
						10231.6,
						10232,
						10234.9,
						10234.93,
						10234.97,
						10236.11,
						10236.13,
						10270,
						10270.1,
						10270.2,
						10270.3,
						10270.5,
						10270.507,
						10270.57,
						10270.9,
						10270.93,
						10271,
						10271.1,
						10290,
						10292,
						10295.2,
						10436,
						10506,
						10705,
						10717,
						10753.05,
						10753.17,
						11011,
						11027,
						11029,
						11066,
						11069,
						11522,
						11658,
						12250,
						12921.6 and
						12973.9,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2208 - Group Certificates

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each group policy submitted, except "wrap around" policies,
					 must include the certificate or certificates to be issued
					 therewith.
1. Amendment
					 of section and repealer and new NOTE filed 2-11-97; operative 3-13-97 (Register
					 97, No. 7).
2. Amendment of NOTE filed 2-4-2016; operative 4-1-2016
					 (Register 2016, No. 6).
Note: Authority cited: Sections
						742.43,
						779.21,
						10168.92,
						10192.3,
						10234,
						10292,
						10327,
						10506,
						10506.3,
						10704,
						12921.6 and
						12973.9,
						Insurance Code. Reference: Sections
						742.42,
						779.8,
						795.5,
						1320,
						10112.5,
						10113.95(c),
						10168.93,
						10181.3,
						10192.13(a)(7),
						10192.15,
						10205,
						10225,
						10231.2,
						10232,
						10236.11,
						10236.13,
						10270,
						10270.1,
						10270.2,
						10270.3,
						10270.5,
						10270.507,
						10270.57,
						10270.9,
						10270.93,
						10271,
						10271.1,
						10290,
						10292,
						10295.2,
						10436,
						10506,
						10705,
						10717,
						10753.05,
						10753.17,
						11658,
						12921.6 and
						12973.9,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2209 - Applications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Applications and enrollment forms which are to be
					 incorporated in documents which must be submitted to the Commissioner shall be
					 subject to the same filing requirements as the documents in which they are to
					 be incorporated, except as otherwise provided. Where a previously approved
					 application is to be incorporated in a newly submitted document, the cover
					 letter shall state the California Department of Insurance file number for the
					 application, the application form number, and the date of the Commissioner's
					 action upon it.
1. Amendment
					 of section and repealer and new NOTE filed 2-11-97; operative 3-13-97 (Register
					 97, No. 7).
2. Amendment of section and NOTE filed 2-4-2016;
					 operative 4-1-2016 (Register 2016, No. 6).
Note: Authority cited: Sections
						742.43,
						779.21,
						10168.92,
						10192.3,
						10234,
						10292,
						10327,
						10506,
						10506.3,
						10704,
						12921.6 and
						12973.9,
						Insurance Code. Reference: Sections
						742.42,
						779.8,
						795.5,
						1320,
						9080.1,
						10112.5,
						10113.95(c),
						10123.36,
						10123.135,
						10123.137(d),
						10133.5,
						10163.35,
						10168.93,
						10181.3,
						10192.13(a)(7),
						10192.14(b)(1),
						10192.15,
						10192.19,
						10192.22,
						10198.61,
						10205,
						10225,
						10231.2,
						10231.6,
						10232,
						10234.9,
						10234.93,
						10234.97,
						10236.11,
						10236.13,
						10270,
						10270.1,
						10270.2,
						10270.3,
						10270.5,
						10270.507,
						10270.57,
						10270.9,
						10270.93,
						10271,
						10271.1,
						10290,
						10292,
						10295.2,
						10436,
						10506,
						10705,
						10717,
						10753.05,
						10753.17,
						11011,
						11027,
						11029,
						11066,
						11069,
						11522,
						11658,
						12250,
						12921.6 and
						12973.9,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2210 - Insert Pages

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Submissions of additional or revised insert pages for use
					 with previously approved or filed documents must include a cover letter stating
					 the California Department of Insurance file numbers for the previous filings,
					 the filing form numbers, a description of the types of documents with which the
					 insert pages will be used and the dates of the Commissioner's action on those
					 documents.
1. Amendment
					 of section heading and section and repealer and new NOTE filed 2-11-97;
					 operative 3-13-97 (Register 97, No. 7).
2. Amendment of section
					 heading, section and NOTE filed 2-4-2016; operative 4-1-2016 (Register 2016,
					 No. 6).
Note: Authority cited: Sections
						742.43,
						779.21,
						10168.92,
						10192.3,
						10234,
						10292,
						10327,
						10506,
						10506.3,
						10704,
						12921.6 and
						12973.9,
						Insurance Code. Reference: Sections
						742.42,
						779.8,
						795.5,
						1320,
						9080.1,
						10112.5,
						10113.95(c),
						10123.36,
						10123.135,
						10123.137(d),
						10133.5,
						10163.35,
						10168.93,
						10181.3,
						10192.13(a)(7),
						10192.14(b)(1),
						10192.15,
						10192.19,
						10192.22,
						10198.61,
						10205,
						10225,
						10231.2,
						10231.6,
						10232,
						10234.9,
						10234.93,
						10234.97,
						10236.11,
						10236.13,
						10270,
						10270.1,
						10270.2,
						10270.3,
						10270.5,
						10270.507,
						10270.57,
						10270.9,
						10270.93,
						10271,
						10271.1,
						10290,
						10292,
						10295.2,
						10436,
						10506,
						10705,
						10717,
						10753.05,
						10753.17,
						11011,
						11027,
						11029,
						11066,
						11069,
						11522,
						11658,
						12250,
						12921.6 and
						12973.9,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2211 - Form Numbers Required

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Every document submitted pursuant to this Article, except
					 rate schedules and actuarial memoranda, must have a form number in the lower
					 left-hand corner of each page. The form number must be different from any other
					 form number on any document previously filed with or approved by the
					 Commissioner for that insurer. A revised version of a previously filed or
					 approved document which contains any change whatsoever (subject to Section
					 2202(d) of this
					 Article) is not the same form and its issuance is unlawful unless the revised
					 version is properly submitted and filed or approved with its own unique form
					 number.
1. Amendment
					 of section and repealer and new NOTE filed 2-11-97; operative 3-13-97 (Register
					 97, No. 7).
2. Amendment of section and NOTE filed 2-4-2016;
					 operative 4-1-2016 (Register 2016, No. 6).
Note: Authority cited: Sections
						742.43,
						779.21,
						10168.92,
						10192.3,
						10234,
						10292,
						10327,
						10506,
						10506.3,
						10704,
						12921.6 and
						12973.9,
						Insurance Code. Reference: Sections
						742.42,
						779.8,
						795.5,
						1320,
						9080.1,
						10112.5,
						10113.95(c),
						10123.36,
						10123.135,
						10123.137(d),
						10133.5,
						10163.35,
						10168.93,
						10181.3,
						10192.13(a)(7),
						10192.14(b)(1),
						10192.15,
						10192.19,
						10192.22,
						10198.61,
						10205,
						10225,
						10231.2,
						10231.6,
						10232,
						10234.9,
						10234.93,
						10234.97,
						10236.11,
						10236.13,
						10270,
						10270.1,
						10270.2,
						10270.3,
						10270.5,
						10270.507,
						10270.57,
						10270.9,
						10270.93,
						10271,
						10271.1,
						10290,
						10292,
						10295.2,
						10436,
						10506,
						10705,
						10717,
						10753.05,
						10753.17,
						11011,
						11027,
						11029,
						11066,
						11069,
						11522,
						11658,
						12250,
						12921.6 and
						12973.9,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2212 - Blanks to be Completed

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All blanks in documents which are not obviously
					 self-explanatory shall be filled in with sample material which will indicate
					 the use to be made of the blanks.
1. Amendment
					 of section and repealer and new NOTE filed 2-11-97; operative 3-13-97 (Register
					 97, No. 7).
2. Amendment of section and NOTE filed 2-4-2016;
					 operative 4-1-2016 (Register 2016, No. 6).
Note: Authority cited: Sections
						742.43,
						779.21,
						10168.92,
						10192.3,
						10234,
						10292,
						10327,
						10506,
						10506.3,
						10704,
						12921.6 and
						12973.9,
						Insurance Code. Reference: Sections
						742.42,
						779.8,
						795.5,
						1320,
						9080.1,
						10112.5,
						10113.95(c),
						10123.36,
						10123.135,
						10123.137(d),
						10133.5,
						10163.35,
						10168.93,
						10181.3,
						10192.13(a)(7),
						10192.14(b)(1),
						10192.15,
						10192.19,
						10192.22,
						10198.61,
						10205,
						10225,
						10231.2,
						10231.6,
						10232,
						10234.9,
						10234.93,
						10234.97,
						10236.11,
						10236.13,
						10270,
						10270.1,
						10270.2,
						10270.3,
						10270.5,
						10270.507,
						10270.57,
						10270.9,
						10270.93,
						10271,
						10271.1,
						10290,
						10292,
						10295.2,
						10436,
						10506,
						10705,
						10717,
						10753.05,
						10753.17,
						11011,
						11027,
						11029,
						11066,
						11069,
						11522,
						11658,
						12250,
						12921.6 and
						12973.9,
						Insurance Code.
California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 2 - Policy Forms and Other Documents › Article 1 - Document Submission and Approval Procedures; Fees › Section 2213 - Variable Content

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Variable content in documents submitted to the Commissioner
					 shall be indicated by brackets. The insurer submitting the document shall set
					 forth all variable content either within the brackets or in a separate
					 statement of variability. Complete lists and numerical ranges of variable
					 content or accurate descriptions of the material to be inserted are required.
					 Descriptions that are incomplete or which lack specificity will not be
					 accepted. The Commissioner will charge a separate fee for action on a statement
					 of variability.
1.
					 Renumbering of former section
					 2213 to section
					 2214 and new section
					 2213 filed 2-11-97; operative
					 3-13-97 (Register 97, No. 7).
2. Amendment of section heading,
					 section and NOTE filed 2-4-2016; operative 4-1-2016 (Register 2016, No.
					 6).
Note: Authority cited: Sections
						742.43,
						779.21,
						10168.92,
						10192.3,
						10234,
						10292,
						10327,
						10506,
						10506.3,
						10704,
						12921.6 and
						12973.9,
						Insurance Code. Reference: Sections
						742.42,
						779.8,
						795.5,
						1320,
						9080.1,
						10112.5,
						10113.95(c),
						10123.36,
						10123.135,
						10123.137(d),
						10133.5,
						10163.35,
						10168.93,
						10181.3,
						10192.13(a)(7),
						10192.14(b)(1),
						10192.15,
						10192.19,
						10192.22,
						10198.61,
						10205,
						10225,
						10231.2,
						10231.6,
						10232,
						10234.9,
						10234.93,
						10234.97,
						10236.11,
						10236.13,
						10270,
						10270.1,
						10270.2,
						10270.3,
						10270.5,
						10270.507,
						10270.57,
						10270.9,
						10270.93,
						10271,
						10271.1,
						10290,
						10292,
						10295.2,
						10436,
						10506,
						10705,
						10717,
						10753.05,
						10753.17,
						11011,
						11027,
						11029,
						11066,
						11069,
						11522,
						11658,
						12250,
						12921.6 and
						12973.9,
						Insurance Code.