California Code of Regulations › Title 28 - Managed Health Care › Division 1 - The Department of Managed Health Care › Chapter 2 - Health Care Service Plans › Article 3 - Plan Applications and Amendments › Section 1300.51.2 - Consent to Service of Process

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The consent to service of process required pursuant to
					 these rules shall be in the following form:
TO THE DIRECTOR OF THE DEPARTMENT OF
MANAGED HEALTH CARE OF
THE STATE OF CALIFORNIA
CONSENT TO SERVICE OF PROCESS
KNOW ALL MEN BY THESE PRESENTS:
That the undersigned, ______________________________, (a
					 corporation organized under the laws of the State of __________) (a
					 partnership) (an individual) (other ____________________) hereby irrevocably
					 appoints the Director of the Department of Managed Health Care of the State of
					 California, or his successor in office, to be his (its) attorney to receive
					 service of any lawful process in any noncriminal suit, action or proceeding
					 against him (it), or his (its) successor, executor, or administrator which
					 arises under the Knox-Keene Health Care Service Plan Act of 1975 or any rule or
					 order thereunder after this consent has been filed, with the same force and
					 validity as if served personally on the undersigned.
For the purpose of compliance with the Corporations Code of
					 the State of California, notice of the service and a copy of the process should
					 be sent by registered or certified mail to the undersigned at the following
					 address:
___________________________
Name
___________________________
Street Address
___________________________
City
State
Zip Code
Dated: ____________________.
___________________________
By___________________________
Title___________________________
State of California
)
County of ___________________________
)
On ______________________________ before me, (here insert
					 name and title of the officer, personally appeared
					 ______________________________ personally known to me (or proved to me on the
					 basis of satisfactory evidence) to be the person(s) whose name(s) is/are
					 subscribed to the within instrument and acknowledged to me that he/she/they
					 executed the same in his/her/their authorized capacity(ies), and that by
					 his/her/their signature(s) on the instrument the person(s), or the entity upon
					 behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
							 ___________________________
(Seal)
Any certificate of acknowledgement taken in another state
					 shall be sufficient in the State of California if it is taken in accordance
					 with the laws of the place where the acknowledgement is made.
1. Amendment
					 filed 6-2-78; effective thirtieth day thereafter (Register 78, No.
					 22).
2. Amendment filed 1-12-83; effective thirtieth day thereafter
					 (Register 83, No. 3).
3. Change without regulatory effect amending
					 section and NOTE filed 12-7-95 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 95, No. 49).
4. Change without regulatory
					 effect amending section filed 4-4-2000 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2000, No. 14).
5. Change without regulatory
					 effect amending section filed 7-18-2000 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2000, No. 29).
6. Change without regulatory
					 effect amending section filed 11-21-2002 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2002, No. 47).
Note: Authority cited: Section
						1344,
						Health and Safety Code. Reference: Section
						1351,
						Health and Safety Code and Section
						1189, Civil
						Code.