California Code of Regulations (Last Updated: August 6, 2014) |
Title 10. Investment |
Chapter 5. Insurance Commissioner |
10 CA Adc T. 10, Chap. 5, Refs & Annos |
Subchapter 1. Production of Insurance |
Article 1. Standards for Approval and Disapproval of Names of Insurance Producers |
Article 2. Bail Transactions |
Article 2.1. Bail Education |
Article 3. Motor Vehicle Insurance |
Article 3.5. Rental Car Agent Licensing Regulations |
Article 4. Surplus Lines |
Article 4.5. Procedures Governing Persons Subject to Title 18 United States Code Section 1033 |
Article 5. Insurance in Connection with Sales and Loans |
Article 5.5. License Qualification Examinations |
Article 5.6. Personal Lines Examination Exemption Request [Repealed] |
Article 5.7. Producer Licensing Background Review Guidelines |
Article 6. Disclosure of Compensation Received from Premium Financers |
Article 6.5. Prelicensing and Continuing Education |
Article 6.8. Broker Fees |
Article 7. Production Agency Records |
Article 7.5. Prescribed Method of Filing Notice of Appointment of Agents and Notice of Termination of Appointment of Agents |
Article 8. Insured Automobile Inspection |
Article 9. Credit Insurance Agent Licensing Regulations |
Article 10. Clerical Activities Exempt from Licensure |
Article 11. Communications Equipment Agent Licensing Regulations |
Article 12. Self-Service Storage Agent Licensing Regulations |
Article 13. Form of Application for Title Marketing Representative Certificate of Registration |
Subchapter 1.5. Advisory Organizations, Policy and Bond Form Approval |
Article 1. Submission and Approval Procedures; Fees |
Article 2. Actions on Approval |
Article 3. Hearing Procedures |
Article 4. Consumer and Interested Party Participation |
Article 5. Public Access to Submitted Documents |
Subchapter 1.6. Advisory Organizations, Manuals Approval |
Article 1. Submission and Approval Procedures, Fees |
Article 2. Actions on Approval |
Article 3. Hearing Procedures |
Article 4. Consumer and Interested Party Participation |
Subchapter 2. Policy Forms and Other Documents |
Article 1. Document Submission and Approval Procedures; Fees |
Article 1.1. Insurer Notice and Consent Forms; Confidentiality Requirements |
Article 1.2. Prescription Drug Prior Authorization Requests |
Article 1.3. Mandated Benefits Analysis Regulations |
Article 1.5. Standards for Determining Conformity of Individual Disability Policies with the Provisions of Paragraph (7) of Subdivision (b) of Section 10291.5 of the Insurance Code |
Article 1.6. Medicare Supplement Coverage |
Article 1.7. Transitional Requirements for the Conversion of Medicare Supplement Insurance Benefits and Premiums to Conform to Repeal of Medicare Catastrophic Coverage Act [Repealed] |
Article 1.8. Medicare Supplement Insurance -Compliance with Section 4081 of the Omnibus Budget Reconciliation Act of 1987 (Public Law 100-203) [Repealed] |
Article 2. Group Disability Policies [Repealed] |
Article 2a. Group Disability Policies |
Article 2.2. Limits on Benefit Reductions in Group Disability Income Insurance Policies [Repealed] |
Article 2.3. Forms of Standard Provisions for Coordination of Benefits |
Article 3. Small Employer Health Insurance [Repealed] |
Article 4. Blanket Disability and Tuition Refund Policies |
Article 4.5. Group Disability Income Policies Insuring Employees of California School Districts |
Article 5. Facility of Payment Clauses |
Article 6. Provider Network Access Standards for Disability Policies and Agreements |
Article 6.5. Unemployment Compensation Disability Policies |
Article 6.7. Credit Life and Credit Disability Insurance Policy Forms and Administration |
Article 6.8. Credit Life and Credit Disability Insurance: Premium Rates |
Article 6.9. Standard Credit Life and Credit Disability Policy Forms |
Article 7. Workers' Compensation Policy Forms |
Article 8. Surety Bonds |
Article 9. Extension of Covering Notes |
Article 10. Commissioner's Review of Complaints of Unlawful Cancellation, Rescission or Nonrenewal of Health Insurance Policies |
Article 11. Standards for Health History Questionnaires in Health Insurance Applications, Pre-Issuance Medical Underwriting and Rescission of Health Insurance Policies |
Subchapter 3. Insurers |
Article 1. Admission Requirements |
Article 1.1. Holocaust Era Insurance Registry [Repealed] |
Article 1.3. Standards for Approval of Insurer Names |
Article 2. Valuation of Properties and Securities |
Article 3. Annual Statements |
Article 3.3. Annual Financial Reporting |
Article 3.5. Minimum Reserve Standards for Valuation of Disability Insurance Contracts |
Article 4. Experience and Reserves |
Article 4.5. Loss and Loss Expense Reserves |
Article 5. Marine Insurance |
Article 6. Taxation |
Article 6.2. Reporting and Filing Premium Taxes |
Article 6.5. Guidelines for Waiver of Penalty for Non-Use of Electronic Funds Transfer or for Non-Timely Payment of Taxes |
Article 7. Rates and Rating Systems |
Article 7.1. Title Insurance Statistical Plan and Related Rules |
Article 7.2. Objective Guidelines for Rating; Lowest Rates; Rates Charged by Insurers Which Are Members of a Group; Documentation; Upgrades. |
Article 7.3. Slavery Era Insurance Policies Registry |
Article 7.5. Automobile Insurance Cancellations-Grounds and Appeals [Repealed] |
Article 8. California Automobile Assigned Risk Plan |
Article 8.5. Cancellation Notices - Automobile Liability Insurance Policies |
Article 9. Workers' Compensation Insurance. Dividends (Refunds) to Policyholders. Regulations Governing Classification of Risks and Premium Rates, Policy and Endorsement Forms. |
Article 9.5. Workers' Compensation Insurance Deposits |
Article 9.6. Workers' Compensation Rate Filings |
Article 10. Mortgage Guaranty Insurers |
Article 10.1. Investment Annuities |
Article 10.2. Annuity Nonforfeiture |
Article 11. Separate Account or Accounts - Variable Contracts |
Article 11.1. Separate Account or Accounts -Variable Life Insurance Contracts |
Article 11.2. Separate Account or Accounts -Modified Guaranteed Annuities |
Article 11.3. Mutual Fund Investments in Variable Products |
Article 12. Disability Insurance Advertisements |
Article 12.1. Health Care Language Assistance Program |
Article 12.2. Standard Supplemental Disclosure Forms for Disability Insurance |
Article 12.3. Valuation of Life Insurance Policies |
Article 12.4. Valuation of Universal Life Insurance Policies |
Article 12.6. Life Insurance Yield Comparison Index and Net Payment Cost Comparison Index [Repealed] |
Article 12.7. Life Insurance Advertisements |
Article 12.9. Life Settlements |
Article 13. Exemption from Limitations on Cancellation and Nonrenewal of Coverage |
Article 14. Title Insurance |
Article 15. Discrimination on Account of Sex and/or Marital Status |
Article 15.1. Gender Nondiscrimination in Health Insurance |
Article 15.2. Mental Health Parity |
Article 16. Home Protection Companies |
Article 17. Actuarial Opinion and Memorandum Regulation |
Article 17.2. Actuarial Confidentiality and Conflict of Interest Regulation |
Article 17.3. Recognition of Preferred Mortality Tables for Use in Determining Minimum Reserve Liabilities |
Article 18. The California Fair Plan Association |
Article 19. Regulations for Enforcement Actions and Penalties |
Article 20. Standards Applicable to Workers' Compensation Claims Adjusters and Medical Billing Entities and Certification of Those Standards by Insurers |
Article 21. Workers' Compensation Rating Organization Internet Web Sites |
Article 22. Essential Health Benefits |
Article 23. Hazardous Financial Conditions; Corrective Actions |
Subchapter 4. Insurer Securities Permits |
Article 1. General Provisions |
Article 2. The Insurance Securities Law (Insurance Code Sections 820-860) |
Article 3. Applications -in General |
Article 4. Preorganization, Subscription and Negotiating Permits |
Article 5. Organizational and Other Definitive Permits |
Article 6. Impounding of Stock Sale Proceeds |
Article 7. Promoters |
Article 8. Stock Purchase and Stock Option Plans |
Article 9. Miscellaneous Requirements |
Article 10. Underwritten Title Companies and Other Noninsuring ‘‘Insurers” |
Article 11. Reports of Transactions |
Article 12. Contribution Certificates |
Article 13. Forms and Addenda |
Subchapter 4.3. Procedures for Noncompliance Hearings |
Article 1. Governing Procedure for Noncompliance Hearings |
Subchapter 4.5. General Provisions |
Article 1. Governing Procedure for Hearings |
Article 2. Definitions |
Article 3. Intervention in Quasi-Judicial Proceedings |
Article 4. Participation in Quasi-Legislative Proceedings |
Article 5. Eligibility for Compensation |
Article 6. Compensation in Other Quasi-Judicial Proceedings |
Article 7. Compensation in Quasi-Legislative Proceedings |
Article 8. Public Advisor |
Article 9. Forms |
Article 10. Motions to Dismiss |
Article 11. Briefs and Oral Arguments |
Article 12. Submission of Proceeding |
Article 13. Petitions for Reconsideration |
Article 14. Intervention |
Article 15. Intervenor's Fees and Expenses |
Article 16. Sample Forms |
Article 17. Intervenor Compensation in Departmental Proceedings |
Subchapter 4.7. Private Passenger Automobile Rating Factors |
Article 1. Scope |
Article 2. Definitions |
Article 3. Rating Factors |
Article 4. Good Driver Discount Policy |
Subchapter 4.8. Review of Rates |
Article 1. Scope |
Article 2. Definitions |
Article 3. General Provisions |
Article 4. Determination of Reasonable Rates |
Article 4.5. Refiling of Approved Rates |
Article 5. Determination of Rates for Rollback Period |
Article 6. Procedures for Determination of Rates |
Article 7. Cost of Administration |
Article 8. Timelines for Scheduling and Commencing Hearings. |
Subchapter 4.9. Rules of Practice and Procedure for Rate Proceedings |
Article 1. Preamble |
Article 2. Responsibilities of Parties |
Article 3. Definitions |
Article 4. Procedural Requirements |
Article 5. Petition for Hearing |
Article 6. Administrative Law Judges |
Article 7. Evidence |
Article 8. Stipulations and Settlements |
Article 9. Post-Hearing Briefs and Oral Arguments |
Article 10. Submission of Proceeding |
Article 11. Petitions for Reconsideration |
Article 11.5. Judicial Review |
Article 12. Sample Forms |
Article 13. Intervention |
Article 14. Intervenor's and Participant's Fees and Expenses |
Subchapter 4.10. Rates for Credit Property Insurance and Credit Unemployment Insurance |
Article 1. Scope |
Article 2. Definitions |
Article 3. Regulation of Rates |
Article 4. Benchmark Programs for Credit Property Insurance |
Article 5. Benchmark Provisions for Credit Unemployment Insurance |
Article 6. Reporting Requirements |
Article 7. Effective Date and Severability |
Subchapter 5. Stock Insurers-Corporate Affairs |
Article 1. Proxies, Consents and Authorizations of Domestic Insurers |
Article 2. Insider Trading |
Article 3. Insurance Holding Company Systems -Reporting and Disclosure Forms |
Subchapter 5.9. Privacy of Nonpublic Personal Information |
Article 1. General Provisions |
Article 2. Privacy Notices; Opt Out Notices for Nonpublic Personal Financial Information |
Article 3. Limits on Disclosures of Medical Record Information |
Article 4. Standards for Safeguarding Nonpublic Personal Information |
Article 5. Additional Provisions |
Subchapter 6. The Department of Insurance Conflict-of-Interest Code |
§ 2690. Introduction. |
§ 2690.1. Designated Positions. |
§ 2690.2. Disclosure Categories. |
§ 2690.3. Designated Employees; Scope of Disclosure. [Repealed] |
§ 2690.4. Requirement that Each Designated Employee File an Annual Statement of Economic Interest. [Repealed] |
§ 2690.5. Circumstances Under Which Designated Employees Must Disqualify Themselves from Making or Participation in the Making of Government Decisions. [Repealed] |
§ 2690.6. Duties of the Filing Officer. [Repealed] |
§ 2690.65. Disclosure Statement a Public Record. [Repealed] |
Subchapter 6.5. Financial Examinations of Derivative Transactions |
Article 1. Conflicts of Interest |
Subchapter 7. Insurance Adjusters |
Article 1. Classification of Licensees |
Article 2. License Applications |
Article 3. License Examinations |
Article 4. Continuation of License Pending Qualification of New Manager |
Article 5. Information About Employees |
Article 6. Branch Office Requirements |
Article 7. Advertisements |
Article 8. Substantial Relationship Criteria for Crimes of Wrongful Acts [Repealed] |
Article 9. Criteria for Evaluating Rehabilitation [Repealed] |
Article 10. Fees |
Subchapter 7.4. Consumer Complaints |
§ 2694. Criteria for Determining Whether a Consumer Complaint is Justified. |
Subchapter 7.5. Unfair or Deceptive Acts or Practices in the Business of Insurance |
Article 1. Fair Claims Settlement Practices Regulations |
Article 1.3. Valuation of Homes |
Article 1.5. Sales to Military Personnel |
Article 2. Public Inspection and Publication of Examinations of Unfair or Deceptive Practices in the Business of Insurance Regulations |
Subchapter 7.5.1. Insurance Adjuster Training for Evaluating Earthquake Damage |
§ 2695.40. Authority and Purpose. |
§ 2695.41. Definitions. |
§ 2695.42. Training Standards. |
§ 2695.43. Accreditation. |
§ 2695.44. Maintenance of Records. |
§ 2695.45. Reporting Requirements for Unaccredited Adjusters. |
Subchapter 7.6. Insurance Mediation Program |
§ 2696.1. Purpose. |
§ 2696.2. Definitions. |
§ 2696.3. Determination of Eligibility. |
§ 2696.4. Selection of Mediator; Objections. |
§ 2696.5. Mandatory Participation; Appeal. |
§ 2696.6. Pre-Mediation Procedures; Telephone Conference; Notice of Commencement; Written Statement. |
§ 2696.7. Mediation Conference; Failure to Appear; Confidentiality Agreement. |
§ 2696.8. Post Mediation; Cooling-off Period; Reporting Requirements. |
§ 2696.9. Mediation Conference; Failure to Appear; Confidentiality Agreement. |
§ 2696.10. Post Mediation; Cooling-off Period; Reporting Requirements. |
Subchapter 7.7. California Earthquake Authority |
§ 2697. Authority. |
§ 2697.1. Purpose. |
§ 2697.2. Definitions. |
§ 2697.3. Ratemaking. |
§ 2697.4. Forms Approval and Filing. |
§ 2697.5. Investments. |
§ 2697.6. Earthquake Policies, Coverage Types and Limits. |
§ 2697.61. Additional Requirements for Offer of Optional-Limits Basic Residential Earthquake Insurance Policies. |
§ 2697.61. Additional Requirements for Offer of Optional-Limits Basic Residential Earthquake Insurance Policies. |
§ 2697.7. Producer Compensation. |
§ 2697.8. Payment Plan Following Losses that Exceed the Authority's Available Assets. |
§ 2697.9. Notice Requirements. |
Subchapter 8. California Residential Earthquake Recovery Fund |
Article 1. Definitions |
Article 2. Collections |
Article 3. Remittance of Surcharge and Information |
Article 4. Duties and Liability for Surcharge |
Article 5. Claims and Appeals |
Article 6. Payments |
Article 7. Records, Accounting, Inspections and Audits |
Article 8. Notices |
Article 9. Confidentiality |
Article 10. Enforcement |
Subchapter 9. Insurance Fraud |
Article 2. Special Investigative Unit Regulations |
Article 3. Program for Investigation and Prosecution of Workers' Compensation Insurance Fraud. |
Article 4. Program for Investigation and Prosecution of Automobile Insurance Fraud |
Article 5. Organized Automobile Insurance Fraud Interdiction Program |
Article 6. Law Enforcement Access to Insurance Claims Information |
Article 7. Direct Repair Programs and Auto Body Repair Labor Rate Surveys |
Article 8. Disability Insurance Fraud Assessment Grant Program |
Subchapter 10. Conservation and Liquidation Office |
Article 1. Conservation and Liquidation Office |
Subchapter 11. Governing Procedure for Hearings [Renumbered] |
Article 1. Governing Procedure for Hearings [Renumbered] |