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 Personal Lines Examination Exemption Request [Repealed]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 1.9. Standards for Determining Whether Benefits of an Individual Hospital, Medical or Surgical Policy Are Unreasonable in Relation to the Premium Charged Pursuant to Subdivision (c) of Section 10293
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 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
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]