§ 1371.34. — 1371.34. (Added by Stats. 2024, Ch. 763, Sec. 3.)

California § 1371.34.

• Jurisdiction: California
• Code HSC: Health and Safety Code - HSC
• Div. 2.: DIVISION 2. LICENSING PROVISIONS
• Ch. 2.2.: CHAPTER 2.2. Health Care Service Plans
• Art. 5.: ARTICLE 5. Standards

Text

(a)
A complaint made by an enrollee to a health care service plan about a delay or denial of a payment of a claim shall be treated as a grievance subject to Section 1368 whether or not the enrollee uses the term “grievance” as part of the complaint. This section does not apply to specialized health care service plans.
(b)
This section shall become operative on January 1,
2026.

Legislative History

Added by Stats. 2024, Ch. 763, Sec. 3. (AB 3275) Effective January 1, 2025. Operative January 1, 2026, by its own provisions.