Accident & Health FundamentalsQuestion 1 of 315
A consumer enrolls in a California Health Maintenance Organization (HMO). Which state agency has primary regulatory authority over that HMO?
a.California Department of Insurance (CDI)
b.California Department of Managed Health Care (DMHC)
c.Centers for Medicare & Medicaid Services (CMS)
d.California Department of Public Health (CDPH)
Explanation
Under the Knox-Keene Health Care Service Plan Act, California HMOs are regulated by the Department of Managed Health Care (DMHC), not the CDI. The CDI regulates indemnity health insurance and PPO products, but full-service HMOs fall under DMHC.
Law Reference: Cal. Health & Safety Code §1340 et seq. (Knox-Keene Act)Practice all 315 questions free — no signup required.
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Reviewed by John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verify)