California Insurance Code & EthicsQuestion 65 of 315
In California, which regulator has primary jurisdiction over Health Maintenance Organizations (HMOs) and most managed-care health plans?
a.California Department of Insurance (CDI)
b.Department of Managed Health Care (DMHC)
c.Office of the Attorney General
d.California Health Benefit Exchange (Covered California)
Explanation
DMHC regulates HMOs and managed-care plans under the Knox-Keene Act. CDI regulates traditional indemnity and PPO health insurance. Covered California is the marketplace; the Attorney General handles enforcement, not licensing.
Law Reference: Cal. Health & Safety Code §1340+ / Ins. Code §106Practice all 315 questions free — no signup required.
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