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.Office of the Attorney General
b.California Department of Insurance (CDI)
c.Department of Managed Health Care (DMHC)
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.
Related questions on this topic
- For a life insurance policy to be valid in California, the policyowner generally must have an insurable interest in the insured. When must this insurable interest exist?
- The standard free-look period for a non-senior life insurance policy delivered to a California consumer is at least:
- California's prompt payment statute for health insurance claims generally requires an insurer to pay or contest a clean claim within how many working days of receipt?
- Under California Insurance Code definitions, an insurance broker represents whom in a transaction?
- Knowingly presenting a false or fraudulent claim for payment under an insurance policy is, in California:
- Under California's Insurance Information & Privacy Protection Act, when an applicant's personal information will be collected from sources other than the application, the insurer must:
Last reviewed: · editorial process
Sen Lin, PrepPass Founder · Verified against California Life & Health Insurance License Exam · How we review
Reviewed by John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verify)