California Insurance Code & EthicsQuestion 54 of 215
A California consumer wants to file a regulatory complaint about a full-service HMO. The complaint should be filed with:
a.The California Department of Insurance (CDI)
b.The Federal Trade Commission
c.The Department of Managed Health Care (DMHC)
d.The California Public Utilities Commission
Explanation
Full-service HMOs operate under the Knox-Keene Health Care Service Plan Act and are regulated by the Department of Managed Health Care. The CDI regulates traditional indemnity and PPO products but not HMOs.
Law Reference: Cal. Health & Safety Code §1340 (Knox-Keene); Cal. Ins. Code §106Practice all 215 questions free — no signup required.
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