California Medical Insurance
Managed Risk Medical Insurance Board
The Major Risk Medical Insurance Program (MRMIP) Handbook ... Healthy Families is low cost insurance for children and teens. It provides health, dental and vision coverage to children who do not have insurance and do not qualify for free Medi-Cal. ... [Read More]
CALIFORNIA INSURANCE CODE
GENERAL PROVISIONS ................................................... 1-48 DIVISION 1. GENERAL RULES GOVERNING INSURANCE PART 1. THE CONTRACT CHAPTER 1. CLASSES OF INSURANCE ................................. 100-124 CHAPTER 1.5. RISK RETENTION ..................................... 125-140 CHAPTER 2. PARTIES, EVENTS, AND INTERESTS Article 1. Parties to the Contract: Generally ................. 150-151 Article 2. Parties to Contract: Mortgagor and Mortgagee ....... 170-172 Article 3. Events Subject to Insurance ......................... 250-253 Article 4. Insurable Interest: Generally ...................... 280-287 Article 5. Insurable Interest: Effect of Transfer ............. 300-305 CHAPTER 3. NEGOTIATIONS BEFORE EXECUTION Article 1. Concealment ......................................... 330-339 Article 2. Representation ...................................... 350-361 CHAPTER 4. THE POLICY Article 1. Definition and Scope ................................ 380-394 Ar ... [Read More]
Department of Health Services - Medical Care Services
MCS is responsible for the Department's fiscal intermediary contracts which pays claims for the Medi-Cal program and programs operated by other state health organizations Primary Care and Family Health and Prevention Services. MCS manages medical services in a fiscally prudent manner by developing partnerships with providers and medical service organizations, and encouraging comprehensive, organized health care delivery systems. MCS will: Promote equitable access to high-quality medical care for low-income and uninsured Californians who meet the criteria to enroll in the Medi-Cal program. Manage available funds in a fiscally prudent manner to maximize the State's purchasing power. Further expand Provide organized health care delivery through managed care systems emphasizing primary care and clinical preventive services. Develop "client friendly" systems by creating uniform entry systems and eliminating unnecessary categorical barriers. Seek and devel ... [Read More]
Update on the Medical Litigation Crisis: Not the Result of the "Insurance Cycle"
Interest groups supported by trial lawyers argue that the recent crisis in the medical litigation system is only a reflection of an "insurance cycle": they claim that the management practices of the insurance industry have caused the crisis. But their claims are not supported by facts. Comparisons of states with and without meaningful medical liability reforms provide clear evidence that the broken medical litigation system is responsible. ... Insurance premiums in California have risen by 167% in the 25 years since MICRA has been in effect while those in the rest of the country have increased 505%. MICRA included steps to protect the quality of medical care as well as procedures to help assure that medical malpractice insurance would be available at realistic and affordable prices. This bi-partisan reform has saved California residents billions of dollars in lower health care costs and saved federal taxpayers billions of dollars in the Medicare and Medicaid programs. ... [Read More]
My California State Portal
Medical Insurance Program, Major Risk ... Major Risk Medical Insurance Program ... Managed Risk Medical Insurance Board ... [Read More]
EDD - Paid Family Leave Insurance - Programs and Services
Paid Family Leave Insurance . For California workers covered by State Disability Insurance, Paid Family Leave insurance provides up to six weeks of benefits for individuals who must take time off to care for a seriously ill child, spouse, parent, or domestic partner, or to bond with a new minor child. ... Medical Provider Information ... California's Paid Family Leave insurance program became effective January 1, 2004, and individuals may file claims for benefits beginning July 1, 2004 . ... [Read More]
Disability Insurance - About the DI Program
California State Disability Insurance (SDI) is a partial wage-replacement insurance plan for California workers. The SDI program is State-mandated, and funded through employee payroll deductions. SDI provides affordable, short-term benefits to eligible workers who suffer a loss of wages when they are unable to work due to a NON WORK-RELATED illness or injury, or a medically disabling condition from pregnancy or childbirth. ... DISABILITY INSURANCE FORMS AND PUBLICATIONS ... [Read More]
The Independent Medical Review Program
An Independent Medical Review (IMR) is a process where expert independent medicalprofessionals are selected to review specific medical decisions made by the insurancecompany. The California Department of Insurance (CDI) administers an Independent MedicalReview program that enables you, the insured, to request an impartial appraisal of medicaldecisions within certain guidelines specified by the law. ... It is necessary in most situations to go through the appeals/grievance process withyour health insurance company before applying for an IMR with the CDI. If the insurancecompany upholds its decision or has not provided a ruling within 30 days of filing theappeal/grievance, then you can file an IMR request. Your request for an IMR must be madewithin 6 months of the insurance company upholding its decision within theappeals/grievance process. If special circumstances are present, the law allows theInsurance Commissioner to consider extending the filing deadline beyond 6 months. ... [Read More]
California Healthy Families
Healthy Families is low cost insurance for children and teens. It provides health, dental and vision coverage to children who do not have insurance and do not qualify for free Medi-Cal. ... [Read More]
Health Insurance
Health insurance coverage is marketed to consumers through individual policies or grouppolicies. Individual health insurance coverage should be pursued when your employer doesnot offer health insurance as a benefit of employment, when you cannot be named as thedependent on another person’s insurance policy, or when you are not a member of aprofessional or trade association that offers group coverage. Many consumers areself-employed, contract employees, or work for small employers and do not have access to agroup policy secured by an employer. Individual coverage can be obtained by contacting alicensed health insurance agent or broker. You will need to complete an application thatincludes your medical history, which will be reviewed by a medical underwriter at thehealth insurance company. If you meet the underwriting qualifications and are issued apolicy, the company may not cover preexisting conditions up to one year after theeffective date of the policy. However, if you have been ... [Read More]
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