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Regulatory Information
Department of Managed Health Care (DMHC). DMHC regulates and oversees all managed health care (HMOs and related products) in California. Most Californians with health insurances have coverage that is regulated by DMHC. The DMHC's HMO Help Center (888.HMO.2219) is a resource for Californians who are having trouble resolving a problem with their health plan. www.dmhc.ca.gov
California Department of Insurance (CDI). CDI regulates many types of insurance in California—homeowners, auto, and some health insurance products (indemnity and some PPO plans). CDI assists consumers, aids in the licensing of insurance agents or brokers, and serves as a source of information on the laws that regulate the insurance industry. You can use CDI to confirm that an agent or broker has a license and to research an insurer's performance. CDI has a toll-free hotline (800.927.HELP) to assist consumers in resolving complaints against CDI-regulated insurance products. www.insurance.ca.gov/0100-consumers/0070-health-issues/
Rules Governing California’s Small Group Health Insurance Market. This issue brief describes the rationale for having special rules that apply to the small group health insurance market, summarizes California’s small group market rules, and puts these rules in the broader context of other market forces. www.chcf.org
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