Section 1375.3 Of Article 6. Operation And Renewal Requirements And Procedures From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 6.
1375.3
. (a) A health care service plan shall meet and confer with
the director and his or her designated representatives at least 10
business days prior to filing a petition commencing a case for
bankruptcy under Title 11 of the United States Code, except under
extraordinary circumstances. If extraordinary circumstances preclude
a meet and confer with the director within the 10-day time period
prior to the filing of a petition for bankruptcy, the plan shall meet
and confer with the department at least 24 hours prior to filing the
petition. A plan shall notify the department concurrently upon
filing the petition. These meetings shall be deemed confidential.
(b) At the director's request, a plan shall provide within the
time period specified by the department, information to assist in
ensuring continuity of care and uninterrupted access to health care
services for plan subscribers and enrollees. The information may
include, but is not limited to, the following:
(1) A list of all providers with which the plan contracts and
material information regarding the contracts including, but not
limited to, the grounds for termination of the contract and the term
remaining on the contract.
(2) A list of employer groups who subscribe with the plan.
(3) A list of the enrollees of the plan.
(4) A list of enrollees undergoing current treatment and a
description of the authorized treatment for the enrollee.
(5) A list of all brokers and agents involved in the negotiation
of subscriber contracts.
(6) A list of all enrollees who contract as individual subscribers
for coverage by the plan.
(c) Notwithstanding subdivision (a), nothing in this section shall
preclude the director from exercising powers and duties authorized
under this chapter.