Section 11069 Of Article 5. Contract From California Insurance Code >> Division 2. >> Part 2. >> Chapter 10. >> Article 5.
11069
. No domestic, foreign or alien society authorized to do
business in this State shall issue or deliver in this State any
certificate or other evidence of any contract for temporary or
permanent disability benefits as a result of disease or accident, or
for hospital, medical or nursing benefits, unless and until the form
thereof, together with the form of application and all riders or
endorsements for use in connection therewith, shall have been filed
with the commissioner and approved by him as conforming to reasonable
rules and regulations from time to time made by him and as not
inconsistent with any other provisions of law applicable thereto. The
commissioner shall, within a reasonable time after the filing of any
such form, notify the society filing the same either of his approval
or of his disapproval of such form. The commissioner may approve any
such form which in his opinion contains provisions on any one or
more of the several requirements made by him which are more favorable
to the insured members than the one or ones so required. The action
of the commissioner in disapproving any such form shall be subject to
judicial review. Pursuant to the foregoing provisions, the
commissioner shall have power, from time to time, to make, alter and
supersede reasonable regulations prescribing the required, optional
and prohibited provisions in such contracts, and such regulations
shall conform, as far as practicable, to the provisions of this code
relating to similar contracts issued by other insurers. Where the
commissioner deems inapplicable, either in part or in their entirety,
the provisions of this code relating to similar contracts issued by
other insurers, he may prescribe the portions or summary thereof of
the contract to be printed on the certificate issued to the member.
All rules and regulations made, altered or superseded by the
commissioner pursuant to the authority granted in this section shall
be in accordance with Chapter 4 of Part 1, Division 3, Title 2 of the
Government Code.