Article 9.7. Workers' Compensation Insurance Procedural Requirements and Standards Applicable to Employers, Insurers, and Rating Organizations in the Initiation of and Response to Requests for Review, Requests for Policyholder Information, and Requests for Reconsideration Provided in Insurance Code Sections 11737(f), 11752.6(c), 11753.1(a) and 11753.1(b), and, Rules of Practice and Procedure for Appeals to the Insurance Commissioner Pursuant to Insurance Code Sections 11737(f), 11752.6(c), 11753.1(a), 11753.1(b) and 11753.1
- § 2509.40. Scope.
- § 2509.41. Purpose.
- § 2509.42. Definitions.
- § 2509.43. Complaints and Requests for Action. Office Designated for Receipt of Complaints and Requests for Action.
- § 2509.44. Acknowledgment of Receipt and Notice of Review.
- § 2509.45. Decision on Complaint and Request for Action; Time for Reconsideration; Notice of Appeal Rights.
- § 2509.46. Appeals to the Insurance Commissioner; Time Frame for Filing Written Appeal.
- § 2509.47. Form of Appeal and Information Required.
- § 2509.48. Filing Requirements.
- § 2509.49. Service of Copy of the Appeal.
- § 2509.50. Role of Department of Insurance.
- § 2509.51. Designated Rating Organization.
- § 2509.52. Representation.
- § 2509.53. Pre-Hearing Procedural Provisions; Acknowledgment of Appeal; Assignment of Hearing Officer; Stay of Proceedings; Alternative Dispute Resolution.
- § 2509.54. Insurer or Rating Organization Response to Appeal.
- § 2509.55. Objections to Insurer or Rating Organization's Response.
- § 2509.56. The Hearing—when Held.
- § 2509.57. The Hearing—Governing Procedure and Location.
- § 2509.58. Hearing Officer—Authority.
- § 2509.59. Discovery.
- § 2509.60. Subpoenas.
- § 2509.61. Burden of Proof.
- § 2509.62. Evidence.
- § 2509.63. Order of Proof.
- § 2509.64. Hearing Reporter.
- § 2509.65. Continuances; Good Cause.
- § 2509.66. Additional Evidence or Briefing.
- § 2509.67. Official Notice.
- § 2509.68. Proposal of Stipulations or Settlements.
- § 2509.69. The Insurance Commissioner's Decision.
- § 2509.70. Appeals for Correction of Mistake or Clerical Error.
- § 2509.71. Effective Date of Decision.
- § 2509.72. Reconsideration.
- § 2509.73. Contents of Petition.
- § 2509.74. Response.
- § 2509.75. Hearing on Petition.
- § 2509.76. Judicial Review.
- § 2509.77. Forms—Notice of Policyholder Appeal Rights.
- § 2509.78. Forms—Declaration of Service by Mail.