California · Health and Safety Code - HSC

HSC §1371.34: (a) A complaint made by an enrollee to a health care service plan about a delay or denial of a payment of a claim shall be treated as a grievance subject to Section 1368 whether or not the enrollee us

What this law says, in plain English

Health care service plans must treat enrollee complaints about delayed or denied claim payments as grievances under Section 1368.

Read the full statutory text

(a) A complaint made by an enrollee to a health care service plan about a delay or denial of a payment of a claim shall be treated as a grievance subject to Section 1368 whether or not the enrollee uses the term “grievance” as part of the complaint. This section does not apply to specialized health care service plans. (b) This section shall become operative on January 1, 2026.

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