California Insurance Code 10235.94 – Every policy or certificate shall include a provision giving the …
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Every policy or certificate shall include a provision giving the policyholder or certificate holder the right to appeal decisions regarding benefit eligibility, care plans, services and providers, and reimbursement payments.
(Added by Stats. 1999, Ch. 947, Sec. 15. Effective January 1, 2000.)
Terms Used In California Insurance Code 10235.94
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.