28 CA ADC § 1300.51.3


      28 CCR s 1300.51.3

      Cal. Admin. Code tit. 28, s 1300.51.3


      CALIFORNIA CODE OF REGULATIONS
      TITLE 28. MANAGED HEALTH CARE
      DIVISION 1. THE DEPARTMENT OF MANAGED HEALTH CARE
      CHAPTER 2. HEALTH CARE SERVICE PLANS
      ARTICLE 3. PLAN APPLICATIONS AND AMENDMENTS
      This database is current through 06/09/06, Register 2006, No. 23.

      s 1300.51.3. Preparation and Amendment of Application for License As a 
      Health Care Service Plan Under Section 1300.51.

      (a) General Instructions.

      (1) Type the information requested in the English language using black 
      ribbon.

      (2) Complete each item on the application, and type "N/A" in the right 
      hand margin for those items which are not applicable.

      (3) Number each exhibit as specified in the item to which the exhibit 
      responds. If several exhibits are required under the same letter/number 
      designation, add a sequential letter or roman numeral as indicated in the 
      following example. Example: If Item Q-1 calls for copies of the specified 
      documents, an applicant employing three different documents would label 
      them as follows: Exhibit Q-1-a; Exhibit Q-1-b; Exhibit Q-1-c.

      (4) Arrange all exhibits in sequential order. Attach a "tab" to the right 
      margin of the first page of each major exhibit or series of exhibits to 
      facilitate ready reference.

      (5) Submit originals only when requested. Otherwise, submit clearly 
      legible mechanical reproductions.

      (6) Submit requested information as an exhibit if the space provided in 
      the application form itself is insufficient. Use the procedure detailed in 
      Item (3), above, to indicate the exhibit number.

      (7) Submit three complete copies of the original license application and 
      each amendment submitted prior to licensure to the Department's Sacramento 
      Office to the attention of the Health Plan Division Filing Clerk.

      (b) Amendment of an Application.

      (1) An amendment to application either before or after issuance of a 
      license must comply with Rule 1300.52. However, Rules 1300.52.1 and 
      1300.52.2 apply only after an applicant has been licensed.

      (c) Updating Application Prior to Licensure. In addition to complying with 
      Rule 1300.52, an amendment to a pending application shall comply with the 
      following:

      (1) Material changes (see Rule 1300.45(1)) to information previously 
      submitted in connection with an application (as amended to date) shall be 
      submitted as an amendment to the license application immediately, except 
      as provided in subsection (f) of Rule 1300.52.

      (2) Nonmaterial changes to the information previously submitted in 
      connection with an application (as amended to date) may be accumulated and 
      shall be submitted as an amendment to the license application monthly or 
      within 30 days (or other period requested by the Director) of each such 
      change.

      (3) Financial statements and calculations of tangible net equity 
      previously submitted in connection with an application (as amended to 
      date) shall be updated to an amendment to the license application which 
      shall consist of quarterly financial statements (see Rule 1300.84.2a(1), 
      (2), and (3)) and a calculation of applicant's tangible net equity as of 
      the closing date of such quarter, and shall be filed within 30 days after 
      the close of each quarter of applicant's fiscal year.


      


      Note: Authority cited: Section 1344, Health and Safety Code. Reference: 
      Sections 1351 and 1352, Health and Safety Code. 


       HISTORY 
         
      1. New section filed 12-17-85; effective thirtieth day thereafter 
(Register
      85, No. 51).

      2. Change without regulatory effect amending subsection (a)(7) filed 
      8-24-92;
      operative 9-23-92 (Register 92, No. 35).

      3. Change without regulatory effect amending subsection (a)(7) filed 
      4-4-2000
      pursuant to section 100, title 1, California Code of Regulations (Register
      2000, No. 14).

      4. Change without regulatory effect amending subsection (c)(2) filed 
      7-18-2000
      pursuant to section 100, title 1, California Code of Regulations (Register
      2000, No. 29).
      28 CA ADC s 1300.51.3

      END OF DOCUMENT

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