28 CA ADC § 1300.52
28 CCR s 1300.52
Cal. Admin. Code tit. 28, s 1300.52
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 1300.52. Amendments to Plan Application.
An amendment to a plan application pursuant to subdivision (a) of Section
1352 of the Act shall be filed in the Department's Sacramento Office to
the attention of the Health Plan Division Filing Clerk, upon the form
contained in Section 1300.51 and shall include an original and two
complete copies and comply with the following:
(a) The following portions of the application specified in Rule 1300.51
need not be amended after the issuance of a license:
Item E Summary of Information in Application
Item H-2 Map of Service Area.
Item H-3 Index to Map.
Item V Advertising.
Item CC Group Contract Enrollment Projections.
Item DD Individual Contract Enrollment Projections.
Item EE Summary of Enrollment Projections.
Item GG Current Financial Visibility Including Tangible Net Equity.
Item HH Projected Financial Viability.
(b) The amendment must be accompanied by a copy of the Execution Page of
the application, and all portions of those pages must be completed.
(c) Attach to the Execution Page only those pages of the application
and/or those exhibits which are changed by the amendment.
(d) If a page of the application is amended, complete all items on that
page and "redline" or otherwise clearly designate the changed item.
(e) If an exhibit, other than a list required by Item 13A, 13C or 24D of
the old application form or Item I-1, I-2 or I-3 of the new application is
being amended.
(1) Furnish the complete exhibit as amended, bearing the same number as
the original exhibit, with the changed portions of the exhibit "redlined"
or otherwise clearly designated, or
(2) Furnish the pages of the exhibit which are amended, each page to be
marked with the exhibit number and the page number of the exhibit, and
with the changed portions "redlined" or otherwise clearly designated. If
this method of amendment is employed, the applicant shall refile the
entire exhibit as amended whenever more than 10% of its pages have been
amended or promptly upon the request of the Director.
(f) A list furnished pursuant to Items 13A, 13C or 24D of the old
application or Item I-1, I-2 or I-3 of the new application need be amended
only when 10 percent or more of the names contained in the list for a
service area have been changed. When amended, the complete list (or the
list for the service area) shall be furnished following the instructions
for the particular item, with each added item "redlined" and the names of
persons deleted from the list shown at the end under the heading
"deletions."
Note: Authority cited: Section 1344, Health and Safety Code. Reference:
Sections 1351, 1351.1, 1352, 1359, 1363, 1367, 1367.2, 1367.3, 1367.5,
1367.6, 1367.7, 1367.8, 1367.9, 1367.15, 1368, 1369, 1370, 1370.1, 1373,
1373.1, 1373.2, 1373.4, 1373.5, 1373.6, 1373.7, 1373.8, 1374, 1374.7,
1374.10, 1374.11, 1374.12, 1375.1, 1376, 1377, 1378, 1386, 1399.52 and
1399.63, Health and Safety Code.
HISTORY
1. Amendment filed 12-17-85; effective thirtieth day thereafter (Register
85,
No. 51).
2. Change without regulatory effect amending first paragraph filed
8-24-92;
operative 9-23-92 (Register 92, No. 35).
3. Change without regulatory effect amending first paragraph 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 (e)(2) filed
7-18-2000
pursuant to section 100, title 1, California Code of Regulations (Register
2000, No. 29).
28 CA ADC s 1300.52
END OF DOCUMENT
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