The DMHC licenses and regulates California health plans. We strive to streamline the process health plans must follow to comply with California law. This section has all the information plans need in easy and convenient formats.
This section provides health plans and providers with access to communications from the department and other information including arbitration decisions, language assistance (SB853), a link to managed care laws, a list of California licensed plans and information on how to obtain a license under the Knox-Keene Act.
To further consumer protection and assist health plans in producing health care documents that are understandable by the average Californian seeking Individual Coverage, we have developed a sample Individual Enrollment Application as a component of the Department´s commitment to health literacy. However, we are currently revising the Application in light of the Settlement Agreements with the five major health plans selling Individual Coverage and will be re-posting the sample Individual Enrollment Application when completed.
We have also developed a Sample Evidence of Coverage for large and small full service group health products as a component of the Department“s commitment to health literacy.