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Summary:

Every professional liability insurer to a licensed health care provider shall send a complete report to the pertinent board as to any settlement/arbitration award over three thousand dollars of a claim or action for damages for death or personal injury caused by that license holder's negligence, error, or omission in practice, or by his or her rendering of unauthorized professional services.

Summary:

Every professional liability insurer of dentists shall send a complete report to the Dental Board of California as to any settlement or arbitration award over ten thousand dollars of a claim or action for damages for death or personal injury caused by that person's negligence, error, or omission in practice, or rendering of unauthorized professional services.

Summary:

Every professional liability insurer, self-insured governmental agency, or licensee (or counsel) must file a complete report of any settlement or arbitration award over $30,000 emanating from a claim for death or personal injury caused by the licensee's alleged negligence, error, or omission in practice, or by his or her rendering of unauthorized professional services, if the license was granted by either the Medical Board of California, the Osteopathic Medical Board of California, or the California Board of Podiatric Medicine.

Summary:

Every professional liability insurer, self-insured governmental agency, or licensee or his or her counsel that has received a copy of a patient's medical or hospital records must include with the liability settlement report (to be sent to the Board that licensed the licensee, i.e. the Medical Board of California, the Osteopathic Medical Board of California, or the California Board of Podiatric Medicine) copies of the records and depositions. The records include those prepared by the treating physician and surgeon or podiatrist, or hospital, describing the medical condition, history, care, or treatment of the person whose death or injury is the subject of the report, or a copy of any deposition in the matter that discusses the care, treatment, or medical condition of the person. If confidentiality is required by court order and, as a result, the reporter is unable to provide the records and depositions, documentation to that effect must accompany the original report. A professional liability insurer, self-ins

Summary:

An agency may disclose personal information to an authorized insurer.

Summary:

The parent or person having custody of the child may contact the insurer, by telephone or in writing, and request information about the health insurance coverage for the child. The insurer shall provide the requested information that is specific to the health insurance coverage for the child.

Summary:

(d) Insurance coverage of the subscriber’s dependent child will terminate upon attainment of the specified limiting age, unless the dependent is (1) incapable of self-sustaining employment due to a physically or mentally disabling injury, illness, or condition; or (2) chiefly dependent upon the subscriber for support. In either case, the subscriber must submit proof of the dependent’s condition to the plan within 60 days of receipt of the plan’s notification that coverage will terminate once the child attains the limiting age. If the plan determines that coverage may continue, after two years the plan may annually request information about a dependent child whose coverage is continued beyond the limiting age. If the subscriber changes carriers to another plan or to a health insurer, the new plan or insurer shall continue to provide coverage for the dependent child. The new plan or insurer may request information about the dependent child initially and annually thereafter to determine if the child continues to satisfy the criteria.

Summary:

Claimants may obtain, upon request, copies of claim-related documents. However, certain documents, including documents that contain medically privileged information, are excluded from the documents an insurer is required to provide to a claimant.

Summary:

Disability insurer contracts cannot contain any provision that restricts health facilities' compliance with requirements to provide patients with access to their own health information.

Summary:

An insurer shall pay a provider reasonable costs for duplicating all information it requests in connection with a contested claim, including patient records. Insurers must only request information that is reasonably necessary to determine liability for payment of a claim.

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