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DIVISION 2. LICENSING PROVISIONS 1200-1796.88›CHAPTER 2.2. Health Care Service Plans 1340-1399.874›ARTICLE 5. Standards 1367-1374.198

§ 1371.34

California Health and Safety Code · 2026-09 edition · updated 2026-10-03 · California

(a) A complaint made by an enrollee to a health care service plan about a delay or denial of a payment of a claim shall be treated as a grievance subject to Section 1368 whether or not the enrollee uses the term “grievance” as part of the complaint. This section does not apply to specialized health care service plans.

(b) This section shall become operative on January 1, 2026.

(Added by Stats. 2024, Ch. 763, Sec. 3. (AB 3275) Effective January 1, 2025. Operative January 1, 2026, by its own provisions.)

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