Section 2593.6 - Disputes(a) An employer may dispute the accuracy of its coverage information displayed on a rating organization's Internet Web site by either contacting the insurer who provided the policy information for the coverage period or contacting the rating organization.(b) If the insurer is contacted by an employer regarding the accuracy of its coverage information displayed on the rating organization's coverage Internet Web site, the insurer shall have thirty (30) days from the date it receives the employer's dispute to review and respond to the employer in writing and, if applicable, to provide corrected policy information to the rating organization. The response to the employer shall include the following:(1) Whether or not the coverage information is accurate and, if applicable, any corrections that are being made.(2) The name and contact information of the representative of the insurer who handled the dispute.(c) The rating organization shall provide a toll-free telephone number and an email address that shall be conspicuously posted on its coverage Internet Web site for employers to contact the rating organization regarding the accuracy of coverage information displayed on the rating organization's coverage Internet Web site.(d) If the rating organization is contacted by an employer regarding the accuracy of the coverage information displayed on its coverage Internet Web site, the rating organization shall have thirty (30) days from the date it receives the employer's dispute to confirm with the appropriate insurer that the coverage information displayed correctly reflects the policy information reported and respond to the employer in writing. The response to the employer shall include the following: (1) Whether or not the coverage information correctly reflects the policy information reported and, if applicable, what is being corrected.(2) The name and contact information of the representative of the insurer who handled the dispute.(3) A notice that if the employer continues to believe the coverage information is inaccurate, that the employer should contact the insurer and its representative to determine if any further changes to the policy information are needed.(e) Only the employer to whom the coverage information pertains may dispute with the insurer or the rating organization the accuracy of the coverage information displayed on the rating organization's coverage Internet Web site. The insurer or the rating organization may take reasonable steps to determine that the person disputing the accuracy of the information on the coverage Internet Web site is the employer, or a representative of the employer, for whom the information pertains.(f) Only disputes regarding the accuracy of the policy information reported to the rating organization by the insurer and the coverage information displayed on the rating organization's Internet Web site shall be subject to this Article. Any disputes concerning the existence or extent of an insurance contract or the terms of either the contract or its insurance coverage shall not be subject to this Article.Cal. Code Regs. Tit. 10, § 2593.6
1. New section filed 2-10-2011; operative 3-12-2011 (Register 2011, No. 6). Note: Authority cited: Section 11752.6 and 11752.75, Insurance Code. Reference: Section 11752.75, Insurance Code.
1. New section filed 2-10-2011; operative 3-12-2011 (Register 2011, No. 6).