Name
Address
Telephone Number of Petitioner or Advocate
BEFORE THE INSURANCE COMMISSIONER OF THE STATE OF CALIFORNIA
In the Matter of | ) | Case No. | |
) | |||
_____ Insurance Company, | ) | PETITION FOR HEARING | |
) | |||
Applicant. | ) | ||
___________________________ | ) |
The petition of (exact legal name, mailing address and telephone number of petitioner) respectfully shows:I
(Here, and in succeeding numbered paragraphs, set forth fully and clearly the facts constituting the grounds for the petition. Additionally, list the line(s) of insurance for which the rate change is sought, the percentage rate change for each line, and the Department's Rate Filing Bureau application number(s).)II
Petitioner hereby requests the Insurance Commissioner to schedule a public hearing at which time ____________________ Insurance Company will be directed to appear, respond to the issues raised in this petition and ____________________.III
At that hearing, petitioner will present or elicit evidence that ____________________.IV
This petition does not involve a rate which has been specifically approved by the Insurance Commissioner within the preceding ____________________ months (or relevant changed circumstances are ______________________________).V
If the Insurance Commissioner grants a hearing on petitioner's request, petitioner will seek to intervene in that hearing pursuant to Insurance Code section 1861.10.
WHEREFORE ______________________________.
DATED:
____________________
Signature
Cal. Code Regs. Tit. 10, § 2660.2
2. Certificate of Compliance as to 8-18-95 order transmitted to OAL 12-18-95 and filed 2-1-96 (Register 96, No. 5).
Note: Authority cited: Section 1861.055, Insurance Code, CalFarm Insurance Company, et al. v. George Deukmejian, et al., 48 Cal.3d 805, 824 (1989), 20th Century Insurance Company v. John Garamendi, 8 Cal.4th 216, 281, 32 Cal.Rptr.2d 807, 847 (1994). Reference: Sections 1861.05(c), 1861.055, 1861.08 and 1861.10(a), Insurance Code, CalFarm Insurance Company, et al. v. George Deukmejian, et al., 48 Cal.3d 805 (1989), 20th Century Insurance Company v. John Garamendi, 8 Cal.4th 216, 281, 32 Cal.Rptr.2d 807, 847 (1994).
2. Certificate of Compliance as to 8-18-95 order transmitted to OAL 12-18-95 and filed 2-1-96 (Register 96, No. 5).