California Consumer Health Care Council, Inc. vs. California Department of Managed Care et al.
Year 2001
Court California Court of Appeal, 3rd District
Case Number C041091
  • Private right of enforcement
  • California

Writ of Mandate requiring California Dept. of Managed Health Care to obey and enforce Health & Safety Code section 137.30(h) (Knox-Keene Act). Policyholders should be able to obtain documents from the CDMHC in connection with their appeal of an HMO denial to ensure that policyholder’s grievances are thoroughly reviewed on a complete factual record and provide a reasoned explanation for the final disposition of policyholders’ grievances.