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