CDI Issues WC Policyholder Appeals Notification Data Call

Last week the Department of Insurance issued a request for data from all insurance companies licensed to transact business in workers compensation insurance in California in regard to the Workers’ Compensation Policy Holder Appeals Notification Requirement (WCPA-2007).

California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2509.43 requires all California workers’ compensation insurers to designate an office for receipt of policyholder complaints and requests for action regarding actions of the insurer. Insurers must include:

• a notice containing the name and contact information of the designated office and officer in all of their policies; and
• contact information for the insurer’s appeal process in a notice attached to the policy titled "Your Right to Rating and Dividend Information" under the paragraph, "Disputing Our Actions" (CCR 2509.40 et seq.).

Commissioner Poizner and the CDI Ombudsman’s Office have asked the Statistical Analysis Division to collect each company’s designated office information required under CCR Title 10, Chapter 5, Subchapter 3, Section 2509.43. The attached WCPA-2007 letter contains information about the reporting requirements, who will be required to file, and reporting due dates.

Any questions regarding the reporting requirements should be directed to:
Janet Burger
Ombudsman
California Department of Insurance
(916) 492-3404
burgerj@insurance.ca.gov

To download the WCPA-2007 Circular in Acrobat (PDF) format, please click this link.