The DMHC licenses and regulates California health plans. We strive to streamline the process health plans must follow to comply with California law. This section has all the information plans need in easy and convenient formats.
If a plan has an upcoming contract termination with a Provider Group, at least 75-days prior to the contract termination, a Block Transfer filing must be made with the Department. A "Provider Group" is defined by Rule 1300.67.1.3(a)(6).
If fewer than 2,000 enrollees are assigned to the Provider Group, a Block Transfer filing does not need to be made with the Department. An Enrollee Transfer Notice, that complies with Rule 1300.67.1.3(b)(1) would, however, need to be sent to Affected Enrollees at least 60-days prior to the contract termination. The notice must be approved by the Department.
