California Insurance Code

§ 10123.68

INS § 10123.68 Effective Jan 1, 2001Div. 2 · Part 2 · Ch. 1 · Art. 1

Statute text

(a)When requested by an insured or contracting health professional who is treating an insured, a disability insurer that covers hospital, medical, or surgical expenses shall authorize a second opinion by an appropriately qualified health care professional. Reasons for a second opinion to be provided or authorized shall include, but are not limited to, the following:

(1)If the insured questions the reasonableness or necessity of recommended surgical procedures.

(2)If the insured questions a diagnosis or plan of care for a condition that threatens loss of life, loss of limb, loss of bodily function, or substantial impairment, including, but not limited to, a serious chronic condition.

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Legislative history

Amended by Stats. 2000, Ch. 135, Sec. 113. Effective January 1, 2001. Note: Amendment by Stats. 2000, Ch. 857, was nullified because of Ch. 857's prevailing deferral clause.