4150 Department of Managed Health Care
Program Descriptions

3870 - HEALTH PLAN PROGRAM

The Health Plan Program's primary objective is to regulate managed health care plans and assist consumers to resolve disputes with health plans. The program's key functions to achieve this objective are to: license managed health care plans, conduct routine and non-routine financial exams and medical surveys, review proposed premium rate increases, assist consumers with health care issues and enable managed health care patients to receive the medical care and services to which they are entitled, and operate a consumer services toll-free complaint line (1-888-466-2219).