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Chapter 8. Office of the Director
Subchapter 2. Administration of Self-Insurance Plans
Article 9. Recordkeeping and Audits

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§15402.4. Transfer of Claim Files and Computerized Claim File Data Information.

(a) Upon change of an administrative agency, all open claims shall be transferred immediately to the new administrative agency, unless otherwise provided by agreement between the self insurer, former administrator and new administrator.

(b) All closed claim files in the possession of the former administrator shall be transferred to the new administrator within 30 days, unless otherwise provided by agreement between the self insurer, former administrator and new administrator.

(c) All computerized claim file data showing all historical claim information, including payments and reserve data as of the date of the transfer of the open claim files shall be provided by the former administrator on the date that all open claim files are transferred, unless otherwise provided for by written agreement between the self insurer, former administrator and the new administrator. In the event that an agreement precludes the transfer of electronic claim contents of claims being transferred to the new administrator, the former administrator will provide hard copies of any required contents to the new administrator at its own expense. The closing date of the transactions on the computerized data shall coincide with the date of the physical transfer of the claim files to the new administrator. In the event that computerized data pertaining to the specific administration is changed by the former administrator after the physical claims have been transferred and the data provided to the new administrator, the former administrator shall provide reported computerized information to the new administrator within 14 days of any such changes.

Note: Authority cited: Sections 54, 55 and 3702.10, Labor Code. Reference: Sections 59, 129, 3700, 3702.1 and 3702.10, Labor Code.

HISTORY

1. New section filed 2-19-92; operative 3-20-92 (Register 92, No. 13).

2. Amendment of subsection (c) filed 2-9-2006; operative 3-11-2006 (Register 2006, No. 6).

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