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Agencies that Oversee Health Plans


Different kinds of health plans are regulated by different state and federal agencies.

A regulatory agency oversees a health plan. This means it develops regulations that the health plan must follow. It also makes sure that the health plan follows these regulations.

You can view a list of all the health plans regulated by the DMHC.

Health Plan

Regulatory Agency

All California HMOs

California Department of Managed Health Care (www.dmhc.ca.gov)

Blue Shield of California PPO
Blue Cross of California PPO
Delta Dental PPO
Vision Service Plan PPO

California Department of Managed Health Care (www.dmhc.ca.gov)

Most other PPOs in California

California Department of Insurance (www.insurance.ca.gov)

Medicare Advantage Plans
Traditional (fee-for-service) Medicare

Federal Center for Medicare Services (www.medicare.gov)

Medicare Supplement Plans (Medigap Plans)

California Department of Insurance (www.insurance.ca.gov)
Federal Center for Medicare Services (www.medicare.gov)
California Department of Managed Health Care (www.dmhc.ca.gov)

Medi-Cal Fee-for-Service

California Department of Health Care Services (www.dhcs.ca.gov)

Medi-Cal Managed Care Plans

California Department of Managed Health Care (www.dmhc.ca.gov)
Department of Health Care Services (www.dhcs.ca.gov)

MRMIP, Healthy Families, and AIM

Managed Risk Medical Insurance Board (www.mrmib.ca.gov)
California Department of Managed Health Care (www.dmhc.ca.gov)
California Department of Insurance (www.insurance.ca.gov)

Self-Funded Plans (non-government entities)

U.S. Department of Labor (www.dol.gov)

Self-Funded Plans (government, church or school-sponsored entities)

The government agency or church or school entity that issued the health plan