ER or insurer shall submit plan for the Medical Provider Network for approval by which entity?

• A. Medical Director
• B. Mgr of SIP
• C. CA Insurance Commissioner
• D. Administrative Director

Answer: (C)

In California, the Medical Provider Network plan for workers’ compensation is approved by the Administrative Director of the Division of Workers’ Compensation. This office oversees the workers’ comp system, including standards for medical networks, utilization review, and access requirements, and must approve the MPN plan before it can take effect. The California Insurance Commissioner regulates insurers and licensing, not the approval of MPN plans under workers’ compensation. A Medical Director is typically a role within a carrier or SIP focused on medical decisions, while the Manager of a SIP is an administrative position inside the self-insured program—neither has the statutory authority to approve MPN plans.