Section 48.43.001. Intent.

Section 48.43.005. Definitions.

Section 48.43.007. Availability of price and quality information—Transparency tools for members—Requirements.

Section 48.43.008. Enrollment in employer-sponsored health plan—Person eligible for medical assistance.

Section 48.43.009. Health care sharing ministries.

Section 48.43.012. Individual health benefit plans—Preexisting conditions.

Section 48.43.0122. Individual health benefit plans—Persons under age nineteen.

Section 48.43.015. Health benefit plans—Preexisting conditions.

Section 48.43.016. Prior authorization standards and criteria—Health carrier requirements—Definitions.

Section 48.43.017. Organ transplant benefit waiting periods—Prior creditable coverage.

Section 48.43.018. Requirement to complete the standard health questionnaire—Exemptions—Results.

Section 48.43.021. Personally identifiable health information—Restrictions on release.

Section 48.43.022. Enrollee identification card—Social security number restriction.

Section 48.43.023. Pharmacy identification cards—Rules.

Section 48.43.025. Group health benefit plans—Preexisting conditions.

Section 48.43.028. Eligibility to purchase certain health benefit plans—Small employers and small groups.

Section 48.43.035. Group health benefit plans—Guaranteed issue and continuity of coverage—Exceptions.

Section 48.43.038. Individual health plans—Guarantee of continuity of coverage—Exceptions.

Section 48.43.039. Grace period—Notification or information—Information concerning delinquencies or nonpayment of premiums—Reports—Defined.

Section 48.43.041. Individual health benefit plans—Mandatory benefits.

Section 48.43.043. Colorectal cancer examinations and laboratory tests—Required benefits or coverage.

Section 48.43.045. Health plan requirements—Annual reports—Exemptions.

Section 48.43.049. Health carrier data—Information from annual statement—Format prescribed by commissioner—Public availability.

Section 48.43.055. Procedures for review and adjudication of health care provider complaints—Requirements.

Section 48.43.059. Payments made by a second-party payment process—Definition.

Section 48.43.065. Right of individuals to receive services—Right of providers, carriers, and facilities to refuse to participate in or pay for services for reason of conscience or religion—Requirements.

Section 48.43.081. Anatomic pathology services—Payment for services—Definitions.

Section 48.43.083. Chiropractor services—Participating provider agreement—Health carrier reimbursement.

Section 48.43.085. Health carrier may not prohibit its enrollees from contracting for services outside the health care plan.

Section 48.43.087. Contracting for services at enrollee's expense—Mental health care practitioner—Conditions—Exception.

Section 48.43.091. Health carrier coverage of outpatient mental health services—Requirements.

Section 48.43.093. Health carrier coverage of emergency medical services—Requirements—Conditions.

Section 48.43.094. Pharmacist provided services—Health plan requirements.

Section 48.43.096. Medication synchronization policy required for health plans covering prescription drugs—Requirements—Definitions.

Section 48.43.097. Filing of financial statements—Every health carrier.

Section 48.43.105. Preparation of documents that compare health carriers—Immunity—Due diligence.

Section 48.43.115. Maternity services—Intent—Definitions—Patient preference—Clinical sovereignty of provider—Notice to policyholders—Application.

Section 48.43.125. Coverage at a long-term care facility following hospitalization—Definition.

Section 48.43.176. Eosinophilic gastrointestinal associated disorder—Elemental formula.

Section 48.43.180. Denturist services.

Section 48.43.185. General anesthesia services for dental procedures.

Section 48.43.190. Payment of chiropractic services—Parity.

Section 48.43.200. Disclosure of certain material transactions—Report—Information is confidential.

Section 48.43.205. Material acquisitions or dispositions.

Section 48.43.210. Asset acquisitions—Asset dispositions.

Section 48.43.215. Report of a material acquisition or disposition of assets—Information required.

Section 48.43.220. Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.

Section 48.43.225. Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements—Information required.

Section 48.43.290. Coverage for prescribed durable medical equipment and mobility enhancing equipment—Sales and use taxes—Definitions.

Section 48.43.300. Definitions.

Section 48.43.305. Report of RBC levels—Distribution of report—Formula for determination—Commissioner may make adjustments.

Section 48.43.310. Company action level event—Required RBC plan—Commissioner's review—Notification—Challenge by carrier.

Section 48.43.315. Regulatory action level event—Required RBC plan—Commissioner's review—Notification—Challenge by carrier.

Section 48.43.320. Authorized control level event—Commissioner's options.

Section 48.43.325. Mandatory control level event—Commissioner's duty—Regulatory control.

Section 48.43.330. Carrier's right to hearing—Request by carrier—Date set by commissioner.

Section 48.43.335. Confidentiality of RBC reports and plans—Use of certain comparisons prohibited—Certain information intended solely for use by commissioner.

Section 48.43.340. Powers or duties of commissioner not limited—Rules.

Section 48.43.345. Foreign or alien carriers—Required RBC report—Commissioner may require RBC plan—Mandatory control level event.

Section 48.43.350. No liability or cause of action against commissioner or department.

Section 48.43.355. Notice by commissioner to carrier—When effective.

Section 48.43.360. Initial RBC reports—Calculation of initial RBC levels—Subsequent reports.

Section 48.43.366. Self-funded multiple employer welfare arrangements.

Section 48.43.370. RBC standards not applicable to certain carriers.

Section 48.43.500. Intent—Purpose—2000 c 5.

Section 48.43.505. Requirement to protect enrollee's right to privacy or confidential services—Rules.

Section 48.43.510. Carrier required to disclose health plan information—Marketing and advertising restrictions—Rules.

Section 48.43.515. Access to appropriate health services—Enrollee options—Rules.

Section 48.43.517. Enrollment of child participating in medical assistance program—Employer-sponsored health plan.

Section 48.43.520. Requirement to maintain a documented utilization review program description and written utilization review criteria—Rules.

Section 48.43.525. Prohibition against retrospective denial of health plan coverage—Rules.

Section 48.43.530. Requirement for carriers to have comprehensive grievance and appeal processes—Carrier's duties—Procedures—Appeals—Rules.

Section 48.43.535. Independent review of health care disputes—System for using certified independent review organizations—Rules.

Section 48.43.537. Health care disputes—Certifying independent review organizations—Application—Restrictions—Maximum fee schedule for conducting reviews—Rules.

Section 48.43.540. Requirement to designate a licensed medical director—Exemption.

Section 48.43.545. Standard of care—Liability—Causes of action—Defense—Exception.

Section 48.43.550. Delegation of duties—Carrier accountability.

Section 48.43.600. Overpayment recovery—Carrier.

Section 48.43.605. Overpayment recovery—Health care provider.

Section 48.43.650. Fixed payment insurance products—Commissioner's annual report.

Section 48.43.670. Plan or contract renewal—Modification of wellness program.

Section 48.43.680. Lifetime limit on transplants—Definition.

Section 48.43.690. Assessments under RCW 70.290.040 considered medical expenses.

Section 48.43.700. Exchange—Plans that a carrier must offer—Review—Rules.

Section 48.43.705. Plans offered outside of exchange.

Section 48.43.710. Certification as qualified health plan not an exemption.

Section 48.43.715. Individual and small group market—Selection of benchmark plan—Minimum requirements—Criteria—List of state-mandated health benefits.

Section 48.43.720. Reinsurance and risk adjustment programs—Affordable care act—Rules.

Section 48.43.730. Carrier must file provider contracts and compensation agreements with commissioner—Approval or disapproval—Confidentiality—Hearings—Rules—Definitions.

Section 48.43.733. Rates and forms of group health benefit plans—Timing of filings—Exceptions—Rules.

Section 48.43.735. Reimbursement of health care services provided through telemedicine or store and forward technology.

Section 48.43.740. Dental only plan—Emergency dental conditions—Definitions.

Section 48.43.743. Dental only plan—Annual data statement—Contents—Public use—Definition.

Section 48.43.750. Health care provider credentialing applications—Use of electronic database by health carriers.

Section 48.43.755. Health care provider credentialing applications—Use of electronic database by providers.

Section 48.43.902. Effective date—1996 c 312.

Section 48.43.904. Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.