Chapter 48.46. Health maintenance organizations.  


Section 48.46.010. Legislative declaration—Purpose.
Section 48.46.012. Filings with secretary of state—Copy for commissioner.
Section 48.46.020. Definitions.
Section 48.46.023. Insurance producer—Definition—License required—Application, issuance, renewal, fees—Penalties involving license.
Section 48.46.027. Registration, required—Issuance of securities—Penalty.
Section 48.46.030. Eligibility requirements for certificate of registration—Application requirements, information—Provider compensation.
Section 48.46.033. Unregistered activities—Acts committed in this state—Sanctions.
Section 48.46.040. Certificate of registration—Issuance—Grounds for refusal—Name restrictions—Inspection and review of facilities.
Section 48.46.045. Catastrophic health plans permitted.
Section 48.46.060. Prepayment agreements—Standards for forms and documents—Grounds for disapproval—Cancellation or failure to renew—Filing of agreement forms.
Section 48.46.062. Schedule of rates for individual agreements—Loss ratio—Definitions.
Section 48.46.063. Calculation of premiums—Members of a purchasing pool—Adjusted community rating method—Definitions.
Section 48.46.064. Calculation of premiums—Adjusted community rate—Definitions.
Section 48.46.066. Health plan benefits for small employers—Coverage—Exemption from statutory requirements—Premium rates—Requirements for providing coverage for small employers.
Section 48.46.068. Requirements for plans offered to small employers—Definitions.
Section 48.46.070. Governing body.
Section 48.46.080. Annual statement—Filings—Contents—Fee—Penalty for failure to file—Accuracy required.
Section 48.46.090. Standard of services provided.
Section 48.46.100. Grievance procedure.
Section 48.46.110. Name restrictions—Discrimination—Recovery of costs of health care services participant not entitled to.
Section 48.46.120. Examination of health maintenance organizations—Duties of organizations, powers of commissioner—Independent audit reports.
Section 48.46.130. Investigation of violations—Hearing—Findings—Penalties—Order requiring compliance, etc.—Suspension or revocation of certificate, effect—Application to courts.
Section 48.46.135. Fine in addition to or in lieu of suspension, revocation, or refusal.
Section 48.46.140. Fees.
Section 48.46.170. Effect of chapter as to other laws—Construction.
Section 48.46.180. Duty of employer to inform and make available to employees option of enrolling in health maintenance organization.
Section 48.46.190. Payroll deductions for capitation payments to health maintenance organizations.
Section 48.46.200. Rules and regulations.
Section 48.46.210. Compliance with federal funding requirements—Construction.
Section 48.46.220. Review of administrative action.
Section 48.46.225. Financial failure—Supervision of commissioner—Priority of distribution of assets.
Section 48.46.235. Minimum net worth—Requirement to maintain—Determination of amount.
Section 48.46.237. Minimum net worth—Domestic or foreign health maintenance organization.
Section 48.46.240. Funded reserve requirements.
Section 48.46.243. Contract—Participant liability.
Section 48.46.245. Plan for handling insolvency—Commissioner's review.
Section 48.46.247. Insolvency—Commissioner's duties—Participants' options—Allocation of coverage.
Section 48.46.250. Coverage of dependent children—Newborn infants, congenital anomalies—Notification period.
Section 48.46.260. Individual health maintenance agreement—Return within ten days of delivery—Refunds—Void from beginning.
Section 48.46.270. Financial interests of health maintenance organization authorities, restricted—Exceptions, regulations.
Section 48.46.272. Diabetes coverage—Definitions.
Section 48.46.274. Prescribed, self-administered anticancer medication.
Section 48.46.275. Mammograms—Insurance coverage.
Section 48.46.277. Prostate cancer screening.
Section 48.46.280. Reconstructive breast surgery.
Section 48.46.285. Mastectomy, lumpectomy.
Section 48.46.291. Mental health services—Health plans—Definition—Coverage required, when.
Section 48.46.292. Mental health treatment—Waiver of preauthorization for persons involuntarily committed.
Section 48.46.300. Future dividends or refunds, restricted—Issuance or sale of securities regulated.
Section 48.46.310. Registration not endorsement.
Section 48.46.320. Dependent children, termination of coverage, conditions.
Section 48.46.325. Option to cover child under age twenty-six.
Section 48.46.340. Return of agreement within ten days.
Section 48.46.350. Chemical dependency treatment.
Section 48.46.355. "Chemical dependency" defined.
Section 48.46.360. Payment of cost of agreement directly to holder during labor dispute—Changes restricted—Notice to employee.
Section 48.46.370. Coverage not denied for handicap.
Section 48.46.375. Benefits for prenatal diagnosis of congenital disorders—Agreements entered into or renewed on or after January 1, 1990.
Section 48.46.380. Notice of reason for cancellation, denial, or refusal to renew agreement.
Section 48.46.390. Providing information on cancellation or refusal—No liability for insurance commissioner or health maintenance organization.
Section 48.46.400. False or misleading advertising prohibited.
Section 48.46.410. Misrepresentations to induce termination or retention of agreement prohibited.
Section 48.46.420. Penalty for violations.
Section 48.46.430. Enforcement authority of commissioner.
Section 48.46.440. Continuation option to be offered.
Section 48.46.450. Conversion agreement to be offered—Exceptions, conditions.
Section 48.46.460. Conversion agreement—Restrictions and requirements—Rules.
Section 48.46.470. Endorsement of modifications.
Section 48.46.480. Continuation of coverage of former family members.
Section 48.46.490. Coverage for adopted children.
Section 48.46.500. Cancellation of rider.
Section 48.46.510. Phenylketonuria.
Section 48.46.520. Neurodevelopmental therapies—Employer-sponsored group contracts.
Section 48.46.530. Temporomandibular joint disorders—Insurance coverage.
Section 48.46.535. Prescriptions—Preapproval of individual claims—Subsequent rejection prohibited—Written record required.
Section 48.46.540. Nonresident pharmacies.
Section 48.46.565. Foot care services.
Section 48.46.570. Denturist services.
Section 48.46.575. Doctor of osteopathic medicine and surgery—Discrimination based on board certification is prohibited.
Section 48.46.580. When injury caused by intoxication or use of narcotics.
Section 48.46.600. Disclosure of certain material transactions—Report—Information is confidential.
Section 48.46.605. Material acquisitions or dispositions.
Section 48.46.610. Asset acquisitions—Asset dispositions.
Section 48.46.615. Report of a material acquisition or disposition of assets—Information required.
Section 48.46.620. Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.
Section 48.46.625. Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements—Information required.
Section 48.46.900. Liberal construction.
Section 48.46.920. Short title.
Section 48.46.930. Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.