Revised Code of Washington (RCW) (Last Updated: August 9, 2016) |
Title 48. INSURANCE |
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. |