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2005 Revised Code of Washington - Chapter 48.46 RCW: Health maintenance organizations
- 48.46.010 Legislative declaration -- Purpose.
- 48.46.012 Filings with secretary of state -- Copy for commissioner.
- 48.46.020 Definitions.
- 48.46.023 Agent -- Definition -- License required -- Application, issuance, renewal, fees -- Penalties involving license.
- 48.46.027 Registration, required -- Issuance of securities -- Penalty.
- 48.46.030 Eligibility requirements for certificate of registration -- Application requirements, information.
- 48.46.033 Unregistered activities -- Acts committed in this state -- Sanctions.
- 48.46.040 Certificate of registration -- Issuance -- Grounds for refusal -- Name restrictions -- Inspection and review of facilities.
- 48.46.045 Catastrophic health plans permitted.
- 48.46.060 Prepayment agreements -- Standards for forms and documents -- Grounds for disapproval -- Cancellation or failure to renew -- Filing of agreement forms.
- 48.46.062 Schedule of rates for individual agreements -- Loss ratio -- Remittance of premiums -- Definitions.
- 48.46.063 Calculation of premiums -- Members of a purchasing pool--Adjusted community rating method -- Definitions.
- 48.46.064 Calculation of premiums -- Adjusted community rate -- Definitions.
- 48.46.066 Health plan benefits for small employers -- Coverage -- Exemption from statutory requirements -- Premium rates -- Requirements for providing coverage for small employers.
- 48.46.068 Requirements for plans offered to small employers -- Definitions.
- 48.46.070 Governing body.
- 48.46.080 Annual statement -- Filings -- Contents -- Fee -- Penalty for failure to file -- Accuracy required.
- 48.46.090 Standard of services provided.
- 48.46.100 Grievance procedure.
- 48.46.110 Name restrictions -- Discrimination -- Recovery of costs of health care services participant not entitled to.
- 48.46.120 Examination of health maintenance organizations -- Duties of organizations, powers of commissioner -- Independent audit reports -- Assessment of organizations for costs, conditions.
- 48.46.130 Investigation of violations -- Hearing -- Findings -- Penalties -- Order requiring compliance, etc. -- Suspension or revocation of certificate, effect -- Application to courts.
- 48.46.135 Fine in addition to or in lieu of suspension, revocation, or refusal.
- 48.46.140 Fees.
- 48.46.170 Effect of chapter as to other laws -- Construction.
- 48.46.180 Duty of employer to inform and make available to employees option of enrolling in health maintenance organization.
- 48.46.190 Payroll deductions for capitation payments to health maintenance organizations.
- 48.46.200 Rules and regulations.
- 48.46.210 Compliance with federal funding requirements -- Construction.
- 48.46.220 Review of administrative action.
- 48.46.225 Financial failure -- Supervision of commissioner -- Priority of distribution of assets.
- 48.46.235 Minimum net worth -- Requirement to maintain -- Determination of amount.
- 48.46.237 Minimum net worth -- Domestic or foreign health maintenance organization.
- 48.46.240 Funded reserve requirements.
- 48.46.243 Contract -- Participant liability -- Commissioner's review.
- 48.46.245 Plan for handling insolvency -- Commissioner's review.
- 48.46.247 Insolvency -- Commissioner's duties -- Participants' options -- Allocation of coverage.
- 48.46.250 Coverage of dependent children -- Newborn infants, congenital anomalies -- Notification period.
- 48.46.260 Individual health maintenance agreement -- Return within ten days of delivery -- Refunds -- Void from beginning.
- 48.46.270 Financial interests of health maintenance organization authorities, restricted -- Exceptions, regulations.
- 48.46.272 Diabetes coverage -- Definitions.
- 48.46.275 Mammograms -- Insurance coverage.
- 48.46.277 Prostate cancer screening.
- 48.46.280 Reconstructive breast surgery.
- 48.46.285 Mastectomy, lumpectomy.
- 48.46.290 Mental health treatment, optional supplemental coverage -- Waiver.
- 48.46.291 Mental health services -- Group health plans -- Definition -- Coverage required, when.
- 48.46.292 Mental health treatment -- Waiver of preauthorization for persons involuntarily committed.
- 48.46.300 Future dividends or refunds, restricted -- Issuance or sale of securities regulated.
- 48.46.310 Registration not endorsement.
- 48.46.320 Dependent children, termination of coverage, conditions.
- 48.46.340 Return of agreement within ten days.
- 48.46.350 Chemical dependency treatment.
- 48.46.355 "Chemical dependency" defined.
- 48.46.360 Payment of cost of agreement directly to holder during labor dispute -- Changes restricted -- Notice to employee.
- 48.46.370 Coverage not denied for handicap.
- 48.46.375 Benefits for prenatal diagnosis of congenital disorders -- Agreements entered into or renewed on or after January 1, 1990.
- 48.46.380 Notice of reason for cancellation, denial, or refusal to renew agreement.
- 48.46.390 Providing information on cancellation or refusal -- No liability for insurance commissioner or health maintenance organization.
- 48.46.400 False or misleading advertising prohibited.
- 48.46.410 Misrepresentations to induce termination or retention of agreement prohibited.
- 48.46.420 Penalty for violations.
- 48.46.430 Enforcement authority of commissioner.
- 48.46.440 Continuation option to be offered.
- 48.46.450 Conversion agreement to be offered -- Exceptions, conditions.
- 48.46.460 Conversion agreement -- Restrictions and requirements.
- 48.46.470 Endorsement of modifications.
- 48.46.480 Continuation of coverage of former family members.
- 48.46.490 Coverage for adopted children.
- 48.46.500 Cancellation of rider.
- 48.46.510 Phenylketonuria.
- 48.46.520 Neurodevelopmental therapies -- Employer-sponsored group contracts.
- 48.46.530 Temporomandibular joint disorders -- Insurance coverage.
- 48.46.535 Prescriptions -- Preapproval of individual claims -- Subsequent rejection prohibited -- Written record required.
- 48.46.540 Nonresident pharmacies.
- 48.46.565 Foot care services.
- 48.46.570 Denturist services.
- 48.46.575 Doctor of osteopathic medicine and surgery -- Discrimination based on board certification is prohibited.
- 48.46.580 When injury caused by intoxication or use of narcotics.
- 48.46.600 Disclosure of certain material transactions -- Report -- Information is confidential.
- 48.46.605 Material acquisitions or dispositions.
- 48.46.610 Asset acquisitions -- Asset dispositions.
- 48.46.615 Report of a material acquisition or disposition of assets -- Information required.
- 48.46.620 Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.
- 48.46.625 Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements -- Information required.
- 48.46.900 Liberal construction.
- 48.46.910 Severability -- 1975 1st ex.s. c 290.
- 48.46.920 Short title. Notes:
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