There is a newer version of the Revised Code of Washington
2014 Revised Code of Washington
Title 48 - INSURANCE
48.43 Insurance reform.
- 48.43.001 Intent.
- 48.43.005 Definitions.
- 48.43.007 Availability of price and quality information -- Transparency tools for members -- Requirements.
- 48.43.008 Enrollment in employer-sponsored health plan -- Person eligible for medical assistance.
- 48.43.009 Health care sharing ministries.
- 48.43.012 Individual health benefit plans -- Preexisting conditions.
- 48.43.0122 Individual health benefit plans -- Persons under age nineteen.
- 48.43.015 Health benefit plans -- Preexisting conditions.
- 48.43.017 Organ transplant benefit waiting periods -- Prior creditable coverage.
- 48.43.018 Requirement to complete the standard health questionnaire -- Exemptions -- Results.
- 48.43.021 Personally identifiable health information -- Restrictions on release.
- 48.43.022 Enrollee identification card -- Social security number restriction.
- 48.43.023 Pharmacy identification cards--Rules.
- 48.43.025 Group health benefit plans -- Preexisting conditions.
- 48.43.028 Eligibility to purchase certain health benefit plans -- Small employers and small groups.
- 48.43.035 Group health benefit plans -- Guaranteed issue and continuity of coverage -- Exceptions.
- 48.43.038 Individual health plans -- Guarantee of continuity of coverage--Exceptions.
- 48.43.039 Grace period -- Notification or information -- Reports -- Defined.
- 48.43.041 Individual health benefit plans -- Mandatory benefits.
- 48.43.043 Colorectal cancer examinations and laboratory tests -- Required benefits or coverage.
- 48.43.045 Health plan requirements -- Annual reports -- Exemptions.
- 48.43.049 Health carrier data -- Information from annual statement -- Format prescribed by commissioner -- Public availability.
- 48.43.055 Procedures for review and adjudication of health care provider complaints -- Requirements.
- 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.
- 48.43.081 Anatomic pathology services -- Payment for services -- Definitions.
- 48.43.083 Chiropractor services -- Participating provider agreement -- Health carrier reimbursement.
- 48.43.085 Health carrier may not prohibit its enrollees from contracting for services outside the health care plan.
- 48.43.087 Contracting for services at enrollee's expense -- Mental health care practitioner -- Conditions -- Exception.
- 48.43.091 Health carrier coverage of outpatient mental health services -- Requirements.
- 48.43.093 Health carrier coverage of emergency medical services -- Requirements -- Conditions.
- 48.43.097 Filing of financial statements -- Every health carrier.
- 48.43.105 Preparation of documents that compare health carriers -- Immunity -- Due diligence.
- 48.43.115 Maternity services -- Intent -- Definitions -- Patient preference -- Clinical sovereignty of provider -- Notice to policyholders -- Application.
- 48.43.125 Coverage at a long-term care facility following hospitalization -- Definition.
- 48.43.176 Eosinophilic gastrointestinal associated disorder -- Elemental formula.
- 48.43.180 Denturist services.
- 48.43.185 General anesthesia services for dental procedures.
- 48.43.190 Payment of chiropractic services -- Parity.
- 48.43.200 Disclosure of certain material transactions -- Report -- Information is confidential.
- 48.43.205 Material acquisitions or dispositions.
- 48.43.210 Asset acquisitions -- Asset dispositions.
- 48.43.215 Report of a material acquisition or disposition of assets -- Information required.
- 48.43.220 Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.
- 48.43.225 Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements -- Information required.
- 48.43.290 Coverage for prescribed durable medical equipment and mobility enhancing equipment -- Sales and use taxes -- Definitions.
- 48.43.300 Definitions.
- 48.43.305 Report of RBC levels -- Distribution of report -- Formula for determination -- Commissioner may make adjustments.
- 48.43.310 Company action level event -- Required RBC plan -- Commissioner's review -- Notification -- Challenge by carrier.
- 48.43.315 Regulatory action level event -- Required RBC plan -- Commissioner's review -- Notification -- Challenge by carrier.
- 48.43.320 Authorized control level event -- Commissioner's options.
- 48.43.325 Mandatory control level event -- Commissioner's duty -- Regulatory control.
- 48.43.330 Carrier's right to hearing -- Request by carrier -- Date set by commissioner.
- 48.43.335 Confidentiality of RBC reports and plans -- Use of certain comparisons prohibited -- Certain information intended solely for use by commissioner.
- 48.43.340 Powers or duties of commissioner not limited -- Rules.
- 48.43.345 Foreign or alien carriers -- Required RBC report -- Commissioner may require RBC plan -- Mandatory control level event.
- 48.43.350 No liability or cause of action against commissioner or department.
- 48.43.355 Notice by commissioner to carrier -- When effective.
- 48.43.360 Initial RBC reports -- Calculation of initial RBC levels -- Subsequent reports.
- 48.43.366 Self-funded multiple employer welfare arrangements.
- 48.43.370 RBC standards not applicable to certain carriers.
- 48.43.500 Intent -- Purpose -- 2000 c 5.
- 48.43.505 Requirement to protect enrollee's right to privacy or confidential services -- Rules.
- 48.43.510 Carrier required to disclose health plan information -- Marketing and advertising restrictions -- Rules.
- 48.43.515 Access to appropriate health services -- Enrollee options -- Rules.
- 48.43.517 Enrollment of child participating in medical assistance program -- Employer-sponsored health plan.
- 48.43.520 Requirement to maintain a documented utilization review program description and written utilization review criteria -- Rules.
- 48.43.525 Prohibition against retrospective denial of health plan coverage -- Rules.
- 48.43.530 Requirement for carriers to have comprehensive grievance and appeal processes -- Carrier's duties -- Procedures -- Appeals -- Rules.
- 48.43.535 Independent review of health care disputes -- System for using certified independent review organizations -- Rules.
- 48.43.540 Requirement to designate a licensed medical director -- Exemption.
- 48.43.545 Standard of care -- Liability -- Causes of action -- Defense -- Exception.
- 48.43.550 Delegation of duties -- Carrier accountability.
- 48.43.600 Overpayment recovery -- Carrier.
- 48.43.605 Overpayment recovery -- Health care provider.
- 48.43.650 Fixed payment insurance products -- Commissioner's annual report.
- 48.43.670 Plan or contract renewal -- Modification of wellness program.
- 48.43.680 Lifetime limit on transplants -- Definition.
- 48.43.690 Assessments under RCW 70.290.040 considered medical expenses.
- 48.43.700 Exchange -- Plans that a carrier must offer -- Review -- Rules.
- 48.43.705 Plans offered outside of exchange.
- 48.43.710 Certification as qualified health plan not an exemption.
- 48.43.715 Individual and small group market -- Selection of benchmark plan -- Minimum requirements -- Criteria -- List of state-mandated health benefits.
- 48.43.720 Reinsurance and risk adjustment programs -- Affordable care act -- Rules.
- 48.43.730 Carrier must file provider contracts and compensation agreements with commissioner--Approval or disapproval--Confidentiality--Hearings--Rules -- Definitions.
- 48.43.901 Captions not law -- 1996 c 312.
- 48.43.902 Effective date -- 1996 c 312.
- 48.43.903 Severability -- 1998 c 241.
- 48.43.904 Construction -- Chapter applicable to state registered domestic partnerships -- 2009 c 521.
Disclaimer: These codes may not be the most recent version. Washington may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.