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2019 Revised Code of Washington
Title 48 - Insurance
Chapter 48.44 - Health Care Services.
- 48.44.010 Definitions.
- 48.44.011 Insurance producer—Definition—License required—Application, issuance, renewal, fees—Penalties involving license.
- 48.44.013 Filings with secretary of state—Copy for commissioner.
- 48.44.015 Registration by health care service contractors required—Penalty.
- 48.44.016 Unregistered activities—Acts committed in this state—Sanctions.
- 48.44.017 Schedule of rates for individual contracts—Loss ratio—Definitions.
- 48.44.020 Contracts for services—Examination of contract forms by commissioner—Grounds for disapproval—Liability of participant.
- 48.44.021 Calculation of premiums—Members of a purchasing pool—Adjusted community rating method—Definitions.
- 48.44.022 Calculation of premiums—Adjusted community rate—Definitions.
- 48.44.023 Health plan benefits for small employers—Coverage—Exemption from statutory requirements—Premium rates—Requirements for providing coverage for small employers.
- 48.44.024 Requirements for plans offered to small employers—Definitions.
- 48.44.026 Payment for certain health care services.
- 48.44.030 Underwriting of indemnity by insurance policy, bond, securities, or cash deposit.
- 48.44.033 Financial failure—Supervision of commissioner—Priority of distribution of assets.
- 48.44.035 Limited health care service—Uncovered expenditures—Minimum net worth requirements.
- 48.44.037 Minimum net worth—Requirement to maintain—Determination of amount.
- 48.44.039 Minimum net worth—Domestic or foreign health care service contractor.
- 48.44.040 Registration with commissioner—Fee.
- 48.44.050 Rules and regulations.
- 48.44.055 Plan for handling insolvency—Commissioner's review.
- 48.44.057 Insolvency—Commissioner's duties—Participants' options—Allocation of coverage.
- 48.44.060 Penalty.
- 48.44.080 Master lists of contractor's participating providers—Filing with commissioner—Notice of termination or participation.
- 48.44.090 Refusal to register corporate, etc., contractor if name confusing with existing contractor or insurance company.
- 48.44.095 Annual financial statement—Filings—Contents—Fee—Penalty for failure to file.
- 48.44.100 Filing inaccurate financial statement prohibited.
- 48.44.110 False representation, advertising.
- 48.44.120 Misrepresentations of contract terms, benefits, etc.
- 48.44.130 Future dividends or refunds—When permissible.
- 48.44.140 Misleading comparisons to terminate or retain contract.
- 48.44.145 Examination of contractors—Duties of contractor, powers of commissioner—Independent audit reports.
- 48.44.150 Certificate of registration not an endorsement—Display in solicitation prohibited.
- 48.44.160 Revocation, suspension, refusal of registration—Hearing—Cease and desist orders, injunctive action—Grounds.
- 48.44.164 Notice of suspension, revocation, or refusal to be given contractor—Authority of insurance producers.
- 48.44.166 Fine in addition to or in lieu of suspension, revocation, or refusal.
- 48.44.170 Hearings and appeals.
- 48.44.180 Enforcement.
- 48.44.200 Individual health care service plan contracts—Coverage of dependent child not to terminate because of developmental disability or physical handicap.
- 48.44.210 Group health care service plan contracts—Coverage of dependent child not to terminate because of developmental disability or physical handicap.
- 48.44.212 Coverage of dependent children to include newborn infants and congenital anomalies from moment of birth—Notification period.
- 48.44.215 Option to cover child under age twenty-six.
- 48.44.220 Discrimination prohibited.
- 48.44.225 Podiatric physicians and surgeons not excluded.
- 48.44.230 Individual health service plan contract—Return within ten days of delivery—Refunds—Void from beginning—Notice required.
- 48.44.240 Chemical dependency benefits—Provisions of group contracts delivered or renewed after January 1, 1988.
- 48.44.241 Chemical dependency benefits—RCW 48.21.160 through 48.21.190, 48.44.240 inapplicable, when.
- 48.44.245 "Chemical dependency" defined.
- 48.44.250 Payment of premium by employee in event of suspension of compensation due to labor dispute.
- 48.44.260 Notice of reason for cancellation, denial, or refusal to renew contract.
- 48.44.270 Immunity from libel or slander.
- 48.44.290 Registered nurses or advanced registered nurses.
- 48.44.299 Legislative finding.
- 48.44.300 Podiatric medicine and surgery—Benefits not to be denied.
- 48.44.305 When injury caused by intoxication or use of narcotics.
- 48.44.309 Legislative finding.
- 48.44.310 Chiropractic care, coverage required, exceptions.
- 48.44.315 Diabetes coverage—Definitions.
- 48.44.320 Home health care, hospice care, optional coverage required—Standards, limitations, restrictions—Rules—Medicare supplemental contracts excluded.
- 48.44.323 Prescribed, self-administered anticancer medication.
- 48.44.325 Mammograms—Insurance coverage.
- 48.44.327 Prostate cancer screening.
- 48.44.330 Reconstructive breast surgery.
- 48.44.335 Mastectomy, lumpectomy.
- 48.44.341 Mental health services—Health plans—Definition—Coverage required, when.
- 48.44.342 Mental health treatment—Waiver of preauthorization for persons involuntarily committed.
- 48.44.344 Benefits for prenatal diagnosis of congenital disorders—Contracts entered into or renewed on or after January 1, 1990.
- 48.44.350 Financial interests of health care service contractors, restricted—Exceptions, regulations.
- 48.44.360 Continuation option to be offered.
- 48.44.370 Conversion contract to be offered—Exceptions, conditions.
- 48.44.380 Conversion contract—Restrictions and requirements—Rules.
- 48.44.390 Modification of basis of agreement, endorsement required.
- 48.44.400 Continuance provisions for former family members.
- 48.44.420 Coverage for adopted children.
- 48.44.430 Cancellation of rider.
- 48.44.440 Phenylketonuria.
- 48.44.450 Neurodevelopmental therapies—Employer-sponsored group contracts.
- 48.44.460 Temporomandibular joint disorders—Insurance coverage.
- 48.44.465 Prescriptions—Preapproval of individual claims—Subsequent rejection prohibited—Written record required.
- 48.44.470 Nonresident pharmacies.
- 48.44.495 Dental services that are not subject to contract or provider agreement.
- 48.44.500 Denturist services.
- 48.44.530 Disclosure of certain material transactions—Report—Information is confidential.
- 48.44.535 Material acquisitions or dispositions.
- 48.44.540 Asset acquisitions—Asset dispositions.
- 48.44.545 Report of a material acquisition or disposition of assets—Information required.
- 48.44.550 Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.
- 48.44.555 Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements—Information required.
- 48.44.900 Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.
NOTES:
Insurance producers appointed by health care service contractors, additional regulations applicable: RCW 48.17.065.
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