Chapter 48.44 RCW

HEALTH CARE SERVICES

Sections

48.44.010Definitions.
48.44.011Insurance producerDefinitionLicense requiredApplication, issuance, renewal, feesPenalties involving license.
48.44.013Filings with secretary of stateCopy for commissioner.
48.44.015Registration by health care service contractors requiredPenalty.
48.44.016Unregistered activitiesActs committed in this stateSanctions.
48.44.017Schedule of rates for individual contractsLoss ratioDefinitions.
48.44.020Contracts for servicesExamination of contract forms by commissionerGrounds for disapprovalLiability of participant.
48.44.021Calculation of premiumsMembers of a purchasing poolAdjusted community rating methodDefinitions.
48.44.022Calculation of premiumsAdjusted community rateDefinitions.
48.44.023Health plan benefits for small employersCoverageExemption from statutory requirementsPremium ratesRequirements for providing coverage for small employers.
48.44.024Requirements for plans offered to small employersDefinitions.
48.44.026Payment for certain health care services.
48.44.030Underwriting of indemnity by insurance policy, bond, securities, or cash deposit.
48.44.033Financial failureSupervision of commissionerPriority of distribution of assets.
48.44.035Limited health care serviceUncovered expendituresMinimum net worth requirements.
48.44.037Minimum net worthRequirement to maintainDetermination of amount.
48.44.039Minimum net worthDomestic or foreign health care service contractor.
48.44.040Registration with commissionerFee.
48.44.050Rules and regulations.
48.44.055Plan for handling insolvencyCommissioner's review.
48.44.057InsolvencyCommissioner's dutiesParticipants' optionsAllocation of coverage.
48.44.060Penalty.
48.44.080Master lists of contractor's participating providersFiling with commissionerNotice of termination or participation.
48.44.090Refusal to register corporate, etc., contractor if name confusing with existing contractor or insurance company.
48.44.095Annual financial statementFilingsContentsFeePenalty for failure to file.
48.44.100Filing inaccurate financial statement prohibited.
48.44.110False representation, advertising.
48.44.120Misrepresentations of contract terms, benefits, etc.
48.44.130Future dividends or refundsWhen permissible.
48.44.140Misleading comparisons to terminate or retain contract.
48.44.145Examination of contractorsDuties of contractor, powers of commissionerIndependent audit reports.
48.44.150Certificate of registration not an endorsementDisplay in solicitation prohibited.
48.44.160Revocation, suspension, refusal of registrationHearingCease and desist orders, injunctive actionGrounds.
48.44.164Notice of suspension, revocation, or refusal to be given contractorAuthority of insurance producers.
48.44.166Fine in addition to or in lieu of suspension, revocation, or refusal.
48.44.170Hearings and appeals.
48.44.180Enforcement.
48.44.200Individual health care service plan contractsCoverage of dependent child not to terminate because of developmental disability or physical handicap.
48.44.210Group health care service plan contractsCoverage of dependent child not to terminate because of developmental disability or physical handicap.
48.44.212Coverage of dependent children to include newborn infants and congenital anomalies from moment of birthNotification period.
48.44.215Option to cover child under age twenty-six.
48.44.220Discrimination prohibited.
48.44.225Podiatric physicians and surgeons not excluded.
48.44.230Individual health service plan contractReturn within ten days of deliveryRefundsVoid from beginningNotice required.
48.44.240Chemical dependency benefitsProvisions of group contracts delivered or renewed after January 1, 1988.
48.44.241Chemical dependency benefitsRCW 48.21.160 through 48.21.190, 48.44.240 inapplicable, when.
48.44.245"Chemical dependency" defined.
48.44.250Payment of premium by employee in event of suspension of compensation due to labor dispute.
48.44.260Notice of reason for cancellation, denial, or refusal to renew contract.
48.44.270Immunity from libel or slander.
48.44.290Registered nurses or advanced registered nurses.
48.44.299Legislative finding.
48.44.300Podiatric medicine and surgeryBenefits not to be denied.
48.44.305When injury caused by intoxication or use of narcotics.
48.44.309Legislative finding.
48.44.310Chiropractic care, coverage required, exceptions.
48.44.315Diabetes coverageDefinitions.
48.44.320Home health care, hospice care, optional coverage requiredStandards, limitations, restrictionsRulesMedicare supplemental contracts excluded.
48.44.323Prescribed, self-administered anticancer medication.
48.44.325MammogramsInsurance coverage.
48.44.327Prostate cancer screening.
48.44.330Reconstructive breast surgery.
48.44.335Mastectomy, lumpectomy.
48.44.341Mental health servicesHealth plansDefinitionCoverage required, when.
48.44.342Mental health treatmentWaiver of preauthorization for persons involuntarily committed.
48.44.344Benefits for prenatal diagnosis of congenital disordersContracts entered into or renewed on or after January 1, 1990.
48.44.350Financial interests of health care service contractors, restrictedExceptions, regulations.
48.44.360Continuation option to be offered.
48.44.370Conversion contract to be offeredExceptions, conditions.
48.44.380Conversion contractRestrictions and requirementsRules.
48.44.390Modification of basis of agreement, endorsement required.
48.44.400Continuance provisions for former family members.
48.44.420Coverage for adopted children.
48.44.430Cancellation of rider.
48.44.440Phenylketonuria.
48.44.450Neurodevelopmental therapiesEmployer-sponsored group contracts.
48.44.460Temporomandibular joint disordersInsurance coverage.
48.44.465PrescriptionsPreapproval of individual claimsSubsequent rejection prohibitedWritten record required.
48.44.470Nonresident pharmacies.
48.44.495Dental services that are not subject to contract or provider agreement.
48.44.500Denturist services.
48.44.530Disclosure of certain material transactionsReportInformation is confidential.
48.44.535Material acquisitions or dispositions.
48.44.540Asset acquisitionsAsset dispositions.
48.44.545Report of a material acquisition or disposition of assetsInformation required.
48.44.550Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.
48.44.555Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreementsInformation required.
48.44.900ConstructionChapter applicable to state registered domestic partnerships2009 c 521.

NOTES:

Insurance producers appointed by health care service contractors, additional regulations applicable: RCW 48.17.065.
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