PERMANENT RULES
Date of Adoption: August 25, 1999.
Purpose: Many state residents are unable to purchase health insurance in some counties of the state. These rules require the Washington State Health Insurance Pool to provide coverage in Washington counties where no individual health plans are commercially available from health carriers.
Statutory Authority for Adoption: RCW 48.02.060, 48.41.040, 48.41.170.
Other Authority: RCW 48.41.100.
Adopted under notice filed as WSR 99-14-085 on July 7, 1999.
Changes Other than Editing from Proposed to Adopted Version: The final rule includes a reference to RCW 48.43.005(18) which defines "health plan."
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 1, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 0, Repealed 0. Effective Date of Rule: Thirty-one days after filing.
August 25, 1999
D. J. Patin
Deputy Insurance Commissioner
OTS-3211.2
NEW SECTION
WAC 284-91-060
Eligibility in counties without commercially
available coverage equivalent to pool coverage.
(1) Evidence of rejection under RCW 48.41.100 shall be waived by the pool for any person unable to obtain an individual health plan as defined in RCW 48.43.005(18) because the person resides in a county of this state where no member offers to the public an individual health plan.
(2) In accordance with RCW 48.41.180, every member shall provide a notice and application for pool coverage to every person who applies for and is denied for any reason, an individual health plan. This includes the reason that the member has decided to reject all new applicants for individual health plan coverage state-wide or within any county.
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