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Chapter 48.44 RCW

HEALTH CARE SERVICES

RCW Sections

48.44.010Definitions.
48.44.011Insurance producer -- Definition -- License required -- Application, issuance, renewal, fees -- Penalties involving license.
48.44.013Filings with secretary of state -- Copy for commissioner.
48.44.015Registration by health care service contractors required -- Penalty.
48.44.016Unregistered activities -- Acts committed in this state -- Sanctions.
48.44.017Schedule of rates for individual contracts -- Loss ratio -- Definitions.
48.44.020Contracts for services -- Examination of contract forms by commissioner -- Grounds for disapproval -- Liability of participant.
48.44.021Calculation of premiums -- Members of a purchasing pool -- Adjusted community rating method -- Definitions.
48.44.022Calculation of premiums -- Adjusted community rate -- Definitions.
48.44.023Health plan benefits for small employers -- Coverage -- Exemption from statutory requirements -- Premium rates -- Requirements for providing coverage for small employers.
48.44.024Requirements for plans offered to small employers -- Definitions.
48.44.026Payment for certain health care services.
48.44.030Underwriting of indemnity by insurance policy, bond, securities, or cash deposit.
48.44.033Financial failure -- Supervision of commissioner -- Priority of distribution of assets.
48.44.035Limited health care service -- Uncovered expenditures -- Minimum net worth requirements.
48.44.037Minimum net worth -- Requirement to maintain -- Determination of amount.
48.44.039Minimum net worth -- Domestic or foreign health care service contractor.
48.44.040Registration with commissioner -- Fee.
48.44.050Rules and regulations.
48.44.055Plan for handling insolvency -- Commissioner's review.
48.44.057Insolvency -- Commissioner's duties -- Participants' options -- Allocation of coverage.
48.44.060Penalty.
48.44.070Contracts to be filed with commissioner.
48.44.080Master lists of contractor's participating providers -- Filing with commissioner -- Notice 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 statement -- Filings -- Contents -- Fee -- Penalty 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 refunds -- When permissible.
48.44.140Misleading comparisons to terminate or retain contract.
48.44.145Examination of contractors -- Duties of contractor, powers of commissioner -- Independent audit reports.
48.44.150Certificate of registration not an endorsement -- Display in solicitation prohibited.
48.44.160Revocation, suspension, refusal of registration -- Hearing -- Cease and desist orders, injunctive action -- Grounds.
48.44.164Notice of suspension, revocation, or refusal to be given contractor -- Authority 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 contracts -- Coverage of dependent child not to terminate because of developmental disability or physical handicap.
48.44.210Group health care service plan contracts -- Coverage 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 birth -- Notification 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 contract -- Return within ten days of delivery -- Refunds -- Void from beginning -- Notice required.
48.44.240Chemical dependency benefits -- Provisions of group contracts delivered or renewed after January 1, 1988.
48.44.241Chemical dependency benefits -- RCW 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 surgery -- Benefits 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 coverage -- Definitions.
48.44.320Home health care, hospice care, optional coverage required -- Standards, limitations, restrictions -- Rules -- Medicare supplemental contracts excluded.
48.44.323Prescribed, self-administered anticancer medication.
48.44.325Mammograms -- Insurance coverage.
48.44.327Prostate cancer screening.
48.44.330Reconstructive breast surgery.
48.44.335Mastectomy, lumpectomy.
48.44.341Mental health services -- Health plans -- Definition -- Coverage required, when.
48.44.342Mental health treatment -- Waiver of preauthorization for persons involuntarily committed.
48.44.344Benefits for prenatal diagnosis of congenital disorders -- Contracts entered into or renewed on or after January 1, 1990.
48.44.350Financial interests of health care service contractors, restricted -- Exceptions, regulations.
48.44.360Continuation option to be offered.
48.44.370Conversion contract to be offered -- Exceptions, conditions.
48.44.380Conversion contract -- Restrictions and requirements -- Rules.
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 therapies -- Employer-sponsored group contracts.
48.44.460Temporomandibular joint disorders -- Insurance coverage.
48.44.465Prescriptions -- Preapproval of individual claims -- Subsequent rejection prohibited -- Written 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 transactions -- Report -- Information is confidential.
48.44.535Material acquisitions or dispositions.
48.44.540Asset acquisitions -- Asset dispositions.
48.44.545Report of a material acquisition or disposition of assets -- Information 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 agreements -- Information required.
48.44.900Construction -- 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.