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PDFWAC 284-180-405

Definitions in this subchapter.

The definitions in this section apply throughout this subchapter.
(1) "Complete filing" means a package of information containing forms, supporting information, documents and exhibits submitted to the commissioner electronically using the system for electronic rate and form filing (SERFF).
(2) "Date filed" means the date a complete filing has been received and accepted by the commissioner.
(3) "Filer" means:
(a) A person, organization or other entity that files forms or rates with the commissioner for a carrier or health care benefit manager; or
(b) A person employed by a carrier or heath care benefit manager to file under this chapter.
(4) "Form" means a "health care benefit management contract" or "contract" and means any written agreement describing the rights and responsibilities of the parties, such as carriers, health care benefit managers, providers, pharmacy, pharmacy services administration organization, and employee benefit program conforming to chapter 48.200 RCW and this chapter including:
(a) All forms that are part of the contract; and
(b) All amendments to the contract.
(5) "NAIC" means the National Association of Insurance Commissioners.
(6) "Objection letter" means correspondence created in SERFF and sent by the commissioner to the filer that:
(a) Requests clarification, documentation, or other information; or
(b) Explains errors or omissions in the filing.
(7) "SERFF" means the system for electronic rate and form filing. SERFF is a proprietary NAIC computer-based application that allows insurers and other entities to create and submit rate, rule, and form filings electronically to the commissioner.
(8) "Type of insurance" or "TOI" means a specific type of health care coverage listed in the Uniform Life, Accident and Health, Annuity and Credit Coding Matrix published by the NAIC and available at www.naic.org.
[Statutory Authority: RCW 48.02.060 and 48.200.900. WSR 21-02-034, ยง 284-180-405, filed 12/29/20, effective 1/1/22.]
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