WSR 17-04-095

AGENDA

OFFICE OF

INSURANCE COMMISSIONER

[Filed January 31, 2017, 4:10 p.m.]

Rule Development Agenda

January 31 through July 31, 2017

The commissioner has introduced the following rule makings. Each rule making is currently between the CR-101, CR-102, and CR-103 stage. They are currently under review and there may be further rule-making activity before July 31, 2017. If you have any questions regarding any of these rule makings, please contact Jim Keogh, rulescoordinator@oic.wa.gov or (360) 725-7056.


WAC	RCW Authority	Subject	Current Activity
WAC	RCW Authority	Subject	CR-103E	CR-101	CR-105	CR-102
	48.02.060, 48.44.050, 48.46.200	Issuer disclosures, notices, and processes to protect privacy of health care information.		13-11-144 5/22/13
284-30-396	48.02.060, 48.30.010	Notice of payment of settlements by insurers.				16-08-024 3/29/16
284-24-140	48.02.060, 48.19.035, 48.19.080	Requiring insurers using credit scores for rating to update scores at least every three years.		15-21-051 10/16/15
	48.02.060, 48.18.120(2), 48.20.450, 48.44.050, 48.46.200	Health plan special enrollment rules.		15-23-064 11/13/15
	48.02.060, 48.17.005, 48.17.420, 48.17.205	Addressing the insurance commissioner's powers during a state of emergency.		16-01-051 12/10/15
	48.02.060, 48.29.005	Title insurance agent escrow practices and accounts.		16-07-083 3/17/16
	48.02.060, 34.05.220, 34.05.250	Administrative hearings.		16-12-081 5/31/16
	48.02.060, 48.43.515, 48.43.520, 48.43.525, 48.43.530	Prior authorization processes and transparency.		16-13-103 6/17/16		16-23-156 11/22/16

Possible Rule Makings: In addition to the rules listed above, the commissioner continues the effort to update and clarify the code as well as implement recent legislation. In the period before July 31, 2017, subjects that may be considered for rule making in this effort include:

Annuity marketing and disclosure requirements

Barriers to patient care access resulting from contracting practices

Coordination of benefits

Dental insurance practices

Discontinuation and renewal of health plan coverage

Discrimination in health plan design

Electronic filing of state specific reporting

Electronic notices and document delivery of insurance products

Essential health benefits – Pharmacy/formulary tiers

Essential health benefits – Clarifications, as needed, of pediatric dental and other provisions

Establishing rules for interest rate tables referenced in RCW

Federal financial reform implementation

Federal health care reform implementation

Fixing investment statute outdated references

Health care coverage for dependent and incapacitated children

Implementation of rules required by new state or federal legislation

Minimum valuation standards

NAIC model act implementation (dependent on legislation)

Pharmacy exception (substitution) and appeals process

Prelicensing insurance education

Producer commissions for special enrollment periods

Ride-sharing insurance coverage

Standards for gold card programs in health insurance coverage

Summary of health insurance benefits coverage

Trainee requirements for adjuster licensing

Use of vehicle history in rating

Wellness programs (health plans).

Mike Kreidler