Chapter 48.46 RCW



HTMLPDF 48.46.010Legislative declarationPurpose.
HTMLPDF 48.46.012Filings with secretary of stateCopy for commissioner.
HTMLPDF 48.46.020Definitions.
HTMLPDF 48.46.023Insurance producerDefinitionLicense requiredApplication, issuance, renewal, feesPenalties involving license.
HTMLPDF 48.46.027Registration, requiredIssuance of securitiesPenalty.
HTMLPDF 48.46.030Eligibility requirements for certificate of registrationApplication requirements, informationProvider compensation.
HTMLPDF 48.46.033Unregistered activitiesActs committed in this stateSanctions.
HTMLPDF 48.46.040Certificate of registrationIssuanceGrounds for refusalName restrictionsInspection and review of facilities.
HTMLPDF 48.46.045Catastrophic health plans permitted.
HTMLPDF 48.46.060Prepayment agreementsStandards for forms and documentsGrounds for disapprovalCancellation or failure to renewFiling of agreement forms.
HTMLPDF 48.46.062Schedule of rates for individual agreementsLoss ratioDefinitions.
HTMLPDF 48.46.063Calculation of premiumsMembers of a purchasing poolAdjusted community rating methodDefinitions.
HTMLPDF 48.46.064Calculation of premiumsAdjusted community rateDefinitions.
HTMLPDF 48.46.066Health plan benefits for small employersCoverageExemption from statutory requirementsPremium ratesRequirements for providing coverage for small employers.
HTMLPDF 48.46.068Requirements for plans offered to small employersDefinitions.
HTMLPDF 48.46.070Governing body.
HTMLPDF 48.46.080Annual statementFilingsContentsFeePenalty for failure to fileAccuracy required.
HTMLPDF 48.46.090Standard of services provided.
HTMLPDF 48.46.100Grievance procedure.
HTMLPDF 48.46.110Name restrictionsDiscriminationRecovery of costs of health care services participant not entitled to.
HTMLPDF 48.46.120Examination of health maintenance organizationsDuties of organizations, powers of commissionerIndependent audit reports.
HTMLPDF 48.46.130Investigation of violationsHearingFindingsPenaltiesOrder requiring compliance, etc.Suspension or revocation of certificate, effectApplication to courts.
HTMLPDF 48.46.135Fine in addition to or in lieu of suspension, revocation, or refusal.
HTMLPDF 48.46.140Fees.
HTMLPDF 48.46.170Effect of chapter as to other lawsConstruction.
HTMLPDF 48.46.180Duty of employer to inform and make available to employees option of enrolling in health maintenance organization.
HTMLPDF 48.46.190Payroll deductions for capitation payments to health maintenance organizations.
HTMLPDF 48.46.200Rules and regulations.
HTMLPDF 48.46.210Compliance with federal funding requirementsConstruction.
HTMLPDF 48.46.220Review of administrative action.
HTMLPDF 48.46.225Financial failureSupervision of commissionerPriority of distribution of assets.
HTMLPDF 48.46.235Minimum net worthRequirement to maintainDetermination of amount.
HTMLPDF 48.46.237Minimum net worthDomestic or foreign health maintenance organization.
HTMLPDF 48.46.240Funded reserve requirements.
HTMLPDF 48.46.243ContractParticipant liability.
HTMLPDF 48.46.245Plan for handling insolvencyCommissioner's review.
HTMLPDF 48.46.247InsolvencyCommissioner's dutiesParticipants' optionsAllocation of coverage.
HTMLPDF 48.46.250Coverage of dependent childrenNewborn infants, congenital anomaliesNotification period.
HTMLPDF 48.46.260Individual health maintenance agreementReturn within ten days of deliveryRefundsVoid from beginning.
HTMLPDF 48.46.270Financial interests of health maintenance organization authorities, restrictedExceptions, regulations.
HTMLPDF 48.46.272Diabetes coverageDefinitions.
HTMLPDF 48.46.274Prescribed, self-administered anticancer medication.
HTMLPDF 48.46.275MammogramsInsurance coverage.
HTMLPDF 48.46.277Prostate cancer screening.
HTMLPDF 48.46.280Reconstructive breast surgery.
HTMLPDF 48.46.285Mastectomy, lumpectomy.
HTMLPDF 48.46.291Mental health servicesHealth plansDefinitionCoverage required, when.
HTMLPDF 48.46.292Mental health treatmentWaiver of preauthorization for persons involuntarily committed.
HTMLPDF 48.46.300Future dividends or refunds, restrictedIssuance or sale of securities regulated.
HTMLPDF 48.46.310Registration not endorsement.
HTMLPDF 48.46.320Dependent children, termination of coverage, conditions.
HTMLPDF 48.46.325Option to cover child under age twenty-six.
HTMLPDF 48.46.340Return of agreement within ten days.
HTMLPDF 48.46.350Chemical dependency treatment.
HTMLPDF 48.46.355"Chemical dependency" defined.
HTMLPDF 48.46.360Payment of cost of agreement directly to holder during labor disputeChanges restrictedNotice to employee.
HTMLPDF 48.46.370Coverage not denied for disability.
HTMLPDF 48.46.375Benefits for prenatal diagnosis of congenital disordersAgreements entered into or renewed on or after January 1, 1990.
HTMLPDF 48.46.380Notice of reason for cancellation, denial, or refusal to renew agreement.
HTMLPDF 48.46.390Providing information on cancellation or refusalNo liability for insurance commissioner or health maintenance organization.
HTMLPDF 48.46.400False or misleading advertising prohibited.
HTMLPDF 48.46.410Misrepresentations to induce termination or retention of agreement prohibited.
HTMLPDF 48.46.420Penalty for violations.
HTMLPDF 48.46.430Enforcement authority of commissioner.
HTMLPDF 48.46.440Continuation option to be offered.
HTMLPDF 48.46.450Conversion agreement to be offeredExceptions, conditions.
HTMLPDF 48.46.460Conversion agreementRestrictions and requirementsRules.
HTMLPDF 48.46.470Endorsement of modifications.
HTMLPDF 48.46.480Continuation of coverage of former family members.
HTMLPDF 48.46.490Coverage for adopted children.
HTMLPDF 48.46.500Cancellation of rider.
HTMLPDF 48.46.510Phenylketonuria.
HTMLPDF 48.46.520Neurodevelopmental therapiesEmployer-sponsored group contracts.
HTMLPDF 48.46.530Temporomandibular joint disordersInsurance coverage.
HTMLPDF 48.46.535PrescriptionsPreapproval of individual claimsSubsequent rejection prohibitedWritten record required.
HTMLPDF 48.46.540Nonresident pharmacies.
HTMLPDF 48.46.565Foot care services.
HTMLPDF 48.46.570Denturist services.
HTMLPDF 48.46.575Doctor of osteopathic medicine and surgeryDiscrimination based on board certification is prohibited.
HTMLPDF 48.46.580When injury caused by intoxication or use of narcotics.
HTMLPDF 48.46.600Disclosure of certain material transactionsReportInformation is confidential.
HTMLPDF 48.46.605Material acquisitions or dispositions.
HTMLPDF 48.46.610Asset acquisitionsAsset dispositions.
HTMLPDF 48.46.615Report of a material acquisition or disposition of assetsInformation required.
HTMLPDF 48.46.620Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.
HTMLPDF 48.46.625Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreementsInformation required.
HTMLPDF 48.46.900Liberal construction.
HTMLPDF 48.46.920Short title.
HTMLPDF 48.46.930ConstructionChapter applicable to state registered domestic partnerships2009 c 521.


Insurance producers appointed by health maintenance organizations, additional regulations applicable: RCW 48.17.065.