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PDFWAC 200-110-130

Standards for management and operationsState risk manager reports.

(1) Every individual and joint health and welfare self-insurance program authorized to transact business in the state of Washington shall electronically submit the annual report to the state risk manager no later than one hundred fifty days following the completion of the program's fiscal year. Programs that terminate operations shall continue to submit annual reports until all claims have been paid.
(2) Joint self-insurance programs offering medical benefits shall electronically submit annual financial statements in the format prescribed by the state auditor's office. All individual and joint self-insurance programs shall electronically submit the revenue, expenses and other financial data on a form provided by the state risk manager.
(3) All individual and joint self-insurance programs providing medical benefits and maintaining reserves of less than sixteen weeks of program expenses shall submit a written actuarial estimate of outstanding program liabilities as of fiscal year ending.
(4) All individual and joint self-insurance programs shall submit electronically a list of contracted consultants with the annual report to the state risk manager.
(5) Joint self-insurance programs shall submit electronically the following additional information as part of the annual report to the state risk manager:
(a) Details of changes in articles of incorporation, bylaws or interlocal agreement;
(b) Details of ongoing significant services provided by contract to nonmembers;
(c) List of local government members added to or terminated from the program.
(6) All individual and joint self-insurance programs not meeting reserve requirements as of fiscal year ending as described in WAC 200-110-040 may be required by the state risk manager to submit quarterly reports until notified by the state risk manager that reserving standards have been met.
(7) Failure to provide required financial reports may result in corrective action by the state risk manager. Such actions may include:
(a) Increase in frequency of examinations;
(b) On-site monitoring by the state risk manager;
(c) Service of a cease and desist order upon the program.
[Statutory Authority: RCW 48.62.061. WSR 17-22-048, § 200-110-130, filed 10/25/17, effective 11/25/17. Statutory Authority: 2011 c 43. WSR 11-23-093, recodified as § 200-110-130, filed 11/17/11, effective 11/17/11. Statutory Authority: RCW 48.62.061. WSR 10-20-102, § 82-65-130, filed 10/1/10, effective 11/1/10.]
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