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PDFWAC 200-160-160

Standards for operationsDisclosures.

(1) All joint self-insurance programs shall furnish to each new member joining a self-insurance program written statements which describe:
(a) Insurance coverages or benefits currently provided by the program, including any applicable restrictions, limitations, and exclusions;
(b) The method by which the member's annual contribution rates is determined;
(c) The procedure for filing a claim against the joint self-insurance program;
(d) The procedure for a member to request an adjudication of disputes or appeals arising from coverage, claim payment or denial, membership, and other issues; and
(e) General characteristics of the insurance coverage portion of the program.
(2) If any changes are made to subsection (1)(a) through (e) of this section, new written documents must be provided to each member which include changes in their own specific member coverage and annual contribution rate.
[Statutory Authority: RCW 48.190.040 and 43.19.011. WSR 18-09-086, § 200-160-160, filed 4/17/18, effective 5/18/18.]
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