These documents are currently being revised to incorporate the changes made during the 2024 Legislative Session. Please consult the Sections Affected Table for changes made during the 2024 Legislative Session.
Qualified health plans—Reimbursement limit—Waiver.
The director may, in his or her sole discretion, waive the requirements of RCW
41.05.410(2)(g) if he or she finds that:
(1) A health carrier offering a qualified health plan under RCW
41.05.410 is unable to form a provider network that meets the network access standards adopted by the insurance commissioner due to the requirements of RCW
41.05.410(2)(g); and
(2) The health carrier is able to achieve actuarially sound premiums that are ten percent lower than the previous plan year through other means.
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