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Chapter 48.44 RCW

HEALTH CARE SERVICES

Sections

HTMLPDF 48.44.010Definitions.
HTMLPDF 48.44.011Insurance producer—Definition—License required—Application, issuance, renewal, fees—Penalties involving license.
HTMLPDF 48.44.013Filings with secretary of state—Copy for commissioner.
HTMLPDF 48.44.015Registration by health care service contractors required—Penalty.
HTMLPDF 48.44.016Unregistered activities—Acts committed in this state—Sanctions.
HTMLPDF 48.44.017Schedule of rates for individual contracts—Loss ratio—Definitions.
HTMLPDF 48.44.020Contracts for services—Examination of contract forms by commissioner—Grounds for disapproval—Liability of participant.
HTMLPDF 48.44.021Calculation of premiums—Members of a purchasing pool—Adjusted community rating method—Definitions.
HTMLPDF 48.44.022Calculation of premiums—Adjusted community rate—Definitions.
HTMLPDF 48.44.023Health plan benefits for small employers—Coverage—Exemption from statutory requirements—Premium rates—Requirements for providing coverage for small employers.
HTMLPDF 48.44.024Requirements for plans offered to small employers—Definitions.
HTMLPDF 48.44.026Payment for certain health care services.
HTMLPDF 48.44.030Underwriting of indemnity by insurance policy, bond, securities, or cash deposit.
HTMLPDF 48.44.033Financial failure—Supervision of commissioner—Priority of distribution of assets.
HTMLPDF 48.44.035Limited health care service—Uncovered expenditures—Minimum net worth requirements.
HTMLPDF 48.44.037Minimum net worth—Requirement to maintain—Determination of amount.
HTMLPDF 48.44.039Minimum net worth—Domestic or foreign health care service contractor.
HTMLPDF 48.44.040Registration with commissioner—Fee.
HTMLPDF 48.44.050Rules and regulations.
HTMLPDF 48.44.055Plan for handling insolvency—Commissioner's review.
HTMLPDF 48.44.057Insolvency—Commissioner's duties—Participants' options—Allocation of coverage.
HTMLPDF 48.44.060Penalty.
HTMLPDF 48.44.080Master lists of contractor's participating providers—Filing with commissioner—Notice of termination or participation.
HTMLPDF 48.44.090Refusal to register corporate, etc., contractor if name confusing with existing contractor or insurance company.
HTMLPDF 48.44.095Annual financial statement—Filings—Contents—Fee—Penalty for failure to file.
HTMLPDF 48.44.100Filing inaccurate financial statement prohibited.
HTMLPDF 48.44.110False representation, advertising.
HTMLPDF 48.44.120Misrepresentations of contract terms, benefits, etc.
HTMLPDF 48.44.130Future dividends or refunds—When permissible.
HTMLPDF 48.44.140Misleading comparisons to terminate or retain contract.
HTMLPDF 48.44.145Examination of contractors—Duties of contractor, powers of commissioner—Independent audit reports.
HTMLPDF 48.44.150Certificate of registration not an endorsement—Display in solicitation prohibited.
HTMLPDF 48.44.160Revocation, suspension, refusal of registration—Hearing—Cease and desist orders, injunctive action—Grounds.
HTMLPDF 48.44.164Notice of suspension, revocation, or refusal to be given contractor—Authority of insurance producers.
HTMLPDF 48.44.166Fine in addition to or in lieu of suspension, revocation, or refusal.
HTMLPDF 48.44.170Hearings and appeals.
HTMLPDF 48.44.180Enforcement.
HTMLPDF 48.44.200Individual health care service plan contracts—Coverage of dependent child with developmental or physical disability.
HTMLPDF 48.44.210Group health care service plan contracts—Coverage of dependent child with developmental or physical disability.
HTMLPDF 48.44.212Coverage of dependent children to include newborn infants and congenital anomalies from moment of birth—Notification period.
HTMLPDF 48.44.215Option to cover child under age twenty-six.
HTMLPDF 48.44.220Discrimination prohibited.
HTMLPDF 48.44.225Podiatric physicians and surgeons not excluded.
HTMLPDF 48.44.230Individual health service plan contract—Return within ten days of delivery—Refunds—Void from beginning—Notice required.
HTMLPDF 48.44.240Chemical dependency benefits—Provisions of group contracts delivered or renewed after January 1, 1988.
HTMLPDF 48.44.241Chemical dependency benefits—RCW 48.21.160 through 48.21.190, 48.44.240 inapplicable, when.
HTMLPDF 48.44.245"Chemical dependency" defined.
HTMLPDF 48.44.250Payment of premium by employee in event of suspension of compensation due to labor dispute.
HTMLPDF 48.44.260Notice of reason for cancellation, denial, or refusal to renew contract.
HTMLPDF 48.44.270Immunity from libel or slander.
HTMLPDF 48.44.290Registered nurses or advanced registered nurses.
HTMLPDF 48.44.299Legislative finding.
HTMLPDF 48.44.300Podiatric medicine and surgery—Benefits not to be denied.
HTMLPDF 48.44.305When injury caused by intoxication or use of narcotics.
HTMLPDF 48.44.309Legislative finding.
HTMLPDF 48.44.310Chiropractic care, coverage required, exceptions.
HTMLPDF 48.44.315Diabetes coverage—Definitions.
HTMLPDF 48.44.320Home health care, hospice care, optional coverage required—Standards, limitations, restrictions—Rules—Medicare supplemental contracts excluded.
HTMLPDF 48.44.323Prescribed, self-administered anticancer medication.
HTMLPDF 48.44.325Mammograms—Insurance coverage.
HTMLPDF 48.44.327Prostate cancer screening.
HTMLPDF 48.44.330Reconstructive breast surgery.
HTMLPDF 48.44.335Mastectomy, lumpectomy.
HTMLPDF 48.44.341Mental health services—Health plans—Definition—Coverage required, when.
HTMLPDF 48.44.342Mental health treatment—Waiver of preauthorization for persons involuntarily committed.
HTMLPDF 48.44.344Benefits for prenatal diagnosis of congenital disorders—Contracts entered into or renewed on or after January 1, 1990.
HTMLPDF 48.44.350Financial interests of health care service contractors, restricted—Exceptions, regulations.
HTMLPDF 48.44.360Continuation option to be offered.
HTMLPDF 48.44.370Conversion contract to be offered—Exceptions, conditions.
HTMLPDF 48.44.380Conversion contract—Restrictions and requirements—Rules.
HTMLPDF 48.44.390Modification of basis of agreement, endorsement required.
HTMLPDF 48.44.400Continuance provisions for former family members.
HTMLPDF 48.44.420Coverage for adopted children.
HTMLPDF 48.44.430Cancellation of rider.
HTMLPDF 48.44.440Phenylketonuria.
HTMLPDF 48.44.450Neurodevelopmental therapies—Employer-sponsored group contracts.
HTMLPDF 48.44.460Temporomandibular joint disorders—Insurance coverage.
HTMLPDF 48.44.465Prescriptions—Preapproval of individual claims—Subsequent rejection prohibited—Written record required.
HTMLPDF 48.44.470Nonresident pharmacies.
HTMLPDF 48.44.495Dental services that are not subject to contract or provider agreement.
HTMLPDF 48.44.500Denturist services.
HTMLPDF 48.44.530Disclosure of certain material transactions—Report—Information is confidential.
HTMLPDF 48.44.535Material acquisitions or dispositions.
HTMLPDF 48.44.540Asset acquisitions—Asset dispositions.
HTMLPDF 48.44.545Report of a material acquisition or disposition of assets—Information required.
HTMLPDF 48.44.550Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.
HTMLPDF 48.44.555Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements—Information required.
HTMLPDF 48.44.900Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.

NOTES:

Insurance producers appointed by health care service contractors, additional regulations applicable: RCW 48.17.065.