48.43.740  <<  48.43.743 >>   48.43.745

Dental only planAnnual data statementContentsPublic useDefinition.

(1) Each health carrier offering a dental only plan shall submit to the commissioner on or before April 1st of each year as part of the additional data statement or as a supplemental data statement the following information for the preceding year that is derived from the carrier's annual statement, including the exhibit of premiums, enrollments, and utilization for the company at an aggregate level and the additional data to the annual statement:
(a) The total number of dental members;
(b) The total amount of dental revenue;
(c) The total amount of dental payments;
(d) The dental loss ratio that is computed by dividing the total amount of dental payments by the total amount of dental revenues;
(e) The average amount of premiums per member per month; and
(f) The percentage change in the average premium per member per month, measured from the previous year. 
(2) A carrier shall electronically submit the information described in subsection (1) of this section in a format and according to instructions prescribed by the commissioner.
(3) The commissioner shall make the information reported under this section available to the public in a format that allows comparison among carriers through a searchable public website on the internet.
(4) For the purposes of licensed disability insurers and health care service contractors, the commissioner shall work collaboratively with insurers to develop an additional or supplemental data statement that utilizes to the maximum extent possible information from the annual statement forms that are currently filed by these entities.
(5) For purposes of this section, "health carrier," in addition to the definition in RCW 48.43.005, also includes health care service contractors, limited health care service contractors, and disability insurers offering dental only coverage.
(6) Nothing in this section is intended to establish a minimum dental loss ratio.


Effective date2015 c 9: See note following RCW 48.43.740.
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