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PDFWAC 200-100-034

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 members' (re)assessments are 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 all members which include these changes.
[Statutory Authority: 2015 c 109. WSR 15-22-011, § 200-100-034, filed 10/22/15, effective 11/22/15. Statutory Authority: 2011 c 43. WSR 11-23-093, recodified as § 200-100-034, filed 11/17/11, effective 11/17/11. Statutory Authority: RCW 48.62.061. WSR 10-01-072, § 82-60-034, filed 12/14/09, effective 1/14/10; WSR 05-04-072, amended and recodified as § 82-60-034, filed 2/1/05, effective 3/4/05. Statutory Authority: Chapter 48.62 RCW. WSR 93-16-079, § 236-22-034, filed 8/3/93, effective 9/3/93.]
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