Standards for operations—Disclosures.
All joint self-insurance programs shall furnish to every participant of the program written statements which describe:
(1) Insurance coverages or benefits currently provided by the program, including any applicable restrictions, limitations, and exclusions;
(2) The procedure for filing a claim against the joint self-insurance program;
(3) The procedure for a participant to request an adjudication of disputes or appeals arising from coverage, claim payment or denial, and other issues; and
(4) General characteristics of the insurance coverage portion of the program.
[Statutory Authority: 2011 c 43. WSR 11-23-093, recodified as § 200-120-160, filed 11/17/11, effective 11/17/11. Statutory Authority: Chapter
48.64 RCW, RCW
48.64.015, and
42.64.020. WSR 11-06-001, § 82-70-160, filed 2/16/11, effective 3/19/11.]