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PDFWAC 284-180-425

General health care benefit management form filing rules.

(1) Each health care benefit management contract form and contract amendment form filing must be submitted to the commissioner electronically using SERFF.
(a) Every form filed in SERFF must:
(i) Be attached to the form schedule; and
(ii) Have a unique identifying number and a way to distinguish it from other versions of the same form.
(b) Filers must send all written correspondence related to a form filing in SERFF.
(2) All filed forms must be legible for both the commissioner's review and retention as a nonpublic record. Filers must submit new or revised forms to the commissioner for review in final form displayed in ten-point or larger type.
(3) Filers must submit complete filings that comply with the SERFF Industry Manual available within the SERFF application and the Washington State SERFF Health Care Benefit Management General Filing Instructions, as revised from time to time and posted on the commissioner's website (
[Statutory Authority: RCW 48.02.060 and 48.200.900. WSR 21-02-034, ยง 284-180-425, filed 12/29/20, effective 1/1/22.]
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