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284-44-330  <<  284-44-340 >>   284-44-350

PDFWAC 284-44-340

Modification of amount of reimbursement or indemnity.

(1) Reduced deposit requirements may be permitted when data satisfactory to the commissioner are provided which indicate an amount less than that set forth in WAC 284-44-320 and 284-44-330 is adequate to cover incurred but unpaid reimbursement or indemnity benefits. In determining a lesser requirement, the commissioner will include in his consideration:
(a) The overall adequacy of the contractor's reserves for future benefits;
(b) The relationship between indemnity claims and claims covered by contractual agreements with providers;
(c) The overall financial stability of the contractor; and
(d) A reasonable projection of any increase or decrease of such benefits.
(2) The commissioner may from time to time require additional indemnification to be furnished when a review of the health care service contractor's affairs demonstrates that existing indemnification is inadequate.
[Statutory Authority: RCW 48.44.050. WSR 82-23-010 (Order R 82-6), ยง 284-44-340, filed 11/5/82, effective 1/1/83.]
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