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PDFWAC 284-51-190


(1) The purpose of this chapter is to:
(a) Establish a uniform order of benefit determination under which plans pay claims;
(b) Reduce duplication of benefits by permitting a reduction of the benefits to be paid by plans that, under rules established by this chapter, do not have to pay their benefits first; and
(c) Provide greater efficiency in the processing of claims when a person is covered under more than one plan.
(2) This chapter does not require the use of coordination of benefits provisions in a plan. However, if a plan contains any provision for the reduction of benefits payable because of other insurance, it must be consistent with the requirements of this chapter. A plan of coverage designed to be supplementary over the underlying basic plan of coverage may provide coverage that is excess to the basic plan of coverage.
[Statutory Authority: RCW 48.20.60 [48.20.060], 48.21.200, 48.44.050, and 48.46.200. WSR 07-13-008 (Matter No. R 2005-07), ยง 284-51-190, filed 6/8/07, effective 7/9/07.]
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