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102 chapters · 2,150 sections in this title.
RCW 48.43.0124 Health plans—Cost sharing for essential health benefits—Rules.
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(1) For plan years beginning in 2020, the cost sharing incurred under a health plan for the essential health benefits may not exceed the following amounts: (a) For self-only coverage: (i) The amount required under federal law for the calendar year; or (ii) If there are no cost-sh…
RCW 48.43.0125 Essential health benefits—Annual or lifetime dollar limits.
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A health carrier may not impose annual or lifetime dollar limits on an essential health benefit, other than those permitted as reference-based limitations under rules adopted by the commissioner. [ 2019 c 33 s 12.] Notes: Effective date—2019 c 33: See note following RCW 48.43.005…
RCW 48.43.0126 Summary of benefits and explanation of coverage—Standards and requirements—Notice of modification—Fines—Standards for definitions of health insurance terms—Rules.
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(1) The commissioner shall develop standards for use by a health carrier offering individual or group coverage, in compiling and providing to applicants and enrollees a summary of benefits and coverage explanation that accurately describes the benefits and coverage under the appl…
RCW 48.43.0127 Group health plans—Waiting period—Rules.
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(1) A group health plan and a health carrier offering group health coverage may not apply any waiting period that exceeds ninety days. (2) Unless preempted by federal law, the commissioner shall adopt any rules necessary to implement this section, consistent with federal rules an…
