102 chapters · 2,150 sections in this title.
RCW 48.43.720 Reinsurance and risk adjustment programs—Affordable care act—Rules.
2.4K chars
(1)(a) The commissioner, in consultation with the board, shall adopt rules establishing the reinsurance and risk adjustment programs required by P.L. 111-148 of 2010, as amended. (b) The commissioner must include in deliberations related to reinsurance rule making an analysis of …
RCW 48.43.725 Exclusion of mandated benefits from health plan—Carrier requirements—Notice—Fees—Commissioner's duties.
2.8K chars
(1) A health carrier that excludes, under state or federal law, any benefit required or mandated by this title or rules adopted by the commissioner from any health plan or student health plan shall: (a) Notify each enrollee in writing of the following: (i) Which benefits the heal…
RCW 48.43.730 Carrier must file provider contracts and compensation agreements with commissioner—Approval or disapproval—Confidentiality—Hearings—Rules—Definitions.
3.9K chars
(1) For the purposes of this section: (a) "Carrier" means a: (i) Health carrier as defined in RCW 48.43.005; and (ii) Limited health care service contractor that offers limited health care service as defined in RCW 48.44.035. (b) "Provider" means: (i) A health care provider as de…
RCW 48.43.731 Health care benefit management contracts—Carrier filing requirements—Notice to enrollees—Confidentiality of filings.
1.6K chars
(1) A carrier must file with the commissioner in the form and manner prescribed by the commissioner every contract and contract amendment between the carrier and any health care benefit manager registered under RCW 48.200.030, within thirty days following the effective date of th…