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Health Maintenance Organizations.
Law
Revised Code of Washington
Insurance
Health Maintenance Organizations.
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Section
48.46.010
Legislative declaration—Purpose.
Section
48.46.012
Filings with secretary of state—Copy for commissioner.
Section
48.46.020
Definitions.
Section
48.46.023
Insurance producer—Definition—License required—Application, issuance, renewal, fees—Penalties involving license.
Section
48.46.027
Registration, required—Issuance of securities—Penalty.
Section
48.46.030
Eligibility requirements for certificate of registration—Application requirements, information—Provider compensation.
Section
48.46.033
Unregistered activities—Acts committed in this state—Sanctions.
Section
48.46.040
Certificate of registration—Issuance—Grounds for refusal—Name restrictions—Inspection and review of facilities.
Section
48.46.045
Catastrophic health plans permitted.
Section
48.46.060
Prepayment agreements—Standards for forms and documents—Grounds for disapproval—Cancellation or failure to renew—Filing of agreement forms.
Section
48.46.062
Schedule of rates for individual agreements—Loss ratio—Definitions.
Section
48.46.063
Calculation of premiums—Members of a purchasing pool—Adjusted community rating method—Definitions.
Section
48.46.064
Calculation of premiums—Adjusted community rate—Definitions.
Section
48.46.066
Health plan benefits for small employers—Coverage—Exemption from statutory requirements—Premium rates—Requirements for providing coverage for small employers.
Section
48.46.068
Requirements for plans offered to small employers—Definitions.
Section
48.46.070
Governing body.
Section
48.46.080
Annual statement—Filings—Contents—Fee—Penalty for failure to file—Accuracy required.
Section
48.46.090
Standard of services provided.
Section
48.46.100
Grievance procedure.
Section
48.46.110
Name restrictions—Discrimination—Recovery of costs of health care services participant not entitled to.
Section
48.46.120
Examination of health maintenance organizations—Duties of organizations, powers of commissioner—Independent audit reports.
Section
48.46.130
Investigation of violations—Hearing—Findings—Penalties—Order requiring compliance, etc.—Suspension or revocation of certificate, effect—Application to courts.
Section
48.46.135
Fine in addition to or in lieu of suspension, revocation, or refusal.
Section
48.46.140
Fees.
Section
48.46.170
Effect of chapter as to other laws—Construction.
Section
48.46.180
Duty of employer to inform and make available to employees option of enrolling in health maintenance organization.
Section
48.46.190
Payroll deductions for capitation payments to health maintenance organizations.
Section
48.46.200
Rules and regulations.
Section
48.46.210
Compliance with federal funding requirements—Construction.
Section
48.46.220
Review of administrative action.
Section
48.46.225
Financial failure—Supervision of commissioner—Priority of distribution of assets.
Section
48.46.235
Minimum net worth—Requirement to maintain—Determination of amount.
Section
48.46.237
Minimum net worth—Domestic or foreign health maintenance organization.
Section
48.46.240
Funded reserve requirements.
Section
48.46.243
Contract—Participant liability.
Section
48.46.245
Plan for handling insolvency—Commissioner's review.
Section
48.46.247
Insolvency—Commissioner's duties—Participants' options—Allocation of coverage.
Section
48.46.250
Coverage of dependent children—Newborn infants, congenital anomalies—Notification period.
Section
48.46.260
Individual health maintenance agreement—Return within ten days of delivery—Refunds—Void from beginning.
Section
48.46.270
Financial interests of health maintenance organization authorities, restricted—Exceptions, regulations.
Section
48.46.272
Diabetes coverage—Definitions.
Section
48.46.274
Prescribed, self-administered anticancer medication.
Section
48.46.275
Mammograms—Insurance coverage.
Section
48.46.277
Prostate cancer screening.
Section
48.46.280
Reconstructive breast surgery.
Section
48.46.285
Mastectomy, lumpectomy.
Section
48.46.291
Mental health services—Health plans—Definition—Coverage required, when.
Section
48.46.292
Mental health treatment—Waiver of preauthorization for persons involuntarily committed.
Section
48.46.300
Future dividends or refunds, restricted—Issuance or sale of securities regulated.
Section
48.46.310
Registration not endorsement.
Section
48.46.320
Dependent children, termination of coverage, conditions.
Section
48.46.325
Option to cover child under age twenty-six.
Section
48.46.340
Return of agreement within ten days.
Section
48.46.350
Chemical dependency treatment.
Section
48.46.355
"Chemical dependency" defined.
Section
48.46.360
Payment of cost of agreement directly to holder during labor dispute—Changes restricted—Notice to employee.
Section
48.46.370
Coverage not denied for disability.
Section
48.46.375
Benefits for prenatal diagnosis of congenital disorders—Agreements entered into or renewed on or after January 1, 1990.
Section
48.46.380
Notice of reason for cancellation, denial, or refusal to renew agreement.
Section
48.46.390
Providing information on cancellation or refusal—No liability for insurance commissioner or health maintenance organization.
Section
48.46.400
False or misleading advertising prohibited.
Section
48.46.410
Misrepresentations to induce termination or retention of agreement prohibited.
Section
48.46.420
Penalty for violations.
Section
48.46.430
Enforcement authority of commissioner.
Section
48.46.440
Continuation option to be offered.
Section
48.46.450
Conversion agreement to be offered—Exceptions, conditions.
Section
48.46.460
Conversion agreement—Restrictions and requirements—Rules.
Section
48.46.470
Endorsement of modifications.
Section
48.46.480
Continuation of coverage of former family members.
Section
48.46.490
Coverage for adopted children.
Section
48.46.500
Cancellation of rider.
Section
48.46.510
Phenylketonuria.
Section
48.46.520
Neurodevelopmental therapies—Employer-sponsored group contracts.
Section
48.46.530
Temporomandibular joint disorders—Insurance coverage.
Section
48.46.535
Prescriptions—Preapproval of individual claims—Subsequent rejection prohibited—Written record required.
Section
48.46.540
Nonresident pharmacies.
Section
48.46.565
Foot care services.
Section
48.46.570
Denturist services.
Section
48.46.575
Doctor of osteopathic medicine and surgery—Discrimination based on board certification is prohibited.
Section
48.46.580
When injury caused by intoxication or use of narcotics.
Section
48.46.600
Disclosure of certain material transactions—Report—Information is confidential.
Section
48.46.605
Material acquisitions or dispositions.
Section
48.46.610
Asset acquisitions—Asset dispositions.
Section
48.46.615
Report of a material acquisition or disposition of assets—Information required.
Section
48.46.620
Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.
Section
48.46.625
Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements—Information required.
Section
48.46.900
Liberal construction.
Section
48.46.920
Short title.
Section
48.46.930
Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.