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U.S. State Codes
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Washington
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Title 48 - Insurance
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Chapter 48.46 - Health Maintenance Organizations.
Chapter 48.46 - Health Maintenance Organizations.
48.46.010 Legislative declaration—Purpose.
48.46.012 Filings with secretary of state—Copy for commissioner.
48.46.020 Definitions.
48.46.023 Insurance producer—Definition—License required—Application, issuance, renewal, fees—Penalties involving license.
48.46.027 Registration, required—Issuance of securities—Penalty.
48.46.030 Eligibility requirements for certificate of registration—Application requirements, information—Provider compensation.
48.46.033 Unregistered activities—Acts committed in this state—Sanctions.
48.46.040 Certificate of registration—Issuance—Grounds for refusal—Name restrictions—Inspection and review of facilities.
48.46.045 Catastrophic health plans permitted.
48.46.060 Prepayment agreements—Standards for forms and documents—Grounds for disapproval—Cancellation or failure to renew—Filing of agreement forms.
48.46.062 Schedule of rates for individual agreements—Loss ratio—Definitions.
48.46.063 Calculation of premiums—Members of a purchasing pool—Adjusted community rating method—Definitions.
48.46.064 Calculation of premiums—Adjusted community rate—Definitions.
48.46.066 Health plan benefits for small employers—Coverage—Exemption from statutory requirements—Premium rates—Requirements for providing coverage for small employers.
48.46.068 Requirements for plans offered to small employers—Definitions.
48.46.070 Governing body.
48.46.080 Annual statement—Filings—Contents—Fee—Penalty for failure to file—Accuracy required.
48.46.090 Standard of services provided.
48.46.100 Grievance procedure.
48.46.110 Name restrictions—Discrimination—Recovery of costs of health care services participant not entitled to.
48.46.120 Examination of health maintenance organizations—Duties of organizations, powers of commissioner—Independent audit reports.
48.46.130 Investigation of violations—Hearing—Findings—Penalties—Order requiring compliance, etc.—Suspension or revocation of certificate, effect—Application to courts.
48.46.135 Fine in addition to or in lieu of suspension, revocation, or refusal.
48.46.140 Fees.
48.46.170 Effect of chapter as to other laws—Construction.
48.46.180 Duty of employer to inform and make available to employees option of enrolling in health maintenance organization.
48.46.190 Payroll deductions for capitation payments to health maintenance organizations.
48.46.200 Rules and regulations.
48.46.210 Compliance with federal funding requirements—Construction.
48.46.220 Review of administrative action.
48.46.225 Financial failure—Supervision of commissioner—Priority of distribution of assets.
48.46.235 Minimum net worth—Requirement to maintain—Determination of amount.
48.46.237 Minimum net worth—Domestic or foreign health maintenance organization.
48.46.240 Funded reserve requirements.
48.46.243 Contract—Participant liability.
48.46.245 Plan for handling insolvency—Commissioner's review.
48.46.247 Insolvency—Commissioner's duties—Participants' options—Allocation of coverage.
48.46.250 Coverage of dependent children—Newborn infants, congenital anomalies—Notification period.
48.46.260 Individual health maintenance agreement—Return within ten days of delivery—Refunds—Void from beginning.
48.46.270 Financial interests of health maintenance organization authorities, restricted—Exceptions, regulations.
48.46.272 Diabetes coverage—Definitions.
48.46.274 Prescribed, self-administered anticancer medication.
48.46.275 Mammograms—Insurance coverage.
48.46.277 Prostate cancer screening.
48.46.280 Reconstructive breast surgery.
48.46.285 Mastectomy, lumpectomy.
48.46.291 Mental health services—Health plans—Definition—Coverage required, when.
48.46.292 Mental health treatment—Waiver of preauthorization for persons involuntarily committed.
48.46.300 Future dividends or refunds, restricted—Issuance or sale of securities regulated.
48.46.310 Registration not endorsement.
48.46.320 Dependent children, termination of coverage, conditions.
48.46.325 Option to cover child under age twenty-six.
48.46.340 Return of agreement within ten days.
48.46.350 Chemical dependency treatment.
48.46.355 "Chemical dependency" defined.
48.46.360 Payment of cost of agreement directly to holder during labor dispute—Changes restricted—Notice to employee.
48.46.370 Coverage not denied for handicap.
48.46.375 Benefits for prenatal diagnosis of congenital disorders—Agreements entered into or renewed on or after January 1, 1990.
48.46.380 Notice of reason for cancellation, denial, or refusal to renew agreement.
48.46.390 Providing information on cancellation or refusal—No liability for insurance commissioner or health maintenance organization.
48.46.400 False or misleading advertising prohibited.
48.46.410 Misrepresentations to induce termination or retention of agreement prohibited.
48.46.420 Penalty for violations.
48.46.430 Enforcement authority of commissioner.
48.46.440 Continuation option to be offered.
48.46.450 Conversion agreement to be offered—Exceptions, conditions.
48.46.460 Conversion agreement—Restrictions and requirements—Rules.
48.46.470 Endorsement of modifications.
48.46.480 Continuation of coverage of former family members.
48.46.490 Coverage for adopted children.
48.46.500 Cancellation of rider.
48.46.510 Phenylketonuria.
48.46.520 Neurodevelopmental therapies—Employer-sponsored group contracts.
48.46.530 Temporomandibular joint disorders—Insurance coverage.
48.46.535 Prescriptions—Preapproval of individual claims—Subsequent rejection prohibited—Written record required.
48.46.540 Nonresident pharmacies.
48.46.565 Foot care services.
48.46.570 Denturist services.
48.46.575 Doctor of osteopathic medicine and surgery—Discrimination based on board certification is prohibited.
48.46.580 When injury caused by intoxication or use of narcotics.
48.46.600 Disclosure of certain material transactions—Report—Information is confidential.
48.46.605 Material acquisitions or dispositions.
48.46.610 Asset acquisitions—Asset dispositions.
48.46.615 Report of a material acquisition or disposition of assets—Information required.
48.46.620 Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.
48.46.625 Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements—Information required.
48.46.900 Liberal construction.
48.46.920 Short title.
48.46.930 Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.