48.46.380 Notice of reason for cancellation, denial, or refusal to renew agreement.

WA Rev Code § 48.46.380 (2019) (N/A)

Copy with citation

Copy as parenthetical citation

RCW 48.46.380 Notice of reason for cancellation, denial, or refusal to renew agreement.

Every authorized health maintenance organization, upon canceling, denying, or refusing to renew any individual health maintenance agreement, shall, upon written request, directly notify in writing the applicant or enrolled participant as appropriate, of the reasons for the action by the health maintenance organization. Any benefits, terms, rates, or conditions of such agreement which are restricted, excluded, modified, increased, or reduced shall, upon written request, be set forth in writing and supplied to the individual. The written communications required by this section shall be phrased in simple language which is readily understandable to a person of average intelligence, education, and reading ability.

[ 1993 c 492 § 291; 1983 c 106 § 16.]

NOTES:

Findings—Intent—1993 c 492: See notes following RCW 43.20.050.

Short title—Savings—Reservation of legislative power—Effective dates—1993 c 492: See RCW 43.72.910 through 43.72.915.

Previous Section

48.46.375 Benefits for prenatal diagnosis of congenital disorders—Agreements entered into or renewed on or after January 1, 1990.

Next Section

48.46.390 Providing information on cancellation or refusal—No liability for insurance commissioner or health maintenance organization.