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Chapter

HEALTH MAINTENANCE ORGANIZATIONS

  • RCW 48.46.010— Legislative declaration—Purpose.
  • RCW 48.46.012— Filings with secretary of state—Copy for commissioner.
  • RCW 48.46.020— Definitions.
  • RCW 48.46.023— Insurance producer—Definition—License required—Application, issuance, renewal, fees—Penalties involving license.
  • RCW 48.46.027— Registration, required—Issuance of securities—Penalty.
  • RCW 48.46.030— Eligibility requirements for certificate of registration—Application requirements, information—Provider compensation.
  • RCW 48.46.033— Unregistered activities—Acts committed in this state—Sanctions.
  • RCW 48.46.040— Certificate of registration—Issuance—Grounds for refusal—Name restrictions—Inspection and review of facilities.
  • RCW 48.46.045— Catastrophic health plans permitted.
  • RCW 48.46.060— Prepayment agreements—Standards for forms and documents—Grounds for disapproval—Cancellation or failure to renew—Filing of agreement forms.
  • RCW 48.46.062— Schedule of rates for individual agreements—Loss ratio—Definitions.
  • RCW 48.46.063— Calculation of premiums—Members of a purchasing pool—Adjusted community rating method—Definitions.
  • RCW 48.46.064— Calculation of premiums—Adjusted community rate—Definitions.
  • RCW 48.46.066— Health plan benefits for small employers—Coverage—Exemption from statutory requirements—Premium rates—Requirements for providing coverage for small employers.
  • RCW 48.46.068— Requirements for plans offered to small employers—Definitions.
  • RCW 48.46.070— Governing body.
  • RCW 48.46.080— Annual statement—Filings—Contents—Fee—Penalty for failure to file—Accuracy required.
  • RCW 48.46.090— Standard of services provided.
  • RCW 48.46.100— Grievance procedure.
  • RCW 48.46.110— Name restrictions—Discrimination—Recovery of costs of health care services participant not entitled to.
  • RCW 48.46.120— Examination of health maintenance organizations—Duties of organizations, powers of commissioner—Independent audit reports.
  • RCW 48.46.130— Investigation of violations—Hearing—Findings—Penalties—Order requiring compliance, etc.—Suspension or revocation of certificate, effect—Application to courts.
  • RCW 48.46.135— Fine in addition to or in lieu of suspension, revocation, or refusal.
  • RCW 48.46.140— Fees.
  • RCW 48.46.170— Effect of chapter as to other laws—Construction.
  • RCW 48.46.180— Duty of employer to inform and make available to employees option of enrolling in health maintenance organization.
  • RCW 48.46.190— Payroll deductions for capitation payments to health maintenance organizations.
  • RCW 48.46.200— Rules and regulations.
  • RCW 48.46.210— Compliance with federal funding requirements—Construction.
  • RCW 48.46.220— Review of administrative action.
  • RCW 48.46.225— Financial failure—Supervision of commissioner—Priority of distribution of assets.
  • RCW 48.46.235— Minimum net worth—Requirement to maintain—Determination of amount.
  • RCW 48.46.237— Minimum net worth—Domestic or foreign health maintenance organization.
  • RCW 48.46.240— Funded reserve requirements.
  • RCW 48.46.243— Contract—Participant liability.
  • RCW 48.46.245— Plan for handling insolvency—Commissioner's review.
  • RCW 48.46.247— Insolvency—Commissioner's duties—Participants' options—Allocation of coverage.
  • RCW 48.46.250— Coverage of dependent children—Newborn infants, congenital anomalies—Notification period.
  • RCW 48.46.260— Individual health maintenance agreement—Return within ten days of delivery—Refunds—Void from beginning.
  • RCW 48.46.270— Financial interests of health maintenance organization authorities, restricted—Exceptions, regulations.
  • RCW 48.46.272— Diabetes coverage—Definitions.
  • RCW 48.46.274— Prescribed, self-administered anticancer medication.
  • RCW 48.46.275— Mammograms—Insurance coverage. (Effective until June 30, 2027.)
  • RCW 48.46.277— Prostate cancer screening. (Effective until June 30, 2027.)
  • RCW 48.46.280— Reconstructive breast surgery.
  • RCW 48.46.285— Mastectomy, lumpectomy.
  • RCW 48.46.291— Mental health services—Health plans—Definition—Coverage required, when. (Effective until January 1, 2027.)
  • RCW 48.46.292— Mental health treatment—Waiver of preauthorization for persons involuntarily committed.
  • RCW 48.46.300— Future dividends or refunds, restricted—Issuance or sale of securities regulated.
  • RCW 48.46.310— Registration not endorsement.
  • RCW 48.46.320— Dependent children, termination of coverage, conditions.
  • RCW 48.46.325— Option to cover child under age twenty-six.
  • RCW 48.46.340— Return of agreement within ten days.
  • RCW 48.46.350— Chemical dependency treatment.
  • RCW 48.46.355— "Chemical dependency" defined.
  • RCW 48.46.360— Payment of cost of agreement directly to holder during labor dispute—Changes restricted—Notice to employee.
  • RCW 48.46.370— Coverage not denied for disability.
  • RCW 48.46.375— Benefits for prenatal diagnosis of congenital disorders—Agreements entered into or renewed on or after January 1, 1990.
  • RCW 48.46.380— Notice of reason for cancellation, denial, or refusal to renew agreement.
  • RCW 48.46.390— Providing information on cancellation or refusal—No liability for insurance commissioner or health maintenance organization.
  • RCW 48.46.400— False or misleading advertising prohibited.
  • RCW 48.46.410— Misrepresentations to induce termination or retention of agreement prohibited.
  • RCW 48.46.420— Penalty for violations.
  • RCW 48.46.430— Enforcement authority of commissioner.
  • RCW 48.46.440— Continuation option to be offered.
  • RCW 48.46.450— Conversion agreement to be offered—Exceptions, conditions.
  • RCW 48.46.460— Conversion agreement—Restrictions and requirements—Rules.
  • RCW 48.46.470— Endorsement of modifications.
  • RCW 48.46.480— Continuation of coverage of former family members.
  • RCW 48.46.490— Coverage for adopted children.
  • RCW 48.46.500— Cancellation of rider.
  • RCW 48.46.510— Phenylketonuria.
  • RCW 48.46.520— Neurodevelopmental therapies—Employer-sponsored group contracts.
  • RCW 48.46.530— Temporomandibular joint disorders—Insurance coverage.
  • RCW 48.46.535— Prescriptions—Preapproval of individual claims—Subsequent rejection prohibited—Written record required.
  • RCW 48.46.540— Nonresident pharmacies.
  • RCW 48.46.565— Foot care services.
  • RCW 48.46.570— Denturist services.
  • RCW 48.46.575— Doctor of osteopathic medicine and surgery—Discrimination based on board certification is prohibited.
  • RCW 48.46.580— When injury caused by intoxication or use of narcotics.
  • RCW 48.46.600— Disclosure of certain material transactions—Report—Information is confidential.
  • RCW 48.46.605— Material acquisitions or dispositions.
  • RCW 48.46.610— Asset acquisitions—Asset dispositions.
  • RCW 48.46.615— Report of a material acquisition or disposition of assets—Information required.
  • RCW 48.46.620— Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.
  • RCW 48.46.625— Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements—Information required.
  • RCW 48.46.900— Liberal construction.
  • RCW 48.46.920— Short title.
  • RCW 48.46.930— Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.