§ 48.46.460. Conversion agreement -- Restrictions and requirements
(1) A health maintenance organization must offer a conversion agreement for comprehensive health care services and shall not require proof of insurability as a condition for issuance of the conversion agreement.
(2) A conversion agreement may not contain an exclusion for preexisting conditions except to the extent that a waiting period for a preexisting condition has not been satisfied under the group agreement.
(3) A conversion agreement need not provide benefits identical to those provided under the group agreement. The conversion agreement may contain provisions requiring the person covered by the conversion agreement to pay reasonable deductibles and copayments.
(4) The insurance commissioner shall adopt rules to establish minimum benefit standards for conversion agreements.
(5) The commissioner shall adopt rules to establish specific standards for conversion agreement provisions. These rules may include but are not limited to:
(a) Terms of renewability;
(b) Nonduplication of coverage;
(c) Benefit limitations, exceptions, and reductions; and
(d) Definitions of terms.
[1984 c 190 § 10.]
Notes:
Legislative intent -- Severability -- 1984 c 190: See notes following RCW 48.21.250.
Sections: Previous 48.46.390 48.46.400 48.46.410 48.46.420 48.46.430 48.46.440 48.46.450 48.46.460 48.46.470 48.46.480 48.46.490 48.46.500 48.46.510 48.46.520 48.46.530 Next
Last modified: April 7, 2009