Revised Code of Washington - RCW Title 48 Insurance - Chapter 48.41 Health Insurance Coverage Access Act

48.41.010 Short title
This chapter shall be known and may be cited as the "Washington state health insurance coverage access act".[1987 c 431 § 1.] ...

48.41.020 Intent
It is the purpose and intent of the legislature to provide access to health insurance coverage to all residents of Washington who are denied health ...

48.41.030 Definitions
The definitions in this section apply throughout this chapter unless the context clearly requires otherwise. (1) "Accounting year" means a twelve-month period determined by the ...

48.41.037 Washington state health insurance pool account
The Washington state health insurance pool account is created in the custody of the state treasurer. All receipts from moneys specifically appropriated to the account ...

48.41.040 Health insurance pool -- Creation, membership, organization, operation, rules
(1) There is created a nonprofit entity to be known as the Washington state health insurance pool. All members in this state on or after ...

48.41.050 Operation plan -- Contents
The plan of operation submitted by the board to the commissioner shall: (1) Establish procedures for the handling and accounting of assets and moneys of ...

48.41.060 Board powers and duties
(1) The board shall have the general powers and authority granted under the laws of this state to insurance companies, health care service contractors, and ...

48.41.070 Examination and report
The pool shall be subject to examination by the commissioner as provided under chapter 48.03 RCW. The board of directors shall submit to the commissioner, ...

48.41.080 Pool administrator -- Selection, term, duties, pay
The board shall select an administrator through a competitive bidding process to administer the pool. (1) The board shall evaluate bids based upon criteria established ...

48.41.090 Financial participation in pool -- Computation, deficit assessments
(1) Following the close of each accounting year, the pool administrator shall determine the net premium (premiums less administrative expense allowances), the pool expenses of ...

48.41.100 Eligibility for coverage
(1) The following persons who are residents of this state are eligible for pool coverage: (a) Any person who provides evidence of a carrier's decision ...

48.41.110 Policy coverage -- Eligible expenses, cost containment, limits -- Explanatory brochure
(1) The pool shall offer one or more care management plans of coverage. Such plans may, but are not required to, include point of service ...

48.41.120 Comprehensive pool policy -- Deductibles -- Coinsurance -- Carryover
(1) Subject to the limitation provided in subsection (3) of this section, the comprehensive pool policy offered under RCW 48.41.110(4) shall impose a deductible as ...

48.41.130 Policy forms -- Approval required
All policy forms issued by the pool shall conform in substance to prototype forms developed by the pool, and shall in all other respects conform ...

48.41.140 Coverage for children, unmarried dependents
(1) Coverage shall provide that health insurance benefits are applicable to children of the person in whose name the policy is issued including adopted and ...

48.41.150 Medical supplement policy
(1) The board shall offer a medical supplement policy for persons receiving medicare parts A and B. The supplement policy shall provide benefits of one ...

48.41.160 Pool policy requirements -- Continued coverage -- Rate changes -- Continuation
(1) On or before December 31, 2007, the pool shall cancel all existing pool policies and replace them with policies that are identical to the ...

48.41.170 Required rule making
The commissioner shall adopt rules pursuant to chapter 34.05 RCW that: (1) Provide for disclosure by the member of the availability of insurance coverage from ...

48.41.190 Civil and criminal immunity
The pool, members of the pool, board directors of the pool, officers of the pool, employees of the pool, the commissioner, the commissioner's representatives, and ...

48.41.200 Rates -- Standard risk and maximum
(1) The pool shall determine the standard risk rate by calculating the average individual standard rate charged for coverage comparable to pool coverage by the ...

48.41.210 Last payor of benefits
It is the express intent of this chapter that the pool be the last payor of benefits whenever any other benefit is available. (1) Benefits ...

48.41.220 Mental health services -- Definition--Coverage required, when
(1) For the purposes of this section, "mental health services" means medically necessary outpatient and inpatient services provided to treat mental disorders covered by the ...

48.41.900 Federal supremacy
If any part of this chapter is found to be in conflict with federal requirements which are a prescribed condition to the allocation of federal ...

48.41.910 Severability -- 1987 c 431
If any provision of this chapter or its application to any person or circumstance is held invalid, the remainder of the chapter or the application ...