Revised Code of Washington - RCW Title 48 Insurance - Chapter 48.66 Medicare Supplemental Health Insurance Act

48.66.010 Short title -- Intent -- Application of chapter
This chapter shall be known and may be cited as "The Medicare Supplemental Health Insurance Act" and is intended to govern the content and sale ...

48.66.020 Definitions
Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter. (1) "Medicare supplemental insurance" or "medicare supplement insurance policy" refers ...

48.66.025 Restrictions on issuers -- Age of applicants -- Preexisting conditions
(1) An issuer may not deny or condition the issuance or effectiveness of any medicare supplement policy or certificate available for sale in this state, ...

48.66.030 Renewability -- Benefit standards -- Benefit limitations
(1) A medicare supplement insurance policy which provides for the payment of benefits may not be based on standards described as "usual and customary," "reasonable ...

48.66.035 Commissioner's approval required
(1) A medicare supplement insurance policy or certificate form or application form, rider, or endorsement shall not be issued, delivered, or used unless it has ...

48.66.041 Minimum standards required by rule -- Waiver
(1) The insurance commissioner shall adopt rules to establish minimum standards for benefits in medicare supplement insurance policies and certificates. (2) The commissioner shall adopt ...

48.66.045 Mandated coverage for replacement policies -- Rates on a community-rated basis
Every issuer of a medicare supplement insurance policy or certificate providing coverage to a resident of this state issued on or after January 1, 1996, ...

48.66.050 Policy or certificate provisions prohibited by rule -- Waivers restricted
(1) The insurance commissioner may issue reasonable rules that specify prohibited policy provisions not otherwise specifically authorized by statute which, in the opinion of the ...

48.66.055 Termination or disenrollment -- Application for coverage -- Eligible persons -- Types of policies -- Guaranteed issue periods
(1) Under this section, persons eligible for a medicare supplement policy or certificate are those individuals described in subsection (3) of this section who, subject ...

48.66.060 Equal coverage of sickness and accidents
A medicare supplement insurance policy may not indemnify against losses resulting from sickness on a different basis than losses resulting from accidents.[1981 c 153 § ...

48.66.070 Adjustment of benefits and premiums for medicare cost-sharing
A medicare supplement insurance policy must provide that benefits designed to cover cost-sharing amounts under medicare will be changed automatically to coincide with any changes ...

48.66.080 "Benefit period" -- "Medicare benefit period" -- Minimum requirements
"Benefit period" or "medicare benefit period" may not be defined more restrictively than as defined in the medicare program.[1981 c 153 § 8.] ...

48.66.090 Guaranteed renewable -- Exceptions
All medicare supplement policies must be guaranteed renewable and a medicare supplement insurance policy may not provide that the policy may be cancelled or nonrenewed ...

48.66.100 Loss ratio requirements -- Mass sales practices of individual policies
(1) Medicare supplement insurance policies shall return to policyholders in the form of aggregate benefits under the policy, for the entire period for which rates ...

48.66.110 Disclosure by insurer -- Outline of coverage required
In order to provide for full and fair disclosure in the sale of medicare supplement policies, a medicare supplement policy or certificate shall not be ...

48.66.120 Return of policy and refund of premium -- Notice required -- Effect of return
Every individual medicare supplement insurance policy issued after January 1, 1982, and every certificate issued pursuant to a group medicare supplement policy after January 1, ...

48.66.130 Preexisting condition limitations
(1) On or after January 1, 1996, and notwithstanding any other provision of Title 48 RCW, a medicare supplement policy or certificate shall not exclude ...

48.66.140 Medical history
Any time that completion of a medical history of a patient is required in order for an application for a medicare supplement insurance policy to ...

48.66.150 Reporting and recordkeeping, separate data required
Commencing with reports for accounting periods beginning on or after January 1, 1982, insurers, health care service contractors, health maintenance organizations, and fraternal benefit societies ...

48.66.160 Federal law supersedes
In any case where the provisions of this chapter conflict with provisions of the "Health Insurance For The Aged Act," Title XVIII of the Social ...

48.66.165 Conformity with federal law -- Rules
The commissioner may adopt, from time-to-time, such rules as are necessary with respect to medicare supplemental insurance to conform Washington policies, contracts, certificates, standards, and ...

48.66.900 Severability -- 1981 c 153
If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application ...

48.66.910 Effective date -- 1981 c 153
This act shall take effect January 1, 1982.[1981 c 153 § 19.] ...