reglab/housing_qa huggingface dataset:
WA Rev Code § 48.125.020 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.020 - Certificate of authority required.

RCW 48.125.020 Certificate of authority required.(1) Except as provided in subsection (3) of this section, a person may not establish, operate, provide benefits, or maintain a self-funded multiple employer welfare arrangement in this state unless the arrangement first obtains a certificate of authority from the commissioner.(2) An arrangement is considered to be established, operated, providing benefits, or maintained in this state if (a) one or more of the employer members participating in the arrangement is either domiciled in or maintains a place of business in this state, or (b) the activities of the arrangement or employer members fall under the scope of RCW 48.01.020.(3) An arrangement established, operated, providing benefits, or maintained in this state prior to December 31, 2003, has until April 1, 2005, to file a substantially complete application for a certificate of authority. An arrangement that files a substantially complete application for a certificate of authority by that date is allowed to continue to operate without a certificate of authority until the commissioner approves or denies the arrangement's application for a certificate of authority.[ 2004 c 260 § 4.]
WA Rev Code § 48.125.030 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.030 - Certificate of authority—Requirements for issuance.

RCW 48.125.030 Certificate of authority—Requirements for issuance.The commissioner may not issue a certificate of authority to a self-funded multiple employer welfare arrangement unless the arrangement establishes to the satisfaction of the commissioner that the following requirements have been satisfied by the arrangement:(1) The employers participating in the arrangement are members of a bona fide association;(2) The employers participating in the arrangement exercise control over the arrangement, as follows:(a) Subject to (b) of this subsection, control exists if the board of directors of the bona fide association or the employers participating in the arrangement have the right to elect at least seventy-five percent of the individuals designated in the arrangement's organizational documents as having control over the operations of the arrangement and the individuals designated in the arrangement's organizational documents in fact exercise control over the operation of the arrangement; and(b) The use of a third-party administrator to process claims and to assist in the administration of the arrangement is not evidence of the lack of exercise of control over the operation of the arrangement;(3) In this state, the arrangement provides only health care services;(4) In this state, the arrangement provides or arranges benefits for health care services in compliance with those provisions of this title that mandate particular benefits or offerings and with provisions that require access to particular types or categories of health care providers and facilities;(5) In this state, the arrangement provides or arranges benefits for health care services in compliance with RCW 48.43.500 through 48.43.535, 48.43.545, and 48.43.550;(6) The arrangement provides health care services to not less than twenty employers and not less than seventy-five employees;(7) The arrangement may not solicit participation in the arrangement from the general public. However, the arrangement may employ licensed insurance producers who receive a commission, unlicensed individuals who do not receive a commission, and may contract with a licensed insurance producer who may be paid a commission or other remuneration, for the purpose of enrolling and renewing the enrollments of employers in the arrangement;(8) The arrangement has been in existence and operated actively for a continuous period of not less than ten years as of December 31, 2003, except for an arrangement that has been in existence and operated actively since December 31, 2000, and is sponsored by an association that has been in existence more than twenty-five years; and(9) The arrangement is not organized or maintained solely as a conduit for the collection of premiums and the forwarding of premiums to an insurance company.[ 2008 c 217 § 96; 2004 c 260 § 5.]NOTES:Severability—Effective date—2008 c 217: See notes following RCW 48.03.020.
WA Rev Code § 48.125.060 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.060 - Surplus required—Amount—Enforcement.

RCW 48.125.060 Surplus required—Amount—Enforcement.Self-funded multiple employer welfare arrangements must maintain continuously a surplus equal to at least ten percent of the next twelve months projected incurred claims or two million dollars, whichever is greater. The commissioner may proceed against self-funded multiple employer welfare arrangements that fail to maintain the level of surplus required by this section in any manner that the commissioner is authorized to proceed against a health care service contractor that failed to maintain minimum net worth.[ 2004 c 260 § 8.]
WA Rev Code § 48.125.070 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.070 - Contribution rates.

RCW 48.125.070 Contribution rates.A self-funded multiple employer welfare arrangement must establish and maintain contribution rates for participation under the arrangement that satisfy either of the following requirements:(1) Contribution rates must equal or exceed the sum of projected incurred claims for the year, plus all projected costs of operation of the arrangement for the year, plus an amount equal to any deficiency in the surplus of the arrangement for the prior year, minus an amount equal to the surplus of the arrangement in excess of the minimum required level of surplus; or(2) Contribution rates must equal or exceed a funding level established by a report prepared by a qualified actuary.[ 2004 c 260 § 9.]
WA Rev Code § 48.125.080 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.080 - Certificate of authority—Granting or denying application.

RCW 48.125.080 Certificate of authority—Granting or denying application.(1) The commissioner shall grant or deny an application for a certificate of authority within one hundred eighty days of the date that a completed application, together with the items designated in RCW 48.125.050, is submitted to the commissioner.(2) The commissioner shall grant the application of an arrangement that satisfies the applicable requirements of RCW 48.125.030 through 48.125.070.(3) The commissioner shall deny the application of an arrangement that does not satisfy the applicable requirements of RCW 48.125.030 through 48.125.070. Denial of an application for a certificate of authority is subject to appeal under chapter 34.05 RCW.(4) A certificate of authority granted to an arrangement is effective unless revoked by the commissioner under RCW 48.125.100.[ 2004 c 260 § 10.]
WA Rev Code § 48.125.090 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.090 - Reporting requirements.

RCW 48.125.090 Reporting requirements.(1) A self-funded multiple employer welfare arrangement must comply with the reporting requirements of this section.(2) Every arrangement holding a certificate of authority from the commissioner must file its financial statements as required by this title and by the commissioner in accordance with the accounting practices and procedures manuals as adopted by the national association of insurance commissioners, unless otherwise provided by law. (3) Every arrangement must comply with the provisions of chapters 48.12 and 48.13 RCW. (4) Every domestic arrangement holding a certificate of authority shall annually, on or before the first day of March, file with the commissioner a true statement of its financial condition, transactions, and affairs as of the thirty-first day of December of the preceding year. The statement forms must be those forms approved by the national association of insurance commissioners for health insurance. The statement must be verified by the oaths of at least two officers of the arrangement. Additional information may be required by this title or by the request of the commissioner. (5) Every arrangement must report their annual and other statements in the same manner required of other insurers by rule of the commissioner.(6) The arrangement must file with the commissioner a copy of the arrangement's internal revenue service form 5500 together with all attachments to the form, at the time required for filing the form.[ 2006 c 25 § 10; 2004 c 260 § 11.]
WA Rev Code § 48.125.100 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.100 - Failure to comply with chapter—Sanctions.

RCW 48.125.100 Failure to comply with chapter—Sanctions.(1) The commissioner may impose sanctions against a self-funded multiple employer welfare arrangement that fails to comply with this chapter. The maximum fine may not exceed ten thousand dollars for each violation.(2) The commissioner may issue a notice of intent to revoke the certificate of authority of a self-funded multiple employer welfare arrangement that fails to comply with RCW 48.125.060, 48.125.070, or 48.125.090. If, within sixty days of receiving notice under this subsection, the arrangement fails to file with the commissioner a plan to bring the arrangement into compliance with RCW 48.125.060, 48.125.070, or 48.125.090, the commissioner may revoke the arrangement's certificate of authority. A revocation of a certificate of authority is subject to appeal under chapter 34.05 RCW.(3) An arrangement that fails to maintain the level of surplus required by RCW 48.125.060 is subject to the sanctions authorized in RCW 48.44.160 through 48.44.166.[ 2004 c 260 § 12.]
WA Rev Code § 48.125.110 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.110 - Certificate of authority—Failure to obtain.

RCW 48.125.110 Certificate of authority—Failure to obtain.A self-funded multiple employer welfare arrangement organized, operated, providing benefits, or maintained in this state without a certificate of authority is in violation of this title.[ 2004 c 260 § 13.]
WA Rev Code § 48.125.120 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.120 - Policy must contain specific notice.

RCW 48.125.120 Policy must contain specific notice.Each policy issued by a self-funded multiple employer welfare arrangement must contain, in ten-point type on the front page and the declaration page, the following notice:"NOTICEThis policy is issued by a self-funded multiple employer welfare arrangement. A self-funded multiple employer welfare arrangement may not be subject to all of the insurance laws and regulations of your state. State insurance insolvency guaranty funds are not available for a self-funded multiple employer welfare arrangement."[ 2004 c 260 § 14.]
WA Rev Code § 48.125.130 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.130 - Additional compliance requirements.

RCW 48.125.130 Additional compliance requirements.A self-funded multiple employer welfare arrangement is subject to RCW 48.43.300 through 48.43.370, the rehabilitation provisions under chapter 48.31 RCW, and chapter 48.99 RCW.[ 2004 c 260 § 15.]
WA Rev Code § 48.125.140 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.140 - Examination of operations—Commissioner's powers—Definition of affiliate.

RCW 48.125.140 Examination of operations—Commissioner's powers—Definition of affiliate.(1) The commissioner may make an examination of the operations of any self-funded multiple employer welfare arrangement as often as he or she deems necessary in order to carry out the purposes of this chapter.(2) Every self-funded multiple employer welfare arrangement shall submit its books and records relating to its operation for financial condition and market conduct examinations and in every way facilitate them. For the purpose of examinations, the commissioner may issue subpoenas, administer oaths, and examine the officers and principals of the self-funded multiple employer welfare arrangement.(3) The commissioner may elect to accept and rely on audit reports made by an independent certified public accountant for the self-funded multiple employer welfare arrangement in the course of that part of the commissioner's examination covering the same general subject matter as the audit. The commissioner may incorporate the audit report in his or her report of the examination.(4)(a) The commissioner may also examine any affiliate of the self-funded multiple employer welfare arrangement. An examination of an affiliate is limited to the activities or operations of the affiliate that may impact the financial position of the arrangement.(b) For the purposes of this section, "affiliate" has the same meaning as defined in RCW 48.31B.005.(5) Whenever an examination is made, all of the provisions of chapter 48.03 RCW not inconsistent with this chapter shall be applicable. In lieu of making an examination himself or herself, the commissioner may, in the case of a foreign self-funded multiple employer welfare arrangement, accept an examination report of the applicant by the regulatory official in its state of domicile. In the case of a domestic self-funded multiple employer welfare arrangement, the commissioner may accept an examination report of the applicant by the regulatory official of a state that has already licensed the arrangement.[ 2015 c 122 § 18; 2004 c 260 § 16.]NOTES:Effective dates—2015 c 122: See note following RCW 48.31B.005.
WA Rev Code § 48.125.150 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.150 - Chapter not applicable.

RCW 48.125.150 Chapter not applicable.This chapter does not apply to:(1) Single employer entities;(2) Taft-Hartley plans; or(3) Self-funded multiple employer welfare arrangements that do not provide coverage for health care services.[ 2004 c 260 § 17.]
WA Rev Code § 48.125.160 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.160 - Taxable amounts—Participant contributions.

RCW 48.125.160 Taxable amounts—Participant contributions.Participant contributions used to determine the taxable amounts in this state under RCW 48.14.0201 shall be determined in the same manner as premiums taxable in this state are determined under RCW 48.14.090.[ 2004 c 260 § 18.]
WA Rev Code § 48.125.200 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.200 - Prostate cancer screening.

RCW 48.125.200 Prostate cancer screening.(1) Each self-funded multiple employer welfare arrangement established, operated, providing benefits, or maintained in this state after December 31, 2006, that provides coverage for hospital or medical expenses shall provide coverage for prostate cancer screening, provided that the screening is delivered upon the recommendation of the patient's physician, advanced registered nurse practitioner, or physician assistant.(2) This section shall not be construed to prevent the application of standard policy provisions applicable to other benefits, such as deductible or copayment provisions. This section does not limit the authority of a self-funded multiple employer welfare arrangement to negotiate rates and contract with specific providers for the delivery of prostate cancer screening services.[ 2006 c 367 § 6.]
WA Rev Code § 48.125.901 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.125 - Self-Funded Multiple Employer Welfare Arrangements.|48.125.901 - Effective date—2004 c 260.

RCW 48.125.901 Effective date—2004 c 260.This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect immediately [March 31, 2004].[ 2004 c 260 § 29.]
WA Rev Code § 48.130.005 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.130 - Interstate Insurance Product Regulation Compact.|48.130.005 - Purposes—Insurance commissioner represents state.

RCW 48.130.005 Purposes—Insurance commissioner represents state.Under the terms and conditions of this chapter, the state of Washington seeks to join with other states and establish the interstate insurance product regulation compact and thus become a member of the interstate insurance product regulation commission. The insurance commissioner is hereby designated to serve as the representative of this state to the commission. The purposes of the compact under this chapter are, through means of joint and cooperative action among the compacting states:(1) To promote and protect the interest of consumers of individual and group annuity, life insurance, disability income, and long-term care insurance products;(2) To develop uniform standards for insurance products covered under the compact;(3) To establish a central clearinghouse to receive and provide prompt review of insurance products covered under the compact and, in certain cases, advertisements related thereto, submitted by insurers authorized to do business in one or more compacting states;(4) To give appropriate regulatory approval to those product filings and advertisements satisfying the applicable uniform standard;(5) To improve coordination of regulatory resources and expertise between state insurance departments regarding the setting of uniform standards and review of insurance products covered under the compact;(6) To create the interstate insurance product regulation commission; and(7) To perform these and such other related functions as may be consistent with the state regulation of the business of insurance.[ 2005 c 92 § 1.]
WA Rev Code § 48.130.020 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.130 - Interstate Insurance Product Regulation Compact.|48.130.020 - Commission created.

RCW 48.130.020 Commission created.(1) The compacting states hereby create and establish a joint public agency known as the interstate insurance product regulation commission. Under RCW 48.130.030, the commission will have the power to develop uniform standards for product lines, receive and provide prompt review of products filed therewith, and give approval to those product filings satisfying applicable uniform standards. However, it is not intended for the commission to be the exclusive entity for receipt and review of insurance product filings. This section does not prohibit any insurer from filing its product in any state wherein the insurer is licensed to conduct the business of insurance; and any such filing shall be subject to the laws of the state where filed.(2) The commission is a body corporate and politic, and an instrumentality of the compacting states.(3) The commission is solely responsible for its liabilities except as otherwise specifically provided in the compact.(4) Venue is proper and judicial proceedings by or against the commission shall be brought solely and exclusively in a court of competent jurisdiction where the principal office of the commission is located.[ 2005 c 92 § 3.]
WA Rev Code § 48.130.050 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.130 - Interstate Insurance Product Regulation Compact.|48.130.050 - Commission actions—Voting.

RCW 48.130.050 Commission actions—Voting.(1) The commission shall meet and take such actions as are consistent with the provisions of the compact and the bylaws.(2) Each member of the commission shall have the right and power to cast a vote to which that compacting state is entitled and to participate in the business and affairs of the commission. A member shall vote in person or by such other means as provided in the bylaws. The bylaws may provide for members' participation in meetings by telephone or other means of communication.(3) The commission shall meet at least once during each calendar year. Additional meetings shall be held as set forth in the bylaws.[ 2005 c 92 § 6.]
WA Rev Code § 48.130.080 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.130 - Interstate Insurance Product Regulation Compact.|48.130.080 - Dispute resolution.

RCW 48.130.080 Dispute resolution.The commission shall attempt, upon the request of a member, to resolve any disputes or other issues that are subject to this compact and which may arise between two or more compacting states, or between compacting states and noncompacting states, and the commission shall adopt an operating procedure providing for resolution of such disputes.[ 2005 c 92 § 9.]
WA Rev Code § 48.130.090 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.130 - Interstate Insurance Product Regulation Compact.|48.130.090 - Commission approval of product—Filing—Rule making.

RCW 48.130.090 Commission approval of product—Filing—Rule making.(1) Insurers and third-party filers seeking to have a product approved by the commission shall file the product with, and pay applicable filing fees to, the commission. This chapter does not restrict or otherwise prevent an insurer from filing its product with the insurance department in any state wherein the insurer is licensed to conduct the business of insurance, and such filing shall be subject to the laws of the states where filed.(2) The commission shall establish appropriate filing and review processes and procedures pursuant to commission rules and operating procedures. The commission shall adopt rules to establish conditions and procedures under which the commission will provide public access to product filing information. In establishing such rules, the commission shall consider the interests of the public in having access to such information, as well as protection of personal medical and financial information and trade secrets, that may be contained in a product filing or supporting information.(3) Any product approved by the commission may be sold or otherwise issued in those compacting states for which the insurer is legally authorized to do business.[ 2005 c 92 § 10.]
WA Rev Code § 48.130.100 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.130 - Interstate Insurance Product Regulation Compact.|48.130.100 - Commission disapproval of product—Appeal.

RCW 48.130.100 Commission disapproval of product—Appeal.(1) Not later than thirty days after the commission has given notice of a disapproved product or advertisement filed with the commission, the insurer or third-party filer whose filing was disapproved may appeal the determination to a review panel appointed by the commission. The commission shall adopt rules to establish procedures for appointing such review panels and provide for notice and hearing. An allegation that the commission, in disapproving a product or advertisement filed with the commission, acted arbitrarily, capriciously, or in a manner that is an abuse of discretion or otherwise not in accordance with the law, is subject to judicial review in accordance with RCW 48.130.020(4).(2) The commission shall have authority to monitor, review, and reconsider products and advertisement subsequent to their filing or approval upon a finding that the product does not meet the relevant uniform standard. Where appropriate, the commission may withdraw or modify its approval after proper notice and hearing, subject to the appeal process in subsection (1) of this section.[ 2005 c 92 § 11.]