reglab/housing_qa huggingface dataset:
WA Rev Code § 48.37.100 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.37 - Market Conduct Oversight.|48.37.100 - Immunity for the commissioner, market conduct oversight personnel, authorized representatives, and examiners.

RCW 48.37.100 Immunity for the commissioner, market conduct oversight personnel, authorized representatives, and examiners.(1) No cause of action shall arise, nor shall any liability be imposed against the commissioner, the commissioner's authorized representatives, market conduct oversight personnel, or an examiner appointed by the commissioner for any statements made, or conduct performed in good faith while carrying out the provisions of this chapter.(2) No cause of action shall arise, nor shall any liability be imposed against any person for the act of communicating or delivering information or data to the commissioner or the commissioner's authorized representative, market conduct oversight personnel, or examiner, under an examination made under this chapter, if the act of communication or delivery was performed in good faith and without fraudulent intent or the intent to deceive.(3) A person identified in subsection (1) of this section is entitled to an award of attorneys' fees and costs if he or she is the prevailing party in a civil cause of action for libel, slander, or any other relevant tort arising out of activities in carrying out the provisions of this chapter, and the party bringing the action was not substantially justified in doing so. For purposes of this section, a proceeding is "substantially justified" if it had a reasonable basis in law or fact at the time that it was initiated.(4) If a claim is made or threatened as described in subsection (1) of this section, the commissioner shall provide or pay for the defense of himself or herself, the examiner or representative, and shall pay a judgment or settlement, until it is determined that the person did not act in good faith or did act with fraudulent intent or the intent to deceive.(5) The immunity, indemnification, and other protections under this section are in addition to those now or hereafter existing under other law.(6) This section does not abrogate or modify in any way any common law or statutory privilege or immunity, now or hereafter existing under this section or other law, enjoyed by any person identified in subsection (1) of this section.[ 2007 c 82 § 12.]
WA Rev Code § 48.37.110 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.37 - Market Conduct Oversight.|48.37.110 - Fines and penalties.

RCW 48.37.110 Fines and penalties.(1) Fines and penalties, applicable to the insurer as found in the Washington insurance code, levied as a result of a market conduct action or examination shall be consistent, reasonable, and justified.(2) The commissioner shall take into consideration actions taken by insurers to maintain membership in, and comply with the standards of, best practices organizations, and the extent to which insurers maintain regulatory compliance programs to self-assess, self-report, and remediate problems detected, and may include those considerations in determining the appropriate fines or penalties levied in accordance with subsection (1) of this section.(3) Commissioner enforcement actions shall not be based solely on violations identified in the insurer self-evaluative audit document, unless the commissioner confirms both that the violations occurred and that the insurer has not taken reasonable action based on the self-evaluative audit document to resolve and remediate the identified violations.[ 2007 c 82 § 13.]
WA Rev Code § 48.37.120 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.37 - Market Conduct Oversight.|48.37.120 - Dispute resolution—Rules.

RCW 48.37.120 Dispute resolution—Rules.(1) At any point in the market analysis, the insurer may request a review and resolution of issues by identifying the issues either orally or in writing to the market conduct oversight manager, or deputy insurance commissioner responsible for market conduct oversight. At each level, a response to the insurer shall be provided within five business days.(2) At any point in the market conduct examination, the insurer may request a review and resolution of issues either orally or in writing to the market conduct oversight manager, or deputy insurance commissioner responsible for market conduct oversight. At each level, a response to the insurer shall be provided within five business days. This authorization for dispute resolution shall be secondary to the specific procedures set forth in RCW 48.37.060.(3) After the deputy insurance commissioner responsible for market conduct oversight has responded to an insurer's issues, the insurer may request mediation of the issues. The insurance commissioner shall adopt by rule a process to govern mediation of insurer market conduct oversight issues. That rule shall:(a) Provide for the selection by the commissioner of a panel of preapproved mediators;(b) Require that insurers, upon notice of the start of a market analysis process or the start of a market conduct examination, identify from the preapproved list a mediator and an alternative mediator;(c) Require the party requesting mediation to pay the costs of the mediator; and(d) Provide for other rule provisions as are reasonably necessary for the efficient operation of a mediation process.(4) At any point in the dispute resolution process contained in this section, the insurer may commence an adjudicative proceeding under chapters 48.04 and 34.05 RCW.[ 2007 c 82 § 14.]
WA Rev Code § 48.37.130 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.37 - Market Conduct Oversight.|48.37.130 - Coordination with other state insurance regulators through the NAIC.

RCW 48.37.130 Coordination with other state insurance regulators through the NAIC.(1) The commissioner shall share information and coordinate the commissioner's market analysis, market conduct actions, and examination efforts with other state insurance regulators. Such matters will be coordinated in accordance with guidelines adopted by the NAIC.(2)(a) If a market conduct examination or action performed by another state insurance regulator results in a finding that an insurer should modify a specific practice or procedure, the commissioner shall, in lieu of conducting a market conduct action or examination, accept verification that the insurer made a similar modification in this state, unless the commissioner determines that the other state does not have laws substantially similar to those of this state, or does not have a market conduct oversight system that is comparable to the market conduct oversight system set forth in this chapter.(b) The commissioner's determination under (a) of this subsection is discretionary with the commissioner and is not subject to appeal.[ 2007 c 82 § 15.]
WA Rev Code § 48.37.140 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.37 - Market Conduct Oversight.|48.37.140 - Additional duties of the commissioner.

RCW 48.37.140 Additional duties of the commissioner.(1) The commissioner shall designate a specific person or persons within the commissioner's office whose responsibilities shall include the receipt of information from employees of insurers and licensed entities concerning violations of laws or rules by their employers, as defined in this chapter. These persons shall be provided with proper training on the handling of such information. The information shall be confidential and not open to public inspection.(2) At least once per year, or more frequently if deemed necessary, the commissioner shall make available in an appropriate manner to insurers and other entities subject to the scope of this title, information on new laws and regulations, enforcement actions, and other information the commissioner deems pertinent to ensure compliance with market conduct requirements.[ 2007 c 82 § 16.]
WA Rev Code § 48.38.012 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.38 - Charitable Gift Annuity Business.|48.38.012 - Minimum unrestricted net assets required.

RCW 48.38.012 Minimum unrestricted net assets required.After June 30, 1998, an insurer or institution which does not have the minimum unrestricted net assets required by RCW 48.38.010(6) may not issue any new charitable gift annuities until the insurer or institution has and maintains the minimum unrestricted net assets required by RCW 48.38.010(6).[ 1998 c 284 § 7.]
WA Rev Code § 48.38.030 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.38 - Charitable Gift Annuity Business.|48.38.030 - Charitable annuity contract or policy form—Contents.

RCW 48.38.030 Charitable annuity contract or policy form—Contents.Each charitable annuity contract or policy form must include the following information:(1) The value of the property to be transferred;(2) The amount of the annuity to be paid to the transferor or the transferor's nominee;(3) The manner in which and the intervals at which payment is to be made;(4) The age of the person during whose life payment is to be made; and(5) The reasonable value as of the date of the agreement of the benefits created. This value may not exceed by more than fifteen percent the net single premium for the benefits, determined according to the standard of valuation set forth in RCW 48.38.020(3).[ 2005 c 223 § 24; 1979 c 130 § 8.]NOTES:Severability—1979 c 130: See note following RCW 28B.10.485.
WA Rev Code § 48.38.040 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.38 - Charitable Gift Annuity Business.|48.38.040 - Certificate holder exempt from certain title provisions—Chapter 48.31 RCW applies.

RCW 48.38.040 Certificate holder exempt from certain title provisions—Chapter 48.31 RCW applies.(1) An insurer or institution holding a certificate of exemption under this chapter shall be exempt from all other provisions of this title except as specifically enumerated in this chapter by reference.(2) An insurer or institution holding a certificate of exemption under this chapter is subject to chapter 48.31 RCW.[ 1998 c 284 § 3; 1979 c 130 § 9.]NOTES:Severability—1979 c 130: See note following RCW 28B.10.485.
WA Rev Code § 48.38.042 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.38 - Charitable Gift Annuity Business.|48.38.042 - Certificate holder—Variable annuity business prohibited.

RCW 48.38.042 Certificate holder—Variable annuity business prohibited.An insurer or institution holding a certificate of exemption to issue charitable gift annuities under this chapter shall not transact or be authorized to transact a variable annuity business as described in chapter 48.18A RCW.[ 1998 c 284 § 5.]
WA Rev Code § 48.38.050 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.38 - Charitable Gift Annuity Business.|48.38.050 - Grounds for denial, revocation, or suspension of certificate of exemption—Fine may be levied.

RCW 48.38.050 Grounds for denial, revocation, or suspension of certificate of exemption—Fine may be levied.(1) The insurance commissioner may refuse to grant, or may revoke or suspend, a certificate of exemption if the insurance commissioner finds that the insurer or institution does not meet the requirements of this chapter or if the insurance commissioner finds that the insurer or institution has violated RCW 48.01.030, any provisions of chapter 48.30 RCW, or this chapter, and any applicable provisions of Title 284 WAC, or is found by the insurance commissioner to be in such condition that its further issuance of charitable gift annuities would be hazardous to annuity contract holders and the people of this state.(2) After hearing or with the consent of the insurer or institution and in addition to or in lieu of the suspension, revocation, or refusal to renew any certificate of exemption, the commissioner may levy a fine upon the insurer or institution in an amount not more than ten thousand dollars. The order levying such a fine shall specify the period within which the fine shall be fully paid and which period shall not be less than fifteen nor more than thirty days from the date of the order. Upon failure to pay such a fine when due the commissioner may revoke the certificate of exemption of the insurer or institution if not already revoked, and the fine shall be recovered in a civil action brought in behalf of the commissioner by the attorney general. Any fine so collected shall be paid by the commissioner to the state treasurer for the account of the general fund.[ 2012 c 211 § 7; 1998 c 284 § 4; 1979 c 130 § 10.]NOTES:Severability—1979 c 130: See note following RCW 28B.10.485.
WA Rev Code § 48.38.060 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.38 - Charitable Gift Annuity Business.|48.38.060 - Hearings and appeals provisions inapplicable.

RCW 48.38.060 Hearings and appeals provisions inapplicable.For purposes of this chapter, the provisions of chapter 48.04 RCW are applicable.[ 1979 c 130 § 11.]NOTES:Severability—1979 c 130: See note following RCW 28B.10.485.
WA Rev Code § 48.38.070 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.38 - Charitable Gift Annuity Business.|48.38.070 - Enforcement powers and duties.

RCW 48.38.070 Enforcement powers and duties.For the purposes of this chapter, the insurance commissioner has the same powers and duties of enforcement as are provided in RCW 48.02.080.[ 1979 c 130 § 12.]NOTES:Severability—1979 c 130: See note following RCW 28B.10.485.
WA Rev Code § 48.38.075 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.38 - Charitable Gift Annuity Business.|48.38.075 - Rules.

RCW 48.38.075 Rules.The commissioner may adopt rules to implement and administer this chapter.[ 1998 c 284 § 6.]
WA Rev Code § 48.39.003 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.39 - Contracts Between Insurance Carriers, Health Care Providers, and Third-Party Payors.|48.39.003 - Findings.

RCW 48.39.003 Findings.The legislature finds that Washington state is a provider friendly state within which to practice medicine. As part of health care reform, Washington state endeavors to establish and operate a state-based health benefits exchange wherein insurance products will be offered for sale and add potentially three hundred thousand patients to commercial insurance, and to expand access to medicaid for potentially three hundred thousand new enrollees. Such a successful and new insurance market in Washington state will require the willing participation of all categories of health care providers. The legislature further finds that principles of fair contracting apply to all contracts between health care providers and health insurance carriers offering insurance within Washington state and that fair dealings and transparency in expectations should be present in interactions between all third-party payors and health care providers.[ 2013 c 293 § 1.]
WA Rev Code § 48.39.005 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.39 - Contracts Between Insurance Carriers, Health Care Providers, and Third-Party Payors.|48.39.005 - Definitions.

RCW 48.39.005 Definitions.The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Health care provider" or "provider" has the same meaning as in RCW 48.43.005 and, for the purposes of this chapter, includes facilities licensed under chapter 70.41 RCW.(2) "Material amendment" means an amendment to a contract between a payor and health care provider that would result in requiring a health care provider to participate in a health plan, product, or line of business with a lower fee schedule in order to continue to participate in a health plan, product, or line of business with a higher fee schedule. A material amendment does not include any of the following:(a) A decrease in payment or compensation resulting from a change in a fee schedule published by the payor upon which the payment or compensation is based and the date of applicability is clearly identified in the contract, compensation addendum, or fee schedule notice;(b) A decrease in payment or compensation that was anticipated under the terms of the contract, if the amount and date of applicability of the decrease is clearly identified in the contract; or(c) Changes unrelated to compensation so long as reasonable notice of not less than sixty days is provided.(3) "Payor" or "third-party payor" means carriers licensed under chapters 48.20, 48.21, 48.44, and 48.46 RCW, and managed health care systems as defined in RCW 74.09.522.[ 2013 c 293 § 2.]NOTES:Reviser's note: The definitions in this section have been alphabetized pursuant to RCW 1.08.015(2)(k).
WA Rev Code § 48.39.010 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.39 - Contracts Between Insurance Carriers, Health Care Providers, and Third-Party Payors.|48.39.010 - Notice of material amendments to contract—Failure to comply.

RCW 48.39.010 Notice of material amendments to contract—Failure to comply.(1) A third-party payor shall provide no less than sixty days' notice to the health care provider of any proposed material amendments to a health care provider's contract with the third-party payor.(2) Any material amendment to a contract must be clearly defined in a notice to the provider from the third-party payor as being a material change to the contract before the provider's notice period begins. The notice must also inform the providers that they may choose to reject the terms of the proposed material amendment through written or electronic means at any time during the notice period and that such rejection may not affect the terms of the health care provider's existing contract with the third-party payor.(3) A health care provider's rejection of the material amendment does not affect the terms of the health care provider's existing contract with the third-party payor.(4) A failure to comply with the terms of subsections (1), (2), and (3) of this section shall void the effectiveness of the material amendment.[ 2013 c 293 § 3.]
WA Rev Code § 48.39.020 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.39 - Contracts Between Insurance Carriers, Health Care Providers, and Third-Party Payors.|48.39.020 - Payor may require provider to extend payor's medicaid rates—Limitations.

RCW 48.39.020 Payor may require provider to extend payor's medicaid rates—Limitations.A payor may require a health care provider to extend the payor's medicaid rates, or some percentage above the payor's medicaid rates, that govern a health benefit program administered by a public purchaser to a commercial plan or line of business offered by a payor that is not administered by a public purchaser only if the health care provider has expressly agreed in writing to the extension. For the purposes of this section, "administered by a public purchaser" does not include commercial coverage offered through the Washington health benefit exchange. Nothing in this section prohibits a payor from utilizing medicaid rates, or some percentage above medicaid rates, as a base when negotiating payment rates with a health care provider.[ 2013 c 293 § 4.]
WA Rev Code § 48.39.030 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.39 - Contracts Between Insurance Carriers, Health Care Providers, and Third-Party Payors.|48.39.030 - Ambulatory surgical facilities—Payor survey requirements.

RCW 48.39.030 Ambulatory surgical facilities—Payor survey requirements.If a payor that contracts with an ambulatory surgical facility licensed under chapter 70.230 RCW requires successful completion of a survey as part of the contract, the ambulatory surgical facility is deemed to have met survey requirements if it has successfully completed a survey performed pursuant to medicare certification or by an accrediting organization that has been determined by the secretary of the department of health to have substantially equivalent survey standards to those of the centers for medicare and medicaid services. The payor may not impose additional survey requirements on the ambulatory surgical facility.[ 2016 c 146 § 5.]
WA Rev Code § 48.41.010 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.41 - Health Insurance Coverage Access Act.|48.41.010 - Short title.

RCW 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.]
WA Rev Code § 48.41.020 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.41 - Health Insurance Coverage Access Act.|48.41.020 - Intent.

RCW 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 insurance. It is the intent of the Washington state health insurance coverage access act to provide a mechanism to ensure the availability of comprehensive health insurance to persons unable to obtain such insurance coverage on either an individual or group basis directly under any health plan.[ 2000 c 79 § 5; 1987 c 431 § 2.]NOTES:Effective date—Severability—2000 c 79: See notes following RCW 48.04.010.
WA Rev Code § 48.41.037 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.41 - Health Insurance Coverage Access Act.|48.41.037 - Washington state health insurance pool account.

RCW 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 must be deposited in the account. Expenditures from this account shall be used to cover deficits incurred by the Washington state health insurance pool under this chapter in excess of the threshold established in this section. To the extent funds are available in the account, funds shall be expended from the account to offset that portion of the deficit that would otherwise have to be recovered by imposing an assessment on members in excess of a threshold of seventy cents per insured person per month. The commissioner shall authorize expenditures from the account, to the extent that funds are available in the account, upon certification by the pool board that assessments will exceed the threshold level established in this section. The account is subject to the allotment procedures under chapter 43.88 RCW, but an appropriation is not required for expenditures.Whether the assessment has reached the threshold of seventy cents per insured person per month shall be determined by dividing the total aggregate amount of assessment by the proportion of total assessed members. Thus, stop loss members shall be counted as one-tenth of a whole member in the denominator given that is the amount they are assessed proportionately relative to a fully insured medical member.[ 2007 c 259 § 29; 2000 c 79 § 36.]NOTES:Severability—Subheadings not law—2007 c 259: See notes following RCW 41.05.033.Effective date—Severability—2000 c 79: See notes following RCW 48.04.010.