reglab/housing_qa huggingface dataset:
WA Rev Code § 48.43.525 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.43 - Insurance Reform.|48.43.525 - Prohibition against retrospective denial of health plan coverage—Rules.

RCW 48.43.525 Prohibition against retrospective denial of health plan coverage—Rules.(1) A health carrier that offers a health plan shall not retrospectively deny coverage for emergency and nonemergency care that had prior authorization under the plan's written policies at the time the care was rendered.(2) The commissioner shall adopt, in rule, standards for this section after considering relevant standards adopted by national managed care accreditation organizations and state agencies that purchase managed health care services.[ 2000 c 5 § 9.]NOTES:Application—Short title—Captions not law—Construction—Severability—Application to contracts—Effective dates—2000 c 5: See notes following RCW 48.43.500.
WA Rev Code § 48.43.540 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.43 - Insurance Reform.|48.43.540 - Requirement to designate a licensed medical director—Exemption.

RCW 48.43.540 Requirement to designate a licensed medical director—Exemption.Any carrier that offers a health plan and any self-insured health plan subject to the jurisdiction of Washington state shall designate a medical director who is licensed under chapter 18.57 or 18.71 RCW. However, a naturopathic or complementary alternative health plan, which provides solely complementary alternative health care to individuals, groups, or health plans, may have a medical director licensed under chapter 18.36A RCW. A carrier that offers dental only coverage shall designate a dental director who is licensed under chapter 18.32 RCW, or licensed in a state that has been determined by the dental quality assurance commission to have substantially equivalent licensing standards to those of Washington. A health plan or self-insured health plan that offers only religious nonmedical treatment or religious nonmedical nursing care shall not be required to have a medical director.[ 2002 c 103 § 1; 2000 c 5 § 13.]NOTES:Application—Short title—Captions not law—Construction—Severability—Application to contracts—Effective dates—2000 c 5: See notes following RCW 48.43.500.
WA Rev Code § 48.43.550 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.43 - Insurance Reform.|48.43.550 - Delegation of duties—Carrier accountability.

RCW 48.43.550 Delegation of duties—Carrier accountability.Each carrier is accountable for and must oversee any activities required by chapter 5, Laws of 2000 that it delegates to any subcontractor. No contract with a subcontractor executed by the health carrier or the subcontractor may relieve the health carrier of its obligations to any enrollee for the provision of health care services or of its responsibility for compliance with statutes or rules.[ 2000 c 5 § 18.]NOTES:Application—Short title—Captions not law—Construction—Severability—Application to contracts—Effective dates—2000 c 5: See notes following RCW 48.43.500.
WA Rev Code § 48.43.902 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.43 - Insurance Reform.|48.43.902 - Effective date—1996 c 312.

RCW 48.43.902 Effective date—1996 c 312.This act shall take effect July 1, 1996.[ 1996 c 312 § 8.]
WA Rev Code § 48.43.904 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.43 - Insurance Reform.|48.43.904 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.

RCW 48.43.904 Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to marital relationships and married persons, and references to dissolution of marriage shall apply equally to state registered domestic partnerships that have been terminated, dissolved, or invalidated, to the extent that such interpretation does not conflict with federal law. Where necessary to implement chapter 521, Laws of 2009, gender-specific terms such as husband and wife used in any statute, rule, or other law shall be construed to be gender neutral, and applicable to individuals in state registered domestic partnerships.[ 2009 c 521 § 125.]
WA Rev Code § 48.44.011 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.011 - Insurance producer—Definition—License required—Application, issuance, renewal, fees—Penalties involving license.

RCW 48.44.011 Insurance producer—Definition—License required—Application, issuance, renewal, fees—Penalties involving license.(1) Insurance producer, as used in this chapter, means any person appointed or authorized by a health care service contractor to solicit applications for health care service contracts on its behalf.(2) No person shall act as or hold himself or herself out to be an appointed insurance producer of a health care service contractor unless licensed as a disability insurance producer by this state and appointed by the health care service contractor on whose behalf solicitations are to be made.(3) Applications, appointments, and qualifications for licenses, the renewal thereof, the fees and issuance of a license, and the renewal thereof shall be in accordance with the provisions of chapter 48.17 RCW that are applicable to a disability insurance producer.(4) The commissioner may revoke, suspend, or refuse to issue or renew any insurance producer's license, or levy a fine upon the licensee, in accordance with those provisions of chapter 48.17 RCW that are applicable to a disability insurance producer.[ 2008 c 217 § 50; 1983 c 202 § 1; 1969 c 115 § 7.]NOTES:Severability—Effective date—2008 c 217: See notes following RCW 48.03.020.
WA Rev Code § 48.44.013 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.013 - Filings with secretary of state—Copy for commissioner.

RCW 48.44.013 Filings with secretary of state—Copy for commissioner.Health care service contractors and limited health care service contractors shall send a copy specifically for the office of the insurance commissioner to the secretary of state of any corporate document required to be filed in the office of the secretary of state, including articles of incorporation and bylaws, and any amendments thereto. The copy specifically provided for the office of the insurance commissioner shall be in addition to the copies required by the secretary of state and shall clearly indicate on the copy that it is for delivery to the office of the insurance commissioner.[ 1998 c 23 § 16.]
WA Rev Code § 48.44.015 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.015 - Registration by health care service contractors required—Penalty.

RCW 48.44.015 Registration by health care service contractors required—Penalty.(1) A person may not in this state, by mail or otherwise, act as or hold himself or herself out to be a health care service contractor, as defined in RCW 48.44.010 without first being registered with the commissioner.(2) The issuance, sale, or offer for sale in this state of securities of its own issue by any health care service contractor domiciled in this state other than the memberships and bonds of a nonprofit corporation shall be subject to the provisions of chapter 48.06 RCW relating to obtaining solicitation permits the same as if health care service contractors were domestic insurers.(3) Any person violating any provision of subsection (2) of this section is guilty of a gross misdemeanor and will, upon conviction, be fined not more than one thousand dollars or imprisoned for not more than six months, or both, for each violation.[ 2003 c 250 § 7; 1983 c 202 § 2; 1969 c 115 § 6.]NOTES:Severability—2003 c 250: See note following RCW 48.01.080.
WA Rev Code § 48.44.016 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.016 - Unregistered activities—Acts committed in this state—Sanctions.

RCW 48.44.016 Unregistered activities—Acts committed in this state—Sanctions.(1) As used in this section, "person" has the same meaning as in RCW 48.01.070.(2) For the purpose of this section, an act is committed in this state if it is committed, in whole or in part, in the state of Washington, or affects persons or property within the state and relates to or involves a health care services contract.(3) Any person who knowingly violates RCW 48.44.015(1) is guilty of a class B felony punishable under chapter 9A.20 RCW.(4) Any criminal penalty imposed under this section is in addition to, and not in lieu of, any other civil or administrative penalty or sanction otherwise authorized under state law.(5)(a) If the commissioner has cause to believe that any person has violated the provisions of RCW 48.44.015(1), the commissioner may:(i) Issue and enforce a cease and desist order in accordance with the provisions of RCW 48.02.080; and/or(ii) Assess a civil penalty of not more than twenty-five thousand dollars for each violation, after providing notice and an opportunity for a hearing in accordance with chapters 34.05 and 48.04 RCW.(b) Upon failure to pay a civil penalty when due, the attorney general may bring a civil action on behalf of the commissioner to recover the unpaid penalty. Any amounts collected by the commissioner must be paid to the state treasurer for the account of the general fund.[ 2003 c 250 § 8.]NOTES:Severability—2003 c 250: See note following RCW 48.01.080.
WA Rev Code § 48.44.024 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.024 - Requirements for plans offered to small employers—Definitions.

RCW 48.44.024 Requirements for plans offered to small employers—Definitions.(1) A health care service contractor may not offer any health benefit plan to any small employer without complying with RCW 48.44.023(3).(2) Employers purchasing health plans provided through associations or through member-governed groups formed specifically for the purpose of purchasing health care are not small employers and the plans are not subject to RCW 48.44.023(3).(3) For purposes of this section, "health benefit plan," "health plan," and "small employer" mean the same as defined in RCW 48.43.005.[ 2003 c 248 § 15; 1995 c 265 § 23.]NOTES:Captions not law—Effective dates—Savings—Severability—1995 c 265: See notes following RCW 70.47.015.
WA Rev Code § 48.44.026 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.026 - Payment for certain health care services.

RCW 48.44.026 Payment for certain health care services.Checks in payment for claims pursuant to any health care service contract for health care services provided by persons licensed or regulated under chapters 18.25, 18.29, 18.30, 18.32, 18.53, 18.57, 18.64, 18.71, 18.73, 18.74, 18.83, or 18.79 RCW, as it applies to registered nurses and advanced registered nurse practitioners, where the provider is not a participating provider under a contract with the health care service contractor, shall be made out to both the provider and the enrolled participant with the provider as the first named payee, jointly, to require endorsement by each: PROVIDED, That payment shall be made in the single name of the enrolled participant if the enrolled participant as part of his or her claim furnishes evidence of prepayment to the health care service provider: AND PROVIDED FURTHER, That nothing in this section shall preclude a health care service contractor from voluntarily issuing payment in the single name of the provider.[ 1999 c 130 § 1; 1994 sp.s. c 9 § 732; 1990 c 120 § 6; 1989 c 122 § 1; 1984 c 283 § 1; 1982 c 168 § 1.]NOTES:Severability—Headings and captions not law—Effective date—1994 sp.s. c 9: See RCW 18.79.900 through 18.79.902.
WA Rev Code § 48.44.033 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.033 - Financial failure—Supervision of commissioner—Priority of distribution of assets.

RCW 48.44.033 Financial failure—Supervision of commissioner—Priority of distribution of assets.(1) Any rehabilitation, liquidation, or conservation of a health care service contractor shall be deemed to be the rehabilitation, liquidation, or conservation of an insurance company and shall be conducted under the supervision of the commissioner pursuant to the law governing the rehabilitation, liquidation, or conservation of insurance companies. The commissioner may apply for an order directing the commissioner to rehabilitate, liquidate, or conserve a health care service contractor upon any one or more grounds set out in RCW 48.31.030, 48.31.050, and 48.31.080.(2) For purpose of determining the priority of distribution of general assets, claims of enrolled participants and enrolled participants' beneficiaries shall have the same priority as established by RCW 48.31.280 for policyholders and beneficiaries of insureds of insurance companies. If an enrolled participant is liable to any provider for services provided pursuant to and covered by the health care plan, that liability shall have the status of an enrolled participant claim for distribution of general assets.(3) Any provider who is obligated by statute or agreement to hold enrolled participants harmless from liability for services provided pursuant to and covered by a health care plan shall have a priority of distribution of the general assets immediately following that of enrolled participants and enrolled participants' beneficiaries as described herein, and immediately preceding the priority of distribution described in chapter 48.31 RCW.[ 1990 c 120 § 2.]
WA Rev Code § 48.44.039 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.039 - Minimum net worth—Domestic or foreign health care service contractor.

RCW 48.44.039 Minimum net worth—Domestic or foreign health care service contractor.(1) For purposes of this section:(a) "Domestic health care service contractor" means a health care service contractor formed under the laws of this state; and(b) "Foreign health care service contractor" means a health care service contractor formed under the laws of the United States, of a state or territory of the United States other than this state, or of the District of Columbia.(2) If the minimum net worth of a domestic health care service contractor falls below the minimum net worth required by this chapter, the commissioner shall at once ascertain the amount of the deficiency and serve notice upon the domestic health care service contractor to cure the deficiency within ninety days after that service of notice.(3) If the deficiency is not cured, and proof thereof filed with the commissioner within the ninety-day period, the domestic health care service contractor shall be declared insolvent and shall be proceeded against as authorized by this code, or the commissioner shall, consistent with chapters 48.04 and 34.05 RCW, suspend or revoke the registration of the domestic health care service contractor as being hazardous to its subscribers and the people in this state.(4) If the deficiency is not cured the domestic health care service contractor shall not issue or deliver any individual or group contract after the expiration of the ninety-day period.(5) If the minimum net worth of a foreign health care service contractor falls below the minimum net worth required by this chapter, the commissioner shall, consistent with chapters 48.04 and 34.05 RCW, suspend or revoke the foreign health care service contractor's registration as being hazardous to its subscribers or the people in this state.[ 1997 c 212 § 3.]
WA Rev Code § 48.44.040 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.040 - Registration with commissioner—Fee.

RCW 48.44.040 Registration with commissioner—Fee.Every health care service contractor who or which enters into agreements which require prepayment for health care services shall register with the insurance commissioner on forms to be prescribed and provided by him or her. Such registrants shall state their name, address, type of organization, area of operation, type or types of health care services provided, and such other information as may reasonably be required by the insurance commissioner and shall file with such registration a copy of all contracts being offered and a schedule of all rates charged. No registrant shall change any rates, modify any contract, or offer any new contract, until he or she has filed a copy of the changed rate schedule, modified contract, or new contract with the insurance commissioner. The insurance commissioner shall charge a fee of ten dollars for the filing of each original registration statement and may require each registrant to file a current reregistration statement annually thereafter.[ 2009 c 549 § 7145; 1947 c 268 § 4; Rem. Supp. 1947 § 6131-13.]
WA Rev Code § 48.44.050 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.050 - Rules and regulations.

RCW 48.44.050 Rules and regulations.The insurance commissioner shall make reasonable regulations in aid of the administration of this chapter which may include, but shall not be limited to regulations concerning the maintenance of adequate insurance, bonds, or cash deposits, information required of registrants, and methods of expediting speedy and fair payments to claimants.[ 1947 c 268 § 5; Rem. Supp. 1947 § 6131-14.]
WA Rev Code § 48.44.055 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.055 - Plan for handling insolvency—Commissioner's review.

RCW 48.44.055 Plan for handling insolvency—Commissioner's review.Each health care service contractor shall have a plan for handling insolvency that allows for continuation of benefits for the duration of the contract period for which premiums have been paid and continuation of benefits to members who are confined on the date of insolvency in an inpatient facility until their discharge or expiration of benefits. The commissioner shall approve such a plan if it includes:(1) Insurance to cover the expenses to be paid for continued benefits after insolvency;(2) Provisions in provider contracts that obligate the provider to provide services for the duration of the period after the health care service contractor's insolvency for which premium payment has been made and until the enrolled participants are discharged from inpatient facilities;(3) Use of insolvency reserves established under RCW 48.44.030;(4) Acceptable letters of credit or approved surety bonds; or(5) Any other arrangements the commissioner and the organization mutually agree are appropriate to assure that the benefits are continued.[ 1990 c 120 § 11.]
WA Rev Code § 48.44.060 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.060 - Penalty.

RCW 48.44.060 Penalty.Except as otherwise provided in this chapter, any person who violates any of the provisions of this chapter is guilty of a gross misdemeanor.[ 2003 c 250 § 9; 1947 c 268 § 6; Rem. Supp. 1947 § 6131-15.]NOTES:Severability—2003 c 250: See note following RCW 48.01.080.
WA Rev Code § 48.44.080 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.080 - Master lists of contractor's participating providers—Filing with commissioner—Notice of termination or participation.

RCW 48.44.080 Master lists of contractor's participating providers—Filing with commissioner—Notice of termination or participation.Every health care service contractor shall file with its annual statement with the insurance commissioner a master list of the participating providers with whom or with which such health care service contractor has executed contracts of participation, certifying that each such participating provider has executed such contract of participation. The health care service contractor shall on the first day of each month notify the insurance commissioner in writing in case of the termination of any such contract, and of any participating provider who has entered into a participating contract during the preceding month.[ 1990 c 120 § 10; 1986 c 223 § 4; 1965 c 87 § 3; 1961 c 197 § 5.]
WA Rev Code § 48.44.090 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.090 - Refusal to register corporate, etc., contractor if name confusing with existing contractor or insurance company.

RCW 48.44.090 Refusal to register corporate, etc., contractor if name confusing with existing contractor or insurance company.The insurance commissioner shall refuse to accept the registration of any corporation, cooperative group, or association seeking to act as a health care service contractor if, in his or her discretion, the insurance commissioner deems that the name of the corporation, cooperative group, or association would be confused with the name of an existing registered health care service contractor or authorized insurance company.[ 2009 c 549 § 7146; 1961 c 197 § 6.]
WA Rev Code § 48.44.100 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.100 - Filing inaccurate financial statement prohibited.

RCW 48.44.100 Filing inaccurate financial statement prohibited.No person shall knowingly file with any public official or knowingly make, publish, or disseminate any financial statement of a health care service contractor which does not accurately state the health care service contractor's financial condition.[ 1961 c 197 § 7.]
WA Rev Code § 48.44.110 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.110 - False representation, advertising.

RCW 48.44.110 False representation, advertising.No person shall knowingly make, publish, or disseminate any false, deceptive, or misleading representation or advertising in the conduct of the business of a health care service contractor, or relative to the business of a health care service contractor or to any person engaged therein.[ 1961 c 197 § 8.]
WA Rev Code § 48.44.120 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.120 - Misrepresentations of contract terms, benefits, etc.

RCW 48.44.120 Misrepresentations of contract terms, benefits, etc.No person shall knowingly make, issue, or circulate, or cause to be made, issued, or circulated, a misrepresentation of the terms of any contract, or the benefits or advantages promised thereby, or use the name or title of any contract or class of contract misrepresenting the nature thereof.[ 1961 c 197 § 9.]
WA Rev Code § 48.44.130 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.130 - Future dividends or refunds—When permissible.

RCW 48.44.130 Future dividends or refunds—When permissible.No health care service contractor nor any individual acting on behalf thereof shall guarantee or agree to the payment of future dividends or future refunds of unused charges or savings in any specific or approximate amounts or percentages in respect to any contract being offered to the public, except in a group contract containing an experience refund provision.[ 1961 c 197 § 10.]
WA Rev Code § 48.44.140 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.44 - Health Care Services.|48.44.140 - Misleading comparisons to terminate or retain contract.

RCW 48.44.140 Misleading comparisons to terminate or retain contract.No health care service contractor nor any person representing a health care service contractor shall by misrepresentation or misleading comparisons induce or attempt to induce any member of any health care service contractor to terminate or retain a contract or membership.[ 1961 c 197 § 11.]