reglab/housing_qa huggingface dataset:
WA Rev Code § 48.46.012 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.012 - Filings with secretary of state—Copy for commissioner.

RCW 48.46.012 Filings with secretary of state—Copy for commissioner.Health maintenance organizations 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 § 17.]
WA Rev Code § 48.46.023 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.023 - Insurance producer—Definition—License required—Application, issuance, renewal, fees—Penalties involving license.

RCW 48.46.023 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 maintenance organization to solicit applications for health care service agreements on its behalf.(2) No person shall act as or hold himself or herself out to be an appointed insurance producer of a health maintenance organization unless licensed as a disability insurance producer by this state and appointed or authorized by the health maintenance organization 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 § 54; 1983 c 202 § 8.]NOTES:Severability—Effective date—2008 c 217: See notes following RCW 48.03.020.
WA Rev Code § 48.46.027 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.027 - Registration, required—Issuance of securities—Penalty.

RCW 48.46.027 Registration, required—Issuance of securities—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 maintenance organization as defined in RCW 48.46.020 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 maintenance organization domiciled in this state other than the memberships and bonds of a nonprofit corporation is subject to the provisions of chapter 48.06 RCW relating to obtaining solicitation permits the same as if health maintenance organizations 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 § 10; 1983 c 202 § 9.]NOTES:Severability—2003 c 250: See note following RCW 48.01.080.
WA Rev Code § 48.46.033 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.033 - Unregistered activities—Acts committed in this state—Sanctions.

RCW 48.46.033 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 maintenance agreement.(3) Any person who knowingly violates RCW 48.46.027(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 48.46.027(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 § 11.]NOTES:Severability—2003 c 250: See note following RCW 48.01.080.
WA Rev Code § 48.46.045 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.045 - Catastrophic health plans permitted.

RCW 48.46.045 Catastrophic health plans permitted.Notwithstanding the provisions of this chapter, a health maintenance organization may offer catastrophic health plans as defined in RCW 48.43.005.[ 2000 c 79 § 27.]NOTES:Effective date—Severability—2000 c 79: See notes following RCW 48.04.010.
WA Rev Code § 48.46.068 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.068 - Requirements for plans offered to small employers—Definitions.

RCW 48.46.068 Requirements for plans offered to small employers—Definitions.(1) A health maintenance organization may not offer any health benefit plan to any small employer without complying with RCW 48.46.066(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 are not subject to RCW 48.46.066(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 § 16; 1995 c 265 § 24.]NOTES:Captions not law—Effective dates—Savings—Severability—1995 c 265: See notes following RCW 70.47.015.
WA Rev Code § 48.46.070 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.070 - Governing body.

RCW 48.46.070 Governing body.(1) The members of the governing body of a health maintenance organization shall be nominated by the voting members or by the enrolled participants and providers, and shall be elected by the enrolled participants or voting members pursuant to the provisions of their bylaws, which shall not be restricted to providers. At least one-third of such body shall consist of consumers who are substantially representative of the enrolled population of such organization: PROVIDED, HOWEVER, That any organization that is a qualified health maintenance organization under P.L. 93-222 (Title XIII, section 1310(d) of the public health services [service] act) is deemed to have satisfied these governing body requirements and the requirements of RCW 48.46.030(2).(2) For health maintenance organizations formed by public institutions of higher education or public hospital districts, the governing body shall be advised by an advisory board consisting of at least two-thirds consumers who are elected by the voting members or the enrolled participants and are substantially representative of the enrolled population.[ 1985 c 320 § 3; 1983 c 106 § 5; 1975 1st ex.s. c 290 § 8.]
WA Rev Code § 48.46.090 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.090 - Standard of services provided.

RCW 48.46.090 Standard of services provided.A health maintenance organization, and the health care facilities and providers with which such organization has entered into contracts to provide health care services to its enrolled participants, shall provide such services in a manner consistent with the dignity of each enrolled participant as a human being.[ 1975 1st ex.s. c 290 § 10.]
WA Rev Code § 48.46.100 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.100 - Grievance procedure.

RCW 48.46.100 Grievance procedure.A health maintenance organization shall establish and maintain a grievance procedure, approved by the commissioner, to provide reasonable and effective resolution of complaints initiated by enrolled participants concerning any matter relating to the interpretation of any provision of such enrolled participants' health maintenance contracts, including, but not limited to, claims regarding the scope of coverage for health care services; denials, cancellations, or nonrenewals of enrolled participants' coverage; and the quality of the health care services rendered, and which may include procedures for arbitration.[ 1975 1st ex.s. c 290 § 11.]
WA Rev Code § 48.46.110 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.110 - Name restrictions—Discrimination—Recovery of costs of health care services participant not entitled to.

RCW 48.46.110 Name restrictions—Discrimination—Recovery of costs of health care services participant not entitled to.(1) No health maintenance organization may refer to itself in its name or advertising with any of the words: "insurance", "casualty", "surety", "mutual", or any other words descriptive of the insurance, casualty, or surety business, or deceptively similar to the name or description of any insurance or surety corporation or health care service contractor or other health maintenance organization doing business in this state.(2) No health maintenance organization, nor any health care facility or provider with which such organization has contracted to provide health care services, shall discriminate against any person from whom or on whose behalf, payment to meet the required charge is available, with regard to enrollment, disenrollment, or the provision of health care services, on the basis of such person's race, color, sex, religion, place of residence if there is reasonable access to the facility of the health maintenance organization, socioeconomic status, or status as a recipient of medicare under Title XVIII of the Social Security Act, 42 U.S.C. section 1396, et seq.(3) Where a health maintenance organization determines that an enrolled participant has received health care services to which such enrolled participant is not entitled under the terms of his or her health maintenance agreement, neither such organization, nor any health care facility or provider with which such organization has contracted to provide health care services, shall have recourse against such enrolled participant for any amount above the actual cost of providing such service, if any, specified in such agreement, unless the enrolled participant or a member of his or her family has given or withheld information to the health maintenance organization, the effect of which is to mislead or misinform the health maintenance organization as to the enrolled participant's right to receive such services.[ 2009 c 549 § 7151; 1983 c 202 § 11; 1975 1st ex.s. c 290 § 12.]
WA Rev Code § 48.46.120 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.120 - Examination of health maintenance organizations—Duties of organizations, powers of commissioner—Independent audit reports.

RCW 48.46.120 Examination of health maintenance organizations—Duties of organizations, powers of commissioner—Independent audit reports.(1) The commissioner may make an examination of the operations of any health maintenance organization as often as he or she deems necessary in order to carry out the purposes of this chapter.(2) Every health maintenance organization shall submit its books and records relating its operation for financial condition and market conduct examinations and in every way facilitate them. The quality or appropriateness of medical services or systems shall not be examined except to the extent that such items are incidental to an examination of the financial condition or the market conduct of a health maintenance organization. For the purpose of examinations, the commissioner may issue subpoenas, administer oaths, and examine the officers and principals of the health maintenance organization and the principals of such providers concerning their business.(3) The commissioner may elect to accept and rely on audit reports made by an independent certified public accountant for the health maintenance organization 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.[ 2009 c 549 § 7152; 2007 c 468 § 2; 1987 c 83 § 1; 1986 c 296 § 9; 1985 c 7 § 115; 1983 c 63 § 2; 1975 1st ex.s. c 290 § 13.]NOTES:Severability—Effective date—1986 c 296: See notes following RCW 48.14.020.
WA Rev Code § 48.46.135 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.135 - Fine in addition to or in lieu of suspension, revocation, or refusal.

RCW 48.46.135 Fine in addition to or in lieu of suspension, revocation, or refusal.After hearing or upon stipulation by the registrant and in addition to or in lieu of the suspension, revocation, or refusal to renew any registration of a health maintenance organization, the commissioner may levy a fine against the party involved for each offense in an amount not less than fifty dollars and not more than ten thousand dollars. The order levying such 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 such order. Upon failure to pay any such fine when due the commissioner shall revoke the registration of the registrant, if not already revoked, and the fine shall be recovered in a civil action brought on 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.[ 1983 c 202 § 15.]
WA Rev Code § 48.46.140 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.140 - Fees.

RCW 48.46.140 Fees.Every organization subject to this chapter shall pay to the commissioner the following fees:(1) For filing a copy of its application for a certificate of registration or amendment thereto, one hundred dollars;(2) For filing each annual report pursuant to RCW 48.46.080, ten dollars.[ 1975 1st ex.s. c 290 § 15.]
WA Rev Code § 48.46.170 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.170 - Effect of chapter as to other laws—Construction.

RCW 48.46.170 Effect of chapter as to other laws—Construction.(1) Solicitation of enrolled participants by a health maintenance organization granted a certificate of registration, or its appointed insurance producers or representatives, does not violate any provision of law relating to solicitation or advertising by health professionals.(2) Any health maintenance organization authorized under this chapter is not violating any law prohibiting the practice by unlicensed persons of podiatric medicine and surgery, chiropractic, dental hygiene, opticianry, dentistry, optometry, osteopathic medicine and surgery, pharmacy, medicine and surgery, physical therapy, nursing, or psychology. This subsection does not expand a health professional's scope of practice or allow employees of a health maintenance organization to practice as a health professional unless licensed.(3) This chapter does not alter any statutory obligation, or rule adopted thereunder, in chapter 70.38 RCW.(4) Any health maintenance organization receiving a certificate of registration pursuant to this chapter is exempt from chapter 48.05 RCW.[ 2008 c 217 § 55; 2003 c 248 § 17; 1996 c 178 § 13; 1983 c 106 § 7; 1975 1st ex.s. c 290 § 18.]NOTES:Severability—Effective date—2008 c 217: See notes following RCW 48.03.020.Effective date—1996 c 178: See note following RCW 18.35.110.
WA Rev Code § 48.46.180 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.180 - Duty of employer to inform and make available to employees option of enrolling in health maintenance organization.

RCW 48.46.180 Duty of employer to inform and make available to employees option of enrolling in health maintenance organization.(1) The state government, or any political subdivision thereof, which offers its employees a health benefits plan shall make available to and inform its employees or members of the option to enroll in at least one health maintenance organization holding a valid certificate of authority which provides health care services in the geographic areas in which such employees or members reside.(2) Each employer, public or private, having more than fifty employees in this state which offers its employees a health benefits plan, and each employee benefits fund in this state having more than fifty members which offers its members any form of health benefits shall make available to and inform its employees or members of the option to enroll in at least one health maintenance organization holding a valid certificate of authority which provides health care services in the geographic areas in which a substantial number of such employees or members reside: PROVIDED, That unless at least twenty-five employees agree to participate in a health maintenance organization the employer need not provide such an option: PROVIDED FURTHER, That where such employees are members of a bona fide bargaining unit covered by a labor-management collective bargaining agreement, the selection of the options required by this section may be specified in such agreement: AND PROVIDED FURTHER, That the provisions of this section shall not be mandatory where such members are covered by a Taft-Hartley health care trust, except that the labor-management trustees may contract with a health maintenance organization if a feasibility study determines it is to the advantage of the members to so contract.(3) Subsections (1) and (2) of this section shall impose no responsibilities or duties upon state government or any political subdivision thereof or any other employer, either public or private, to provide health maintenance organization coverage when no health maintenance organization exists for the purpose of providing health care services in the geographic areas in which the employees or members reside.(4) No employer in this state shall in any way be required to pay more for health benefits as a result of the application of this section than would otherwise be required by any prevailing collective bargaining agreement or other legally enforceable contract of obligation for the provision of health benefits between such employer and its employees.[ 1975 1st ex.s. c 290 § 19.]
WA Rev Code § 48.46.190 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.190 - Payroll deductions for capitation payments to health maintenance organizations.

RCW 48.46.190 Payroll deductions for capitation payments to health maintenance organizations.See RCW 41.04.233.
WA Rev Code § 48.46.200 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.200 - Rules and regulations.

RCW 48.46.200 Rules and regulations.The commissioner may, in accordance with the provisions of the administrative procedure act, chapter 34.05 RCW, promulgate rules and regulations as necessary or proper to carry out the provisions of this chapter. Nothing in this chapter shall be construed to prohibit the commissioner from requiring changes in procedures previously approved by him or her.[ 2009 c 549 § 7153; 1975 1st ex.s. c 290 § 21.]
WA Rev Code § 48.46.210 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.210 - Compliance with federal funding requirements—Construction.

RCW 48.46.210 Compliance with federal funding requirements—Construction.Nothing in this chapter shall prohibit any health maintenance organization from meeting the requirements of any federal law which would authorize such health maintenance organization to receive federal financial assistance or enroll beneficiaries assisted by federal funds.[ 1975 1st ex.s. c 290 § 22.]
WA Rev Code § 48.46.220 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.220 - Review of administrative action.

RCW 48.46.220 Review of administrative action.Any party aggrieved by a decision, order, or regulation made under this chapter by the commissioner shall have the right to have such reviewed pursuant to the provisions of the administrative procedure act, chapter 34.05 RCW.[ 1975 1st ex.s. c 290 § 23.]
WA Rev Code § 48.46.225 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.46 - Health Maintenance Organizations.|48.46.225 - Financial failure—Supervision of commissioner—Priority of distribution of assets.

RCW 48.46.225 Financial failure—Supervision of commissioner—Priority of distribution of assets.(1) Any rehabilitation, liquidation, or conservation of a health maintenance organization is the same as the rehabilitation, liquidation, or conservation of an insurance company and must 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 maintenance organization upon any one or more grounds set out in RCW 48.31.030, 48.31.050, and 48.31.080. Enrolled participants have the same priority in the event of liquidation or rehabilitation as the law provides to policyholders of an insurer.(2) For purposes of determining the priority of distribution of general assets, claims of enrolled participants and enrolled participants' beneficiaries 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 maintenance agreement, that liability has the status of an enrolled participant claim for distribution of general assets.(3) A 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 has a priority of distribution of the general assets immediately following that of enrolled participants and enrolled participants' beneficiaries under this section.[ 2003 c 248 § 18; 1990 c 119 § 4.]