reglab/housing_qa huggingface dataset:
WA Rev Code § 48.21.155 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.155 - Dependent child coverage—From moment of birth—Congenital anomalies—Notification of birth.

RCW 48.21.155 Dependent child coverage—From moment of birth—Congenital anomalies—Notification of birth.(1) Any group disability insurance contract except blanket disability insurance contract, providing hospital and medical expenses and health care services, renewed, delivered or issued for delivery in this state more than one hundred twenty days after February 16, 1974, which provides coverage for the dependent children of persons in the insured group, shall provide coverage for newborn infant children of persons in the insured group from and after the moment of birth. Coverage provided in accord with this section shall include, but not be limited to, coverage for congenital anomalies of such infant children from the moment of birth.(2) If payment of an additional premium is required to provide coverage for a child, the contract may require that notification of birth of a newly born child and payment of the required premium must be furnished to the insurer. The notification period shall be no less than sixty days from the date of birth. This subsection applies to policies issued or renewed on or after January 1, 1984.[ 1983 1st ex.s. c 32 § 20; 1974 ex.s. c 139 § 2.]
WA Rev Code § 48.21.157 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.157 - Option to cover dependents under age twenty-six.

RCW 48.21.157 Option to cover dependents under age twenty-six.Any group disability insurance contract or blanket disability insurance contract that provides coverage for a participating member's dependent must offer each participating member the option of covering any dependent under the age of twenty-six.[ 2011 c 314 § 17; 2007 c 259 § 20.]NOTES:Effective date—2007 c 259 §§ 18-22: See note following RCW 41.05.095.Severability—Subheadings not law—2007 c 259: See notes following RCW 41.05.033.
WA Rev Code § 48.21.160 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.160 - Chemical dependency benefits—Legislative declaration.

RCW 48.21.160 Chemical dependency benefits—Legislative declaration.The legislature recognizes that chemical dependency is a disease and, as such, warrants the same attention from the health care industry as other similarly serious diseases warrant; the legislature further recognizes that health insurance contracts and contracts for health care services include inconsistent provisions providing benefits for the treatment of chemical dependency. In order to assist the many citizens of this state who suffer from the disease of chemical dependency, and who are presently effectively precluded from obtaining adequate coverage for medical assistance under the terms of their health insurance contract or health care service contract, the legislature hereby declares that provisions providing benefits for the treatment of chemical dependency shall be included in new contracts and that this section, RCW 48.21.180, 48.21.190, 48.44.240, 48.46.350, and RCW 48.21.195, 48.44.245, and 48.46.355 are necessary for the protection of the public health and safety. Nothing in this section, RCW 48.21.180, 48.21.190, 48.44.240, 48.46.350, and RCW 48.21.195, 48.44.245, and 48.46.355 shall be construed to relieve any person of any civil or criminal liability for any act or omission that is the result of a chemical dependency or to grant any person with a chemical dependency any special right, privilege, or status under the law against discrimination, chapter 49.60 RCW.[ 1987 c 458 § 13; 1974 ex.s. c 119 § 1.]NOTES:Effective date—1987 c 458 §§ 13-20: "Sections 13 through 20 of this act shall take effect on January 1, 1988." [ 1987 c 458 § 24.]Severability—1987 c 458: "If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected." [ 1987 c 458 § 25.]
WA Rev Code § 48.21.180 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.180 - Chemical dependency benefits—Contracts issued or renewed after January 1, 1988.

RCW 48.21.180 Chemical dependency benefits—Contracts issued or renewed after January 1, 1988.Each group disability insurance contract which is delivered or issued for delivery or renewed, on or after January 1, 1988, and which insures for hospital or medical care must contain provisions providing benefits for the treatment of chemical dependency rendered to the insured by a provider which is an "approved substance use disorder treatment program" under *RCW 70.96A.020(2).[ 2018 c 201 § 8011; 2003 c 248 § 9; 1990 1st ex.s. c 3 § 7; 1987 c 458 § 14; 1974 ex.s. c 119 § 3.]NOTES:*Reviser's note: RCW 70.96A.020 was repealed by 2016 sp.s. c 29 § 301.Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.Effective date—Severability—1987 c 458: See notes following RCW 48.21.160.
WA Rev Code § 48.21.190 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.190 - Chemical dependency benefits—RCW 48.21.160 through 48.21.190, 48.44.240 inapplicable, when.

RCW 48.21.190 Chemical dependency benefits—RCW 48.21.160 through 48.21.190, 48.44.240 inapplicable, when.RCW 48.21.160 through 48.21.190 and 48.44.240 as now or hereafter amended shall not apply to the renewal of a contract in force prior to the pertinent date provided for such contract under RCW 48.21.160 through 48.21.190 and 48.44.240 as now or hereafter amended where there exists a right of renewal on the part of the insured or subscriber without any change in any provision of the contract: PROVIDED FURTHER, That RCW 48.21.160 through 48.21.190 and 48.44.240 as now or hereafter amended shall not apply to contracts which provide only accident coverage, nor to any contract written as supplemental coverage to any federal or state programs of health care including, but not limited to, Title XVIII health insurance for the aged (commonly referred to as Medicare, Parts A and B), and amendments thereto.[ 1975 1st ex.s. c 266 § 10; 1974 ex.s. c 119 § 5.]NOTES:Severability—1975 1st ex.s. c 266: See note following RCW 48.01.010.
WA Rev Code § 48.21.195 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.195 - "Chemical dependency" defined.

RCW 48.21.195 "Chemical dependency" defined.For the purposes of RCW 48.21.160 and 48.21.180 "chemical dependency" means an illness characterized by a physiological or psychological dependency, or both, on a controlled substance regulated under chapter 69.50 RCW and/or alcoholic beverages. It is further characterized by a frequent or intense pattern of pathological use to the extent the user exhibits a loss of self-control over the amount and circumstances of use; develops symptoms of tolerance or physiological and/or psychological withdrawal if use of the controlled substance or alcoholic beverage is reduced or discontinued; and the user's health is substantially impaired or endangered or his or her social or economic function is substantially disrupted.[ 1987 c 458 § 15.]NOTES:Effective date—Severability—1987 c 458: See notes following RCW 48.21.160.
WA Rev Code § 48.21.197 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.197 - Chemical dependency benefits—Rules.

RCW 48.21.197 Chemical dependency benefits—Rules.By September 1, 1987, the insurance commissioner shall adopt rules governing benefits for treatment of chemical dependency under medical plans issued under chapters 48.21, 48.44, and 48.46 RCW. These rules shall recognize that many persons are dependent on both alcohol and drugs; they shall prohibit the stacking of benefits and shall require that benefits for chemical dependency be equivalent to benefits previously required for alcoholism.[ 1987 c 458 § 21.]NOTES:Severability—1987 c 458: See note following RCW 48.21.160.
WA Rev Code § 48.21.200 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.200 - Individual or group disability, health care service contract, health maintenance agreement—Reduction of benefits on basis of other existing coverages.

RCW 48.21.200 Individual or group disability, health care service contract, health maintenance agreement—Reduction of benefits on basis of other existing coverages.(1) No individual or group disability insurance policy, health care service contract, or health maintenance agreement providing hospital, medical or surgical expense benefits and which contains a provision for the reduction of benefits otherwise payable or available thereunder on the basis of other existing coverages, shall provide that such reduction will operate to reduce total benefits payable below an amount equal to one hundred percent of total allowable expenses.(2) The commissioner shall by rule establish guidelines for the application of this section, including:(a) The procedures by which persons covered under such policies, contracts, and agreements are to be made aware of the existence of such a provision;(b) The benefits which may be subject to such a provision;(c) The effect of such a provision on the benefits provided;(d) Establishment of the order of benefit determination; (e) Exceptions necessary to preserve policy, contract, or agreement requirements for use of particular health care facilities or providers; and(f) Reasonable claim administration procedures to expedite claim payments and prevent duplication of payments or benefits under such a provision.[ 2007 c 80 § 3; 1993 c 492 § 282. Prior: 1983 c 202 § 16; 1983 c 106 § 24; 1975 1st ex.s. c 266 § 20.]NOTES:Findings—Intent—1993 c 492: See notes following RCW 43.20.050.Short title—Savings—Reservation of legislative power—Effective dates—1993 c 492: See RCW 43.72.910 through 43.72.915.Severability—1975 1st ex.s. c 266: See note following RCW 48.01.010.
WA Rev Code § 48.21.223 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.223 - Prescribed, self-administered anticancer medication.

RCW 48.21.223 Prescribed, self-administered anticancer medication.(1) Each health plan issued or renewed on or after January 1, 2012, that provides coverage for cancer chemotherapy treatment must provide coverage for prescribed, self-administered anticancer medication that is used to kill or slow the growth of cancerous cells on a basis at least comparable to cancer chemotherapy medications administered by a health care provider or facility as defined in RCW 48.43.005 (25) and (26).(2) Nothing in this section may be interpreted to prohibit a health plan from administering a formulary or preferred drug list, requiring prior authorization, or imposing other appropriate utilization controls in approving coverage for any chemotherapy.[ 2020 c 18 § 20; 2011 c 159 § 4.]NOTES:Explanatory statement—2020 c 18: See note following RCW 43.79A.040.Findings—2011 c 159: See note following RCW 41.05.175.
WA Rev Code § 48.21.225 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.225 - Mammograms—Insurance coverage.

RCW 48.21.225 Mammograms—Insurance coverage.Each group disability insurance policy issued or renewed after January 1, 1990, that provides coverage for hospital or medical expenses shall provide coverage for screening or diagnostic mammography services, provided that such services are delivered upon the recommendation of the patient's physician or advanced registered nurse practitioner as authorized by the nursing care quality assurance commission pursuant to chapter 18.79 RCW or physician assistant pursuant to chapter 18.71A RCW.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 an insurer to negotiate rates and contract with specific providers for the delivery of mammography services. This section shall not apply to medicare supplement policies or supplemental contracts covering a specified disease or other limited benefits.[ 1994 sp.s. c 9 § 731; 1989 c 338 § 2.]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 § 48.21.227 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.227 - Prostate cancer screening.

RCW 48.21.227 Prostate cancer screening.(1) Each group disability insurance policy issued or renewed 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 an insurer to negotiate rates and contract with specific providers for the delivery of prostate cancer screening services. This section shall not apply to medicare supplemental policies or supplemental contracts covering a specified disease or other limited benefits.[ 2006 c 367 § 3.]
WA Rev Code § 48.21.230 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.230 - Reconstructive breast surgery.

RCW 48.21.230 Reconstructive breast surgery.(1) Each group disability insurance contract issued or renewed after July 24, 1983, which insures for hospital or medical care shall provide coverage for reconstructive breast surgery resulting from a mastectomy which resulted from disease, illness, or injury.(2) Each group disability insurance contract issued or renewed after January 1, 1986, which insures for hospital or medical care shall provide coverage for all stages of one reconstructive breast reduction on the nondiseased breast to make it equal in size with the diseased breast after definitive reconstructive surgery on the diseased breast has been performed.[ 1985 c 54 § 6; 1983 c 113 § 2.]NOTES:Effective date—1985 c 54: See note following RCW 48.20.397.
WA Rev Code § 48.21.235 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.235 - Mastectomy, lumpectomy.

RCW 48.21.235 Mastectomy, lumpectomy.No person engaged in the business of insurance under this chapter may refuse to issue any contract of insurance or cancel or decline to renew the contract solely because of a mastectomy or lumpectomy performed on the insured or prospective insured more than five years previously. The amount of benefits payable, or any term, rate, condition, or type of coverage shall not be restricted, modified, excluded, increased, or reduced solely on the basis of a mastectomy or lumpectomy performed on the insured or prospective insured more than five years previously.[ 1985 c 54 § 2.]NOTES:Effective date—1985 c 54: See note following RCW 48.20.397.
WA Rev Code § 48.21.242 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.242 - Mental health treatment—Waiver of preauthorization for persons involuntarily committed.

RCW 48.21.242 Mental health treatment—Waiver of preauthorization for persons involuntarily committed.An insurer providing group disability insurance coverage for health care in this state shall waive a preauthorization requirement from the insurer before an insured or the insured's covered dependents receive mental health care and treatment rendered by a state hospital if the insured or any of the insured's covered dependents are involuntarily committed to a state hospital as defined in RCW 72.23.010.[ 1993 c 272 § 3.]NOTES:Savings—Severability—1993 c 272: See notes following RCW 43.20B.347.
WA Rev Code § 48.21.244 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.244 - Benefits for prenatal diagnosis of congenital disorders—Contracts entered into or renewed on or after January 1, 1990.

RCW 48.21.244 Benefits for prenatal diagnosis of congenital disorders—Contracts entered into or renewed on or after January 1, 1990.On or after January 1, 1990, every group disability contract entered into or renewed that covers hospital, medical, or surgical expenses on a group basis, and which provides benefits for pregnancy, childbirth, or related medical conditions to enrollees of such groups, shall offer benefits for prenatal diagnosis of congenital disorders of the fetus by means of screening and diagnostic procedures during pregnancy to such enrollees when those services are determined to be medically necessary by the disability contractor in accord with standards set in rule by the board of health. Every group disability contractor shall communicate the availability of such coverage to all group disability contract holders and to all groups with whom they are negotiating.[ 1988 c 276 § 6.]NOTES:Prenatal testing—Limitation on changes to coverage: RCW 48.42.090.
WA Rev Code § 48.21.250 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.250 - Continuation option to be offered.

RCW 48.21.250 Continuation option to be offered.Every insurer that issues policies providing group coverage for hospital or medical expense shall offer the policyholder an option to include a policy provision granting a person who becomes ineligible for coverage under the group policy, the right to continue the group benefits for a period of time and at a rate agreed upon. The policy provision shall provide that when such coverage terminates, the covered person may convert to a policy as provided in RCW 48.21.260.[ 1984 c 190 § 2.]NOTES:Legislative intent—1984 c 190: "The legislature recognizes that when people covered by a group health insurance policy lose their group insurance benefits because they are no longer eligible, they need time to obtain a suitable form of replacement coverage or time to complete a reasonable course of medical treatment for a health condition that existed when the group benefits ended.Spouses and dependents can lose their group insurance and may not have any other health insurance when one spouse covered under a group policy dies, obtains a divorce, or becomes unemployed. Often the cost of an individual policy prevents these persons from obtaining any other health insurance.The intent of this act is to require insurers, health care service contractors, and health maintenance organizations to:(1) Offer to the contract holder the option to continue health and medical benefits for employees, members, spouses, or dependents whose eligibility for coverage under a group policy, contract, or agreement is terminated; and(2) Provide a conversion policy, contract, or agreement to employees, members, spouses, or dependents whose eligibility for coverage under a group policy, contract, or agreement is terminated." [ 1984 c 190 § 1.]Application—1984 c 190 §§ 2, 5, and 8: "Sections 2, 5, and 8 of this act shall apply to any policy, contract, or agreement issued, renewed, or amended on or after January 1, 1985." [ 1984 c 190 § 12.]Severability—1984 c 190: "If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected." [ 1984 c 190 § 13.]
WA Rev Code § 48.21.260 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.21 - Group and Blanket Disability Insurance.|48.21.260 - Conversion policy to be offered—Exceptions, conditions.

RCW 48.21.260 Conversion policy to be offered—Exceptions, conditions.(1) Except as otherwise provided by this section, any group disability insurance policy that provides benefits for hospital or medical expenses must contain a provision granting a person covered by the group policy the right to obtain a conversion policy from the insurer upon termination of the person's eligibility for coverage under the group policy.(2) An insurer need not offer a conversion policy to:(a) A person whose coverage under the group policy ended when the person's employment or membership was terminated for misconduct: PROVIDED, That when a person's employment or membership is terminated for misconduct, a conversion policy shall be offered to the spouse and/or dependents of the terminated employee or member. The policy shall include in the conversion provisions the same conversion rights and conditions which are available to employees or members and their spouses and/or dependents who are terminated for reasons other than misconduct;(b) A person who is eligible for federal medicare coverage; or(c) A person who is covered under another group plan, policy, contract, or agreement providing benefits for hospital or medical care.(3) To obtain the conversion policy, a person must submit a written application and the first premium payment for the conversion policy not later than thirty-one days after the date the person's group coverage terminates or thirty-one days after the date the person received notice of termination of coverage, whichever is later. The conversion policy shall become effective, without lapse of coverage, immediately following termination of coverage under the group policy.(4) If an insurer or group policyholder does not renew, cancels, or otherwise terminates the group policy, the insurer must offer a conversion policy to any person who was covered under the terminated policy unless the person is eligible to obtain group hospital or medical expense coverage within thirty-one days after such nonrenewal, cancellation, or termination of the group policy or thirty-one days after the date the person received notice of termination of coverage, whichever is later.(5) The insurer shall determine the premium for the conversion policy in accordance with the insurer's table of premium rates applicable to the age and class of risk of each person to be covered under the policy and the type and amount of benefits provided.[ 2010 c 110 § 1; 1984 c 190 § 3.]NOTES:Application—2010 c 110: "This act applies to any group disability insurance policy, group health care service contract, and group health maintenance agreement issued, entered into, or renewed on or after January 1, 2011." [ 2010 c 110 § 4.]Legislative intent—Severability—1984 c 190: See notes following RCW 48.21.250.