reglab/housing_qa huggingface dataset:
WA Rev Code § 48.140.020 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.140 - Medical Malpractice Closed Claim Reporting.|48.140.020 - Closed claim reporting requirements.

RCW 48.140.020 Closed claim reporting requirements.(1) For claims closed on or after January 1, 2008:(a) Every insuring entity or self-insurer that provides medical malpractice insurance to any facility or provider in Washington state must report each medical malpractice closed claim to the commissioner.(b) If a claim is not covered by an insuring entity or self-insurer, the facility or provider named in the claim must report it to the commissioner after a final claim disposition has occurred due to a court proceeding or a settlement by the parties.Instances in which a claim may not be covered by an insuring entity or self-insurer include, but are not limited to, situations in which the:(i) Facility or provider did not buy insurance or maintained a self-insured retention that was larger than the final judgment or settlement;(ii) Claim was denied by an insuring entity or self-insurer because it did not fall within the scope of the insurance coverage agreement; or(iii) Annual aggregate coverage limits had been exhausted by other claim payments.(c) If a facility or provider is insured by a risk retention group and the risk retention group refuses to report closed claims and asserts that the federal liability risk retention act (95 Stat. 949; 15 U.S.C. Sec. 3901 et seq.) preempts state law, the facility or provider must report all data required by this chapter on behalf of the risk retention group.(d) If a facility or provider is insured by an unauthorized insurer and the unauthorized insurer refuses to report closed claims and asserts a federal exemption or other jurisdictional preemption, the facility or provider must report all data required by this chapter on behalf of the unauthorized insurer.(2) Beginning in 2009, reports required under subsection (1) of this section must be filed by March 1st, and include data for all claims closed in the preceding calendar year and any adjustments to data reported in prior years. The commissioner may adopt rules that require insuring entities, self-insurers, facilities, or providers to file closed claim data electronically.(3) The commissioner may impose a fine of up to two hundred fifty dollars per day against any insuring entity, except a risk retention group, that violates the requirements of this section.(4) The department of health, department of licensing, or department of social and health services may require a provider or facility to take corrective action to assure compliance with the requirements of this section.[ 2007 c 32 § 1; 2006 c 8 § 202.]
WA Rev Code § 48.140.040 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.140 - Medical Malpractice Closed Claim Reporting.|48.140.040 - Statistical summaries.

RCW 48.140.040 Statistical summaries.The commissioner must prepare aggregate statistical summaries of closed claims based on data submitted under RCW 48.140.020.(1) At a minimum, the commissioner must summarize data by calendar year and calendar/incident year. The commissioner may also decide to display data in other ways if the commissioner:(a) Protects information as required under RCW 48.140.060(2); and(b) Exempts from disclosure data described in *RCW 42.56.400(11).(2) The summaries must be available by April 30th of each year, unless the commissioner notifies legislative committees by March 15th that data are not available and informs the committees when the summaries will be completed.(3) Information included in an individual closed claim report submitted by an insuring entity, self-insurer, provider, or facility under this chapter is confidential and exempt from public disclosure, and the commissioner must not make these data available to the public.[ 2006 c 8 § 204.]NOTES:*Reviser's note: RCW 42.56.400 was amended by 2007 c 197 § 7, changing subsection (11) to subsection (10).
WA Rev Code § 48.140.050 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.140 - Medical Malpractice Closed Claim Reporting.|48.140.050 - Annual report.

RCW 48.140.050 Annual report.Beginning in 2010, the commissioner must prepare an annual report that summarizes and analyzes the closed claim reports for medical malpractice filed under RCW 48.140.020 and 7.70.140 and the annual financial reports filed by authorized insurers writing medical malpractice insurance in this state. The commissioner must complete the report by June 30th, unless the commissioner notifies legislative committees by June 1st that data are not available and informs the committees when the summaries will be completed.(1) The report must include:(a) An analysis of reported closed claims from prior years for which data are collected. The analysis must show:(i) Trends in the frequency and severity of claim payments;(ii) A comparison of economic and noneconomic damages;(iii) A distribution of allocated loss adjustment expenses and other legal expenses;(iv) The types of medical malpractice for which claims have been paid; and(v) Any other information the commissioner finds relevant to trends in medical malpractice closed claims if the commissioner:(A) Protects information as required under RCW 48.140.060(2); and(B) Exempts from disclosure data described in *RCW 42.56.400(11);(b) An analysis of the medical malpractice insurance market in Washington state, including:(i) An analysis of the financial reports of the authorized insurers with a combined market share of at least ninety percent of direct written medical malpractice premium in Washington state for the prior calendar year;(ii) A loss ratio analysis of medical malpractice insurance written in Washington state; and(iii) A profitability analysis of the authorized insurers with a combined market share of at least ninety percent of direct written medical malpractice premium in Washington state for the prior calendar year;(c) A comparison of loss ratios and the profitability of medical malpractice insurance in Washington state to other states based on financial reports filed with the national association of insurance commissioners and any other source of information the commissioner deems relevant; and(d) A summary of the rate filings for medical malpractice that have been approved by the commissioner for the prior calendar year, including an analysis of the trend of direct incurred losses as compared to prior years.(2) The commissioner must post reports required by this section on the internet no later than thirty days after they are due.(3) The commissioner may adopt rules that require insuring entities and self-insurers required to report under RCW 48.140.020 and subsection (1)(a) of this section to report data related to:(a) The frequency and severity of closed claims for the reporting period; and(b) Any other closed claim information that helps the commissioner monitor losses and claim development patterns in the Washington state medical malpractice insurance market.[ 2006 c 8 § 205.]NOTES:*Reviser's note: RCW 42.56.400 was amended by 2007 c 197 § 7, changing subsection (11) to subsection (10).
WA Rev Code § 48.140.060 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.140 - Medical Malpractice Closed Claim Reporting.|48.140.060 - Rules.

RCW 48.140.060 Rules.The commissioner must adopt all rules needed to implement this chapter. The rules must:(1) Identify which insuring entity or self-insurer has the primary obligation to report a closed claim when more than one insuring entity or self-insurer is providing medical malpractice liability coverage to a single health care provider or a single health care facility that has been named in a claim;(2) Protect information that, alone or in combination with other data, could result in the ability to identify a claimant, health care provider, health care facility, or self-insurer involved in a particular claim or collection of claims; and(3) Specify standards and methods for the reporting by claimants, insuring entities, self-insurers, facilities, and providers.[ 2006 c 8 § 206.]
WA Rev Code § 48.140.070 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.140 - Medical Malpractice Closed Claim Reporting.|48.140.070 - Model statistical reporting standards—Report to legislature.

RCW 48.140.070 Model statistical reporting standards—Report to legislature.(1) If the national association of insurance commissioners adopts revised model statistical reporting standards for medical malpractice insurance, the commissioner must analyze the new reporting standards and report this information to the legislature, as follows:(a) An analysis of any differences between the model reporting standards and:(i) RCW 48.140.010 through 48.140.060; and(ii) Any statistical plans that the commissioner has adopted under RCW 48.19.370; and(b) Recommendations, if any, about legislative changes necessary to implement the model reporting standards.(2) The commissioner must submit the report required under subsection (1) of this section to the following legislative committees by the first day of December in the year after the national association of insurance commissioners adopts new model medical malpractice reporting standards:(a) The house of representatives committees on health care; financial institutions and insurance; and judiciary; and(b) The senate committees on health and long-term care; financial institutions, housing and consumer protection; and judiciary.[ 2006 c 8 § 207.]
WA Rev Code § 48.140.080 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.140 - Medical Malpractice Closed Claim Reporting.|48.140.080 - Reporting requirements under RCW 48.19.370 not affected.

RCW 48.140.080 Reporting requirements under RCW 48.19.370 not affected.This chapter does not amend or modify the statistical reporting requirements that apply to insurers under RCW 48.19.370.[ 2006 c 8 § 208.]
WA Rev Code § 48.140.900 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.140 - Medical Malpractice Closed Claim Reporting.|48.140.900 - Findings—Intent—Part headings and subheadings not law—Severability—2006 c 8.

RCW 48.140.900 Findings—Intent—Part headings and subheadings not law—Severability—2006 c 8.See notes following RCW 5.64.010.
WA Rev Code § 48.150.005 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.150 - Direct Patient-Provider Primary Health Care.|48.150.005 - Public policy.

RCW 48.150.005 Public policy.It is the public policy of Washington to promote access to medical care for all citizens and to encourage innovative arrangements between patients and providers that will help provide all citizens with a medical home.Washington needs a multipronged approach to provide adequate health care to many citizens who lack adequate access to it. Direct patient-provider practices, in which patients enter into a direct relationship with medical practitioners and pay a fixed amount directly to the health care provider for primary care services, represent an innovative, affordable option which could improve access to medical care, reduce the number of people who now lack such access, and cut down on emergency room use for primary care purposes, thereby freeing up emergency room facilities to treat true emergencies.[ 2007 c 267 § 1.]
WA Rev Code § 48.150.020 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.150 - Direct Patient-Provider Primary Health Care.|48.150.020 - Prohibition on discrimination.

RCW 48.150.020 Prohibition on discrimination.Except as provided in RCW 48.150.050, no direct practice shall decline to accept any person solely on account of race, religion, national origin, the presence of any sensory, mental, or physical disability, education, economic status, or sexual orientation.[ 2007 c 267 § 4.]
WA Rev Code § 48.150.030 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.150 - Direct Patient-Provider Primary Health Care.|48.150.030 - Direct fee—Monthly basis—Designated contact person.

RCW 48.150.030 Direct fee—Monthly basis—Designated contact person.(1) A direct practice must charge a direct fee on a monthly basis. The fee must represent the total amount due for all primary care services specified in the direct agreement and may be paid by the direct patient or on his or her behalf by others.(2) A direct practice must:(a) Maintain appropriate accounts and provide data regarding payments made and services received to direct patients upon request; and(b) Either:(i) Bill patients at the end of each monthly period; or(ii) If the patient pays the monthly fee in advance, promptly refund to the direct patient all unearned direct fees following receipt of written notice of termination of the direct agreement from the direct patient. The amount of the direct fee considered earned shall be a proration of the monthly fee as of the date the notice of termination is received.(3) If the patient chooses to pay more than one monthly direct fee in advance, the funds must be held in a trust account and paid to the direct practice as earned at the end of each month. Any unearned direct fees held in trust following receipt of termination of the direct agreement shall be promptly refunded to the direct patient. The amount of the direct fee earned shall be a proration of the monthly fee for the then current month as of the date the notice of termination is received.(4) The direct fee schedule applying to an existing direct patient may not be increased over the annual negotiated amount more frequently than annually. A direct practice shall provide advance notice to existing patients of any change within the fee schedule applying to those existing direct patients. A direct practice shall provide at least sixty days' advance notice of any change in the fee.(5) A direct practice must designate a contact person to receive and address any patient complaints.(6) Direct fees for comparable services within a direct practice shall not vary from patient to patient based on health status or sex.[ 2007 c 267 § 5.]
WA Rev Code § 48.150.050 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.150 - Direct Patient-Provider Primary Health Care.|48.150.050 - Acceptance or discontinuation of patients—Third-party payments.

RCW 48.150.050 Acceptance or discontinuation of patients—Third-party payments.(1) Direct practices may not decline to accept new direct patients or discontinue care to existing patients solely because of the patient's health status. A direct practice may decline to accept a patient if the practice has reached its maximum capacity, or if the patient's medical condition is such that the provider is unable to provide the appropriate level and type of health care services in the direct practice. So long as the direct practice provides the patient notice and opportunity to obtain care from another physician, the direct practice may discontinue care for direct patients if: (a) The patient fails to pay the direct fee under the terms required by the direct agreement; (b) the patient has performed an act that constitutes fraud; (c) the patient repeatedly fails to comply with the recommended treatment plan; (d) the patient is abusive and presents an emotional or physical danger to the staff or other patients of the direct practice; or (e) the direct practice discontinues operation as a direct practice.(2) Subject to the restrictions established in this chapter, direct practices may accept payment of direct fees directly or indirectly from third parties. A direct practice may accept a direct fee paid by an employer on behalf of an employee who is a direct patient. However, a direct practice shall not enter into a contract with an employer relating to direct practice agreements between the direct practice and employees of that employer, other than to establish the timing and method of the payment of the direct fee by the employer.[ 2009 c 552 § 3; 2007 c 267 § 7.]
WA Rev Code § 48.150.060 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.150 - Direct Patient-Provider Primary Health Care.|48.150.060 - Direct practices are not insurers.

RCW 48.150.060 Direct practices are not insurers.Direct practices, as defined in RCW 48.150.010, who comply with this chapter are not insurers under RCW 48.01.050, health carriers under chapter 48.43 RCW, health care service contractors under chapter 48.44 RCW, or health maintenance organizations under chapter 48.46 RCW.[ 2007 c 267 § 8.]
WA Rev Code § 48.150.070 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.150 - Direct Patient-Provider Primary Health Care.|48.150.070 - Conduct of business—Prohibitions.

RCW 48.150.070 Conduct of business—Prohibitions.A person shall not make, publish, or disseminate any false, deceptive, or misleading representation or advertising in the conduct of the business of a direct practice, or relative to the business of a direct practice.[ 2007 c 267 § 9.]
WA Rev Code § 48.150.080 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.150 - Direct Patient-Provider Primary Health Care.|48.150.080 - Misrepresenting the terms of a direct agreement.

RCW 48.150.080 Misrepresenting the terms of a direct agreement.A person shall not make, issue, or circulate, or cause to be made, issued, or circulated, a misrepresentation of the terms of any direct agreement, or the benefits or advantages promised thereby, or use the name or title of any direct agreement misrepresenting the nature thereof.[ 2007 c 267 § 10.]
WA Rev Code § 48.150.090 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.150 - Direct Patient-Provider Primary Health Care.|48.150.090 - Chapter violations.

RCW 48.150.090 Chapter violations.Violations of this chapter constitute unprofessional conduct enforceable under RCW 18.130.180.[ 2007 c 267 § 11.]
WA Rev Code § 48.150.100 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.150 - Direct Patient-Provider Primary Health Care.|48.150.100 - Annual statements—Commissioner's report.

RCW 48.150.100 Annual statements—Commissioner's report.(1) Direct practices must submit annual statements, beginning on October 1, 2007, to the office of [the] insurance commissioner specifying the number of providers in each practice, total number of patients being served, the average direct fee being charged, providers' names, and the business address for each direct practice. The form and content for the annual statement must be developed in a manner prescribed by the commissioner.(2) A health care provider may not act as, or hold himself or herself out to be, a direct practice in this state, nor may a direct agreement be entered into with a direct patient in this state, unless the provider submits the annual statement in subsection (1) of this section to the commissioner.(3) The commissioner shall report annually to the legislature on direct practices including, but not limited to, participation trends, complaints received, voluntary data reported by the direct practices, and any necessary modifications to this chapter. The initial report shall be due December 1, 2009.[ 2007 c 267 § 12.]
WA Rev Code § 48.150.110 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.150 - Direct Patient-Provider Primary Health Care.|48.150.110 - Direct agreement requirements—Disclaimer.

RCW 48.150.110 Direct agreement requirements—Disclaimer.(1) A direct agreement must include the following disclaimer: "This agreement does not provide comprehensive health insurance coverage. It provides only the health care services specifically described." The direct agreement may not be sold to a group and may not be entered with a group of subscribers. It must be an agreement between a direct practice and an individual direct patient. Nothing prohibits the presentation of marketing materials to groups of potential subscribers or their representatives.(2) A comprehensive disclosure statement shall be distributed to all direct patients with their participation forms. Such disclosure must inform the direct patients of their financial rights and responsibilities to the direct practice as provided for in this chapter, encourage that direct patients obtain and maintain insurance for services not provided by the direct practice, and state that the direct practice will not bill a carrier for services covered under the direct agreement. The disclosure statement shall include contact information for the office of the insurance commissioner.[ 2007 c 267 § 13.]
WA Rev Code § 48.155.001 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.155 - Health Care Discount Plan Organization Act.|48.155.001 - Short title.

RCW 48.155.001 Short title.This chapter may be known and cited as the Washington health care discount plan organization act.[ 2009 c 175 § 1.]
WA Rev Code § 48.155.003 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.155 - Health Care Discount Plan Organization Act.|48.155.003 - Purpose.

RCW 48.155.003 Purpose.The purposes of this chapter are to promote the public interest by establishing standards for discount plan organizations, to protect consumers from unfair or deceptive marketing, sales, or enrollment practices, and to facilitate consumer understanding of the role and function of discount plan organizations in providing discounts on charges for health care services.[ 2009 c 175 § 2.]
WA Rev Code § 48.155.007 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.155 - Health Care Discount Plan Organization Act.|48.155.007 - Rules.

RCW 48.155.007 Rules.The commissioner may adopt rules to implement this chapter.[ 2009 c 175 § 18.]
WA Rev Code § 48.155.015 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.155 - Health Care Discount Plan Organization Act.|48.155.015 - Application of chapter.

RCW 48.155.015 Application of chapter.(1) This chapter applies to all discount plans and all discount plan organizations doing business in or from this state or that affect subjects located wholly or in part or to be performed within this state, and all persons having to do with this business.(2) A discount plan organization that is a health carrier, as defined under RCW 48.43.005, with a license, certificate of authority, or registration:(a) Is not required to obtain a license under RCW 48.155.020, except that any of its affiliates that operate as a discount plan organization in this state must obtain a license under RCW 48.155.020 and comply with all other provisions of this chapter;(b) Is required to comply with RCW 48.155.060 through 48.155.090 and report, in the form and manner as the commissioner may require, any of the information described in RCW 48.155.110(2) (b), (c), or (d) that is not otherwise already reported; and(c) Is subject to RCW 48.155.130 and 48.155.140.[ 2015 c 122 § 20; 2009 c 175 § 4.]NOTES:Effective dates—2015 c 122: See note following RCW 48.31B.005.
WA Rev Code § 48.155.030 (2021)
2021 Revised Code of Washington|Title 48 - Insurance|Chapter 48.155 - Health Care Discount Plan Organization Act.|48.155.030 - Minimum net worth.

RCW 48.155.030 Minimum net worth.(1) Except under subsection (3) of this section, before the commissioner issues a license to any person required to obtain a license under RCW 48.155.020, the person seeking to operate a discount plan organization must have a net worth of at least one hundred fifty thousand dollars.(2) At all times, except under subsection (3) of this section, each discount plan organization must maintain a net worth of at least one hundred fifty thousand dollars.(3) By rule of the commissioner, the amounts in subsections (1) and (2) of this section may be adjusted annually for inflation.[ 2009 c 175 § 6.]