reglab/statecodes huggingface dataset:
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.66 - Medicare Supplemental Health Insurance Act. › 48.66.090 - Guaranteed renewable—Exceptions.

RCW 48.66.090
Guaranteed renewable—Exceptions.
All medicare supplement policies must be guaranteed renewable and a medicare supplement insurance policy may not provide that the policy may be canceled or nonrenewed by the insurer solely on the grounds of deterioration of health. The issuer shall not cancel or nonrenew the policy for any reason other than nonpayment of premium or material misrepresentation. All medicare supplement policies and certificates must include a renewal or continuation provision. The language or specifications of such provision must be appropriately captioned, appear on the first page of the policy, and shall include any reservation by the issuer or a right to change premium.
[ 1992 c 138 § 6; 1981 c 153 § 9.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.66 - Medicare Supplemental Health Insurance Act. › 48.66.100 - Loss ratio requirements—Mass sales practices of individual policies.

RCW 48.66.100
Loss ratio requirements—Mass sales practices of individual policies.
(1) Medicare supplement insurance policies shall return to policyholders in the form of aggregate benefits under the policy, for the entire period for which rates are computed to provide coverage, loss ratios of:
(a) At least seventy-five percent of the aggregate amount of premiums earned in the case of group policies; and
(b) At least sixty-five percent of the aggregate amount of premiums earned in the case of individual policies.
(2) For the purpose of this section, medicare supplement insurance policies issued as a result of solicitation of individuals through the mail or mass media advertising, including both print and broadcast advertising, shall be treated as individual policies.
(3) The insurance commissioner may adopt rules sufficient to accomplish the provisions of this section and may, by such rules, impose more stringent or appropriate loss ratio requirements when it is necessary for the protection of the public interest.
[ 1992 c 138 § 7; 1982 c 200 § 2; 1981 c 153 § 10.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.66 - Medicare Supplemental Health Insurance Act. › 48.66.110 - Disclosure by insurer—Outline of coverage required.

RCW 48.66.110
Disclosure by insurer—Outline of coverage required.
In order to provide for full and fair disclosure in the sale of medicare supplement policies, a medicare supplement policy or certificate shall not be delivered in this state unless an outline of coverage is delivered to the potential policyholder not later than the time of application for the policy.
[ 1992 c 138 § 8; 1981 c 153 § 11.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.66 - Medicare Supplemental Health Insurance Act. › 48.66.120 - Return of policy and refund of premium—Notice required—Effect of return.

RCW 48.66.120
Return of policy and refund of premium—Notice required—Effect of return.
(1) Every individual medicare supplement insurance policy issued after January 1, 1982, and every certificate issued pursuant to a group medicare supplement policy after January 1, 1982, shall have prominently displayed on the first page of the policy form or certificate a notice stating in substance that the person to whom the policy or certificate is issued shall be permitted to return the policy or certificate within thirty days of its delivery to the purchaser and to have the premium refunded if, after examination of the policy or certificate, the purchaser is not satisfied with it for any reason. An additional ten percent penalty shall be added to any premium refund due which is not paid within thirty days of return of the policy to the insurer or insurance producer. If a policyholder or purchaser, pursuant to such notice, returns the policy or certificate to the insurer at its home or branch office or to the insurance producer through whom it was purchased, it shall be void from the beginning and the parties shall be in the same position as if no policy or certificate had been issued.
(2) No later than January 1, 2010, or when the insurer has used all of its existing paper individual medicare supplement insurance policy forms which were in its possession on July 1, 2009, whichever is earlier, the notice required by subsection (1) of this section shall use the term insurance producer in place of agent.
[ 2008 c 217 § 65; 1983 1st ex.s. c 32 § 12; 1982 c 200 § 3; 1981 c 153 § 12.]
NOTES:
Severability—Effective date—2008 c 217: See notes following RCW 48.03.020.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.66 - Medicare Supplemental Health Insurance Act. › 48.66.130 - Preexisting condition limitations.

RCW 48.66.130
Preexisting condition limitations.
(1) On or after January 1, 1996, and notwithstanding any other provision of Title 48 RCW, a medicare supplement policy or certificate shall not exclude or limit benefits for losses incurred more than three months from the effective date of coverage because it involved a preexisting condition.
(2) On or after January 1, 1996, a medicare supplement policy or certificate shall not define a preexisting condition more restrictively than as a condition for which medical advice was given or treatment was recommended by or received from a physician, or other health care provider acting within the scope of his or her license, within three months before the effective date of coverage.
(3) If a medicare supplement insurance policy or certificate contains any limitations with respect to preexisting conditions, such limitations must appear as a separate paragraph of the policy or certificate and be labeled as "Preexisting Condition Limitations."
(4) No exclusion or limitation of preexisting conditions may be applied to policies or certificates replaced in accordance with the provisions of RCW 48.66.045 if the policy or certificate replaced had been in effect for at least three months.
(5) If a medicare supplement policy or certificate replaces another medicare supplement policy or certificate, the replacing issuer shall waive any time periods applicable to preexisting conditions, waiting periods, elimination periods, and probationary periods in the new medicare supplement policy or certificate for similar benefits to the extent such time was spent under the original policy.
(6) If a medicare supplement policy or certificate replaces another medicare supplement policy or certificate which has been in effect for at least three months, the replacing policy shall not provide any time period applicable to preexisting conditions, waiting periods, elimination periods, and probationary periods for benefits similar to those contained in the original policy or certificate.
[ 2005 c 41 § 6; 2002 c 300 § 3; 1995 c 85 § 2; 1992 c 138 § 9; 1981 c 153 § 13.]
NOTES:
Intent—2005 c 41: See note following RCW 48.66.025.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.66 - Medicare Supplemental Health Insurance Act. › 48.66.140 - Medical history.

RCW 48.66.140
Medical history.
Any time that completion of a medical history of a patient is required in order for an application for a medicare supplement insurance policy to be accepted, that medical history must be completed by the applicant, a relative of the applicant, a legal guardian of the applicant, or a physician.
[ 1981 c 153 § 14.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.66 - Medicare Supplemental Health Insurance Act. › 48.66.150 - Reporting and recordkeeping, separate data required.

RCW 48.66.150
Reporting and recordkeeping, separate data required.
Commencing with reports for accounting periods beginning on or after January 1, 1982, insurers, health care service contractors, health maintenance organizations, and fraternal benefit societies shall, for reporting and recordkeeping purposes, separate data concerning medicare supplement insurance policies and contracts from data concerning other disability insurance policies and contracts.
[ 1981 c 153 § 15.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.66 - Medicare Supplemental Health Insurance Act. › 48.66.160 - Federal law supersedes.

RCW 48.66.160
Federal law supersedes.
In any case where the provisions of this chapter conflict with provisions of the "Health Insurance For The Aged Act," Title XVIII of the Social Security Amendments of 1965, or any amendments thereto or regulations promulgated thereunder, regarding any contract between the secretary of health and human services and a health maintenance organization, the provisions of the "Health Insurance For The Aged Act" shall supersede and be paramount.
[ 1981 c 153 § 16.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.66 - Medicare Supplemental Health Insurance Act. › 48.66.165 - Conformity with federal law—Rules.

RCW 48.66.165
Conformity with federal law—Rules.
The commissioner may adopt, from time-to-time, such rules as are necessary with respect to medicare supplemental insurance to conform Washington policies, contracts, certificates, standards, and practices to the requirements of federal law, specifically including 42 U.S.C. Sec. 1395ss, and federal regulations adopted thereunder.
[ 1991 c 120 § 1.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.66 - Medicare Supplemental Health Insurance Act. › 48.66.910 - Effective date—1981 c 153.

RCW 48.66.910
Effective date—1981 c 153.
This act shall take effect January 1, 1982.
[ 1981 c 153 § 19.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.66 - Medicare Supplemental Health Insurance Act. › 48.66.920 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.

RCW 48.66.920
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 § 128.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.68 - Health Care Savings Account Act. › 48.68.005 - Intent—Health care savings accounts authorized.

RCW 48.68.005
Intent—Health care savings accounts authorized.
(1) This chapter shall be known as the health care savings account act.
(2) The legislature recognizes that the costs of health care are increasing rapidly and most individuals are removed from participating in the purchase of their health care.
As a result, it becomes critical to encourage and support solutions to alleviate the demand for diminishing state resources. In response to these increasing costs in health care spending, the legislature intends to clarify that health care savings accounts may be offered as health benefit options to all residents as incentives to reduce unnecessary health services utilization, administration, and paperwork, and to encourage individuals to be in charge of and participate directly in their use of service and health care spending. To alleviate the possible impoverishment of residents requiring long-term care, health care savings accounts may promote savings for long-term care and provide incentives for individuals to protect themselves from financial hardship due to a long-term health care need.
(3) Health care savings accounts are authorized in Washington state as options to employers and residents.
[ 1995 c 265 § 2.]
NOTES:
Captions not law—Effective dates—Savings—Severability—1995 c 265: See notes following RCW 70.47.015.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.68 - Health Care Savings Account Act. › 48.68.010 - Duties of governor and responsible agencies—Chapter to remain in effect.

RCW 48.68.010
Duties of governor and responsible agencies—Chapter to remain in effect.
The governor and responsible agencies shall:
(1) Request that the United States congress amend the internal revenue code to treat premiums and contributions to health benefits plans, such as health care savings account programs, basic health plans, conventional and standard health plans offered through a health carrier, by employers, self-employed persons, and individuals, as fully excluded employer expenses and deductible from individual adjusted gross income for federal tax purposes.
(2) Request that the United States congress amend the internal revenue code to exempt from federal income tax interest that accrues in health care savings accounts until such money is withdrawn for expenditures other than eligible health expenses as defined in law.
(3) If all federal statute or regulatory waivers necessary to fully implement this chapter have not been obtained by July 1, 1995, this chapter shall remain in effect.
[ 1995 c 265 § 3.]
NOTES:
Captions not law—Effective dates—Savings—Severability—1995 c 265: See notes following RCW 70.47.015.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.70 - Specified Disease Insurance Act. › 48.70.010 - Legislative intent.

RCW 48.70.010
Legislative intent.
This chapter shall be known as the specified disease insurance act and is intended to govern the content and sale of specified disease insurance as defined in this chapter. This chapter applies in addition to, rather than in place of, other requirements of Title 48 RCW. It is the intent of the legislature to guarantee that specified disease policies issued, delivered, or used in this state provide a reasonable level of benefits to the policyholders. This chapter shall be applied broadly to ensure achievement of its aim.
[ 1982 c 181 § 20.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.70 - Specified Disease Insurance Act. › 48.70.020 - Definitions—Rules.

RCW 48.70.020
Definitions—Rules.
Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter.
(1) "Specified disease policy" refers to any insurance policy or contract which provides benefits to a policyholder only in the event that the policyholder contracts the disease or diseases specifically named in the policy.
(2) "Loss ratio" means the incurred claims as a percentage of the earned premium, computed under rules adopted by the commissioner. Earned premiums and incurred claims shall be computed under rules adopted by the commissioner.
[ 1982 c 181 § 21.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.70 - Specified Disease Insurance Act. › 48.70.030 - Expected returns to policyholders—Rules.

RCW 48.70.030
Expected returns to policyholders—Rules.
(1) Commencing with reports for the accounting periods beginning on or after July 1, 1983, specified disease policies shall be expected to return to policyholders in the form of aggregate loss ratios under the policy:
(a) At least seventy-five percent of the earned premiums in the case of group policies; and
(b) At least sixty percent of the earned premiums in the case of individual policies.
(2) For the purpose of this section, specified disease insurance policies issued as a result of solicitation of individuals through the mail or mass media advertising, including both print and broadcast advertising, shall be treated as individual policies.
(3) By July 1, 1983, the commissioner shall adopt rules sufficient to accomplish the provisions of this section.
[ 1982 c 181 § 22.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.70 - Specified Disease Insurance Act. › 48.70.040 - Rules required.

RCW 48.70.040
Rules required.
By July 1, 1983, the commissioner shall adopt all rules necessary to ensure that specified disease policies provide a reasonable level of benefits to policyholders, and that purchasers and potential purchasers of such policies are fully informed of the level of benefits provided.
[ 1982 c 181 § 23.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.70 - Specified Disease Insurance Act. › 48.70.900 - Application of chapter.

RCW 48.70.900
Application of chapter.
This chapter shall apply to all policies issued on or after July 1, 1983. This chapter shall not apply to services provided by health care service contractors as defined in RCW 48.44.010.
[ 1982 c 181 § 24.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.74 - Standard Valuation Law. › 48.74.010 - Short title.

RCW 48.74.010
Short title.
This chapter may be known and cited as the standard valuation law.
[ 2016 c 142 § 1; 1982 1st ex.s. c 9 § 1.]
NOTES:
Effective date—2016 c 142: "Sections 1 through 19 of this act take effect January 1, 2017." [ 2016 c 142 § 21.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.74 - Standard Valuation Law. › 48.74.020 - Valuation of reserve liabilities—Applicable before valuation manual is operative.

RCW 48.74.020
Valuation of reserve liabilities—Applicable before valuation manual is operative.
This section applies to policies and contracts issued prior to the operative date of the valuation manual.
(1) The commissioner shall annually value, or cause to be valued, the reserve liabilities, hereinafter called reserves, for all outstanding life insurance policies and annuity and pure endowment contracts of every life insurance company doing business in this state issued on or after July 10, 1982, and prior to the operative date of the valuation manual. In calculating such reserves, the commissioner may use group methods and approximate averages for fractions of a year or otherwise. In lieu of the valuation of the reserves herein required of any foreign or alien company, the commissioner may accept any valuation made, or caused to be made, by the insurance supervisory official of any state or other jurisdiction when such valuation complies with the minimum standard provided in this chapter.
(2) RCW 48.74.030 through 48.74.090 apply to all policies and contracts, as appropriate, subject to this chapter issued on or after July 10, 1982, and prior to the operative date of the valuation manual and RCW 48.74.100 and 48.74.110 do not apply to any such policies and contracts.
(3) The minimum standard for valuation of policies and contracts issued prior to July 10, 1982, is that provided by the laws immediately prior to that date.
[ 2016 c 142 § 3; 1982 1st ex.s. c 9 § 2.]
NOTES:
Effective date—2016 c 142: See note following RCW 48.74.010.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.74 - Standard Valuation Law. › 48.74.022 - Valuation of reserve liabilities—Applicable after valuation manual is operative.

RCW 48.74.022
Valuation of reserve liabilities—Applicable after valuation manual is operative.
This section applies to policies and contracts issued on or after the operative date of the valuation manual.
(1) The commissioner shall annually value, or cause to be valued, the reserve liabilities, called reserves, for all outstanding life insurance contracts, annuity and endowment contracts, disability contracts, and deposit-type contracts of every company issued on or after the operative date of the valuation manual. In lieu of the valuation of the reserves required of a foreign or alien company, the commissioner may accept a valuation made, or caused to be made, by the insurance supervisory official of any state, or other jurisdiction when the valuation complies with the minimum standard provided in this chapter.
(2) RCW 48.74.100 and 48.74.110 apply to all policies and contracts issued on or after the operative date of the valuation manual.
[ 2016 c 142 § 4.]
NOTES:
Effective date—2016 c 142: See note following RCW 48.74.010.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.74 - Standard Valuation Law. › 48.74.026 - Confidentiality of material submitted under RCW 48.74.025.

RCW 48.74.026
Confidentiality of material submitted under RCW 48.74.025.
(1)(a) The opinion and memorandum in support of the opinion submitted to the commissioner under RCW 48.74.025 are confidential and privileged, are exempt from disclosure pursuant to chapter 42.56 RCW, are not subject to subpoena, and are not subject to discovery or admissible in evidence in any private civil action, only if and to the extent that the opinion and memorandum supporting the opinion independently qualify for exemption from disclosure as documents, materials, or information in the possession of the commissioner pursuant to a financial conduct examination.
(b) If independently qualifying for exemption from disclosure, as provided in (a) of this subsection, the provisions of RCW 48.02.065 apply to the opinion and memorandum in support of the opinion to the same extent as documents, materials, and information in possession of the commissioner pursuant to a financial conduct examination.
(2) In addition to the provisions of RCW 48.02.065, (a) through (c) of this subsection apply to the opinion and memorandum in support of the opinion submitted to the commissioner under RCW 48.74.025.
(a) A memorandum in support of the opinion, and any other material provided by the company to the commissioner in connection with the memorandum, may be subject to subpoena for the purpose of defending an action seeking damages from the actuary submitting the memorandum by reason of an action required by this section or by rules adopted under this section.
(b) A memorandum or other material may otherwise be released by the commissioner with the written consent of the company or to the American academy of actuaries upon request stating that the memorandum or other material is required for the purpose of professional disciplinary proceedings and setting forth procedures satisfactory to the commissioner for preserving the confidentiality of the memorandum or other material.
(c) Once any portion of the confidential memorandum is cited by the company in its marketing or is cited before a governmental agency other than a state insurance department or is released by the company to the news media, all portions of the confidential memorandum are no longer confidential.
(3) Included in those agencies or organizations with which the commissioner may share the opinion and memorandum in support of the opinion, as provided in this section and RCW 48.02.065, is the office of the attorney general for purposes of investigating any consumer protection or antitrust action.
[ 2016 c 142 § 7.]
NOTES:
Effective date—2016 c 142: See note following RCW 48.74.010.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.74 - Standard Valuation Law. › 48.74.050 - Minimum aggregate reserves.

RCW 48.74.050
Minimum aggregate reserves.
(1) In no event may a company's aggregate reserves for all life insurance policies, excluding disability and accidental death benefits, issued on or after July 10, 1982, be less than the aggregate reserves calculated in accordance with the methods set forth in RCW 48.74.040, 48.74.070, and 48.74.080 and the mortality table or tables and rate or rates of interest used in calculating nonforfeiture benefits for such policies.
(2) In no event may the aggregate reserves for all policies, contracts, and benefits be less than the aggregate reserves determined by the appointed actuary to be necessary to render the opinion required under RCW 48.74.025 and 48.74.028.
[ 2016 c 142 § 9; 1993 c 462 § 88; 1982 1st ex.s. c 9 § 5.]
NOTES:
Effective date—2016 c 142: See note following RCW 48.74.010.
Severability—Implementation—1993 c 462: See RCW 48.31B.901 and 48.31B.902.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.74 - Standard Valuation Law. › 48.74.060 - Other methods of reserve calculation.

RCW 48.74.060
Other methods of reserve calculation.
(1) Reserves for all policies and contracts issued prior to July 10, 1982, may be calculated, at the option of the company, according to any standards which produce greater aggregate reserves for all such policies and contracts than the minimum reserves required by the laws in effect immediately prior to such date.
(2) Reserves for any category of policies, contracts, or benefits as established by the commissioner, issued on or after July 10, 1982, may be calculated, at the option of the company, according to any standards which produce greater aggregate reserves for such category than those calculated according to the minimum standard herein provided, but the rate or rates of interest used for policies and contracts, other than annuity and pure endowment contracts, shall not be greater than the corresponding rate or rates of interest used in calculating any nonforfeiture benefits provided in the policies or contracts.
(3) A company which adopts at any time any standard of valuation producing greater aggregate reserves than those calculated according to the minimum standard under this chapter may , adopt a lower standard of valuation with the approval of the commissioner, but not lower than the minimum provided. For the purposes of this section, the holding of additional reserves previously determined by the appointed actuary to be necessary to render the opinion required under RCW 48.74.025 and 48.74.028 is not to be the adoption of a higher standard of valuation.
[ 2016 c 142 § 10; 1993 c 462 § 89; 1982 1st ex.s. c 9 § 6.]
NOTES:
Effective date—2016 c 142: See note following RCW 48.74.010.
Severability—Implementation—1993 c 462: See RCW 48.31B.901 and 48.31B.902.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.74 - Standard Valuation Law. › 48.74.070 - Minimum reserve if gross premium less than valuation net premium.

RCW 48.74.070
Minimum reserve if gross premium less than valuation net premium.
If in any contract year the gross premium charged by a company on any policy or contract is less than the valuation net premium for the policy or contract calculated by the method used in calculating the reserve thereon but using the minimum valuation standards of mortality and rate of interest, the minimum reserve required for such policy or contract shall be the greater of either the reserve calculated according to the mortality table, rate of interest, and method actually used for such policy or contract, or the reserve calculated by the method actually used for such policy or contract but using the minimum valuation standards of mortality and rate of interest and replacing the valuation net premium by the actual gross premium in each contract year for which the valuation net premium exceeds the actual gross premium. The minimum valuation standards of mortality and rate of interest referred to in this section are those standards stated in RCW 48.74.030 (1) and (3): PROVIDED, That for any life insurance policy issued on or after January 1, 1986, for which the gross premium in the first policy year exceeds that of the second year and for which no comparable additional benefit is provided in the first year for such excess and which provides an endowment benefit or a cash surrender value or a combination thereof in an amount greater than such excess premium, the foregoing provisions of this section shall be applied as if the method actually used in calculating the reserve for such policy were the method described in RCW 48.74.040, ignoring the second paragraph of that section. The minimum reserve at each policy anniversary of such a policy shall be the greater of the minimum reserve calculated in accordance with RCW 48.74.040, including the second paragraph of that section, and the minimum reserve calculated in accordance with this section.
[ 2016 c 142 § 11; 1982 1st ex.s. c 9 § 7.]
NOTES:
Effective date—2016 c 142: See note following RCW 48.74.010.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.74 - Standard Valuation Law. › 48.74.080 - Procedure when specified methods of reserve determination unfeasible.

RCW 48.74.080
Procedure when specified methods of reserve determination unfeasible.
In the case of any plan of life insurance which provides for future premium determination, the amounts of which are to be determined by the insurance company based on then estimates of future experience, or in the case of any plan of life insurance or annuity which is of such a nature that the minimum reserves cannot be determined by the methods described in RCW 48.74.040 and 48.74.070, the reserves which are held under any such plan must, under regulations promulgated by the commissioner:
(1) Be appropriate in relation to the benefits and the pattern of premiums for that plan; and
(2) Be computed by a method which is consistent with the principles of this standard valuation law.
[ 1982 1st ex.s. c 9 § 8.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.74 - Standard Valuation Law. › 48.74.090 - Valuation of disability insurance.

RCW 48.74.090
Valuation of disability insurance.
For disability insurance contracts issued on or after the operative date of the valuation manual, the standard prescribed in the valuation manual is the minimum standard of valuation required under RCW 48.74.022. For disability insurance contracts issued on or after July 10, 1982, and prior to the operative date of the valuation manual, the minimum standard of valuation is the standard adopted by the commissioner by rule.
[ 2016 c 142 § 12; 1993 c 462 § 90.]
NOTES:
Effective date—2016 c 142: See note following RCW 48.74.010.
Severability—Implementation—1993 c 462: See RCW 48.31B.901 and 48.31B.902.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.74 - Standard Valuation Law. › 48.74.110 - Reserves—Principle-based valuation.

RCW 48.74.110
Reserves—Principle-based valuation.
(1) A company must establish reserves, consistent with the commissioner's superseding authority to establish reserves pursuant to RCW 48.74.100(7), using a principle-based valuation that meets the following conditions for policies or contracts as specified in the valuation manual:
(a) Quantify the benefits and guarantees, and the funding, associated with the contracts and their risks at a level of conservatism that reflects conditions that include unfavorable events that have a reasonable probability of occurring during the lifetime of the contracts. For policies or contracts with significant tail risk, valuations must reflect conditions appropriately adverse to quantify the tail risk.
(b) Incorporate assumptions, risk analysis methods, and financial models and management techniques that are consistent with, but not necessarily identical to, those utilized within the company's overall risk assessment process, while recognizing potential differences in financial reporting structures and any prescribed assumptions or methods.
(c) Incorporate assumptions that are derived in one of the following manners:
(i) The assumption is prescribed in the valuation manual.
(ii) For assumptions that are not prescribed, the assumptions must:
(A) Be established utilizing the company's available experience, to the extent it is relevant and statistically credible; or
(B) To the extent that company data is not available, relevant, or statistically credible, be established utilizing other relevant, statistically credible experience.
(d) Provide margins for uncertainty including adverse deviation and estimation error, such that the greater the uncertainty the larger the margin and resulting reserve.
(2) A company using a principle-based valuation for one or more policies or contracts subject to this section as specified in the valuation manual must:
(a) Establish procedures for corporate governance and oversight of the actuarial valuation function consistent with those described in the valuation manual.
(b) Provide to the commissioner and the board of directors an annual certification of the effectiveness of the internal controls with respect to the principle-based valuation. These controls must be designed to assure that all material risks inherent in the liabilities and associated assets subject to such valuation are included in the valuation, and that valuations are made in accordance with the valuation manual. The certification must be based on the controls in place as of the end of the preceding calendar year.
(c) Develop, and file with the commissioner upon request, a principle-based valuation report that complies with standards prescribed in the valuation manual.
(3) A principle-based valuation may include a prescribed formulaic reserve component.
[ 2016 c 142 § 14.]
NOTES:
Effective date—2016 c 142: See note following RCW 48.74.010.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.74 - Standard Valuation Law. › 48.74.120 - Submission of data.

RCW 48.74.120
Submission of data.
A company must submit mortality, morbidity, policyholder behavior, or expense experience and other data as prescribed in the valuation manual.
[ 2016 c 142 § 15.]
NOTES:
Effective date—2016 c 142: See note following RCW 48.74.010.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.76 - Standard Nonforfeiture Law for Life Insurance. › 48.76.010 - Short title—"NAIC" and "operative date of the valuation manual" defined.

RCW 48.76.010
Short title—"NAIC" and "operative date of the valuation manual" defined.
(1) This chapter may be known and cited as the standard nonforfeiture law for life insurance.
(2) As used in this chapter:
(a) "NAIC" means the national association of insurance commissioners.
(b) "Operative date of the valuation manual" means the January 1st of the first calendar year that the valuation manual as defined in chapter 48.74 RCW is effective.
[ 2016 c 142 § 17; 1982 1st ex.s. c 9 § 10.]
NOTES:
Effective date—2016 c 142: See note following RCW 48.74.010.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.76 - Standard Nonforfeiture Law for Life Insurance. › 48.76.030 - Amount of cash surrender value.

RCW 48.76.030
Amount of cash surrender value.
(1) Subject to subsections (2) and (3) of this section, any cash surrender value available under the policy in the event of default in a premium payment due on any policy anniversary, whether or not required by RCW 48.76.020, shall be an amount not less than the excess, if any, of the present value, on such anniversary, of the future guaranteed benefits which would have been provided for by the policy, including any existing paid-up additions, if there had been no default, over the sum of the then present value of the adjusted premiums as defined in RCW 48.76.050, corresponding to premiums which would have fallen due on and after such anniversary, and the amount of any indebtedness to the company on the policy.
(2) For any policy issued on or after the operative date of *RCW 48.76.050(4), which provides supplemental life insurance or annuity benefits at the option of the insured and for an identifiable additional premium by rider or supplemental policy provision, the cash surrender value referred to in subsection (1) of this section shall be an amount not less than the sum of the cash surrender value as defined in such paragraph for an otherwise similar policy issued at the same age without such rider or supplemental policy provision and the cash surrender value as defined in such paragraph for a policy which provides only the benefits otherwise provided by such rider or supplemental policy provision.
(3) For any family policy issued on or after the operative date of *RCW 48.76.050(4), which defines a primary insured and provides term insurance on the life of the spouse of the primary insured expiring before the spouse's age seventy-one, the cash surrender value shall be an amount not less than the sum of the cash surrender value as defined in this section for an otherwise similar policy issued at the same age without such term insurance on the life of the spouse and the cash surrender value as defined in this section for a policy which provides only the benefits otherwise provided by such term insurance on the life of the spouse.
(4) Any cash surrender value available within thirty days after any policy anniversary under any policy paid-up by completion of all premium payments or any policy continued under any paid-up nonforfeiture benefit, whether or not required by RCW 48.76.020, shall be an amount not less than the present value, on such anniversary, of the future guaranteed benefits provided for by the policy, including any existing paid-up additions, decreased by any indebtedness to the company on the policy.
[ 1982 1st ex.s. c 9 § 12.]
NOTES:
*Reviser's note: RCW 48.76.050 was amended by 2016 c 142 § 18, changing subsection (4) to subsection (7), effective January 1, 2017.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.76 - Standard Nonforfeiture Law for Life Insurance. › 48.76.040 - Nonforfeiture benefit in case of premium default.

RCW 48.76.040
Nonforfeiture benefit in case of premium default.
Any paid-up nonforfeiture benefit available under the policy in the event of default in a premium payment due on any policy anniversary shall be such that its present value as of such anniversary is at least equal to the cash surrender value then provided for by the policy or, if none is provided for, that cash surrender value which would have been required by this chapter in the absence of the condition that premiums shall have been paid for at least a specified period.
[ 1982 1st ex.s. c 9 § 13.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.76 - Standard Nonforfeiture Law for Life Insurance. › 48.76.060 - Requirements when specified methods of minimum values determination unfeasible.

RCW 48.76.060
Requirements when specified methods of minimum values determination unfeasible.
In the case of any plan of life insurance which provides for future premium determination, the amounts of which are to be determined by the insurance company based on then estimates of future experience, or in the case of any plan of life insurance which is of such a nature that minimum values cannot be determined by the methods described in RCW 48.76.020 through 48.76.050, then:
(1) The commissioner must be satisfied that the benefits provided under the plan are substantially as favorable to policyholders and insureds as the minimum benefits otherwise required by RCW 48.76.020 through 48.76.050;
(2) The commissioner must be satisfied that the benefits and the pattern of premiums of that plan are not such as to mislead prospective policyholders or insureds;
(3) The cash surrender values and paid-up nonforfeiture benefits provided by such plan must not be less than the minimum values and benefits required for the plan computed by a method consistent with the principles of this chapter, as determined by regulations promulgated by the commissioner.
[ 1982 1st ex.s. c 9 § 15.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.76 - Standard Nonforfeiture Law for Life Insurance. › 48.76.070 - Calculation of cash surrender value and paid-up nonforfeiture benefit.

RCW 48.76.070
Calculation of cash surrender value and paid-up nonforfeiture benefit.
Any cash surrender value and any paid-up nonforfeiture benefit, available under the policy in the event of default in a premium payment due at any time other than on the policy anniversary, shall be calculated with allowance for the lapse of time and the payment of fractional premiums beyond the last preceding policy anniversary. All values referred to in RCW 48.76.030 through 48.76.050 may be calculated upon the assumption that any death benefit is payable at the end of the policy year of death. The net value of any paid-up additions, other than paid-up term additions, shall be not less than the amounts used to provide such additions. Notwithstanding the provisions of RCW 48.76.030, additional benefits payable: (1) In the event of death or dismemberment by accident or accidental means; (2) in the event of total and permanent disability; (3) as reversionary annuity or deferred reversionary annuity benefits; (4) as term insurance benefits provided by a rider or supplemental policy provision to which, if issued as a separate policy, this chapter would not apply; (5) as term insurance on the life of a child or on the lives of children provided in a policy on the life of a parent of the child, if such term insurance expires before the child's age is twenty-six, is uniform in amount after the child's age is one, and has not become paid-up by reason of the death of a parent of the child; and (6) as other policy benefits additional to life insurance and endowment benefits, and premiums for all such additional benefits, shall be disregarded in ascertaining cash surrender values and nonforfeiture benefits required by this chapter, and no such additional benefits shall be required to be included in any paid-up nonforfeiture benefits.
[ 1982 1st ex.s. c 9 § 16.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.76 - Standard Nonforfeiture Law for Life Insurance. › 48.76.090 - Chapter inapplicable to certain policies.

RCW 48.76.090
Chapter inapplicable to certain policies.
This chapter does not apply to any of the following:
(1) Reinsurance;
(2) Group insurance;
(3) A pure endowment;
(4) An annuity or reversionary annuity contract;
(5) A term policy of a uniform amount, which provides no guaranteed nonforfeiture or endowment benefits, or renewal thereof, of twenty years or less expiring before age seventy-one, for which uniform premiums are payable during the entire term of the policy;
(6) A term policy of a decreasing amount, which provides no guaranteed nonforfeiture or endowment benefits, on which each adjusted premium, calculated as specified in RCW 48.76.050, is less than the adjusted premium so calculated, on a term policy of uniform amount, or renewal thereof, which provides no guaranteed nonforfeiture or endowment benefits, issued at the same age and for the same initial amount of insurance and for a term of twenty years or less expiring before age seventy-one, for which uniform premiums are payable during the entire term of the policy;
(7) A policy, which provides no guaranteed nonforfeiture or endowment benefits, for which no cash surrender value, if any, or present value of any paid-up nonforfeiture benefit, at the beginning of any policy year, calculated as specified in RCW 48.76.030 through 48.76.050, exceeds two and one-half percent of the amount of insurance at the beginning of the same policy year; nor
(8) A policy which is delivered outside this state through an insurance producer or other representative of the company issuing the policy.
For purposes of determining the applicability of this chapter, the age at expiration for a joint term life insurance policy is the age at expiration of the oldest life.
[ 2008 c 217 § 66; 1982 1st ex.s. c 9 § 18.]
NOTES:
Severability—Effective date—2008 c 217: See notes following RCW 48.03.020.
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.76 - Standard Nonforfeiture Law for Life Insurance. › 48.76.100 - Operative date of chapter.

RCW 48.76.100
Operative date of chapter.
After July 10, 1982, any company may file with the commissioner a written notice of its election to comply with the provisions of this chapter. After the filing of such notice, then upon such specified date (which shall be the operative date for such company), this chapter becomes operative with respect to the policies thereafter issued by such company. If a company makes no such election, the operative date of this chapter for such company shall be January 1, 1948.
[ 1982 1st ex.s. c 9 § 19.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.76 - Standard Nonforfeiture Law for Life Insurance. › 48.76.900 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.

RCW 48.76.900
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 § 129.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.80 - Health Care False Claim Act. › 48.80.010 - Legislative finding—Short title.

RCW 48.80.010
Legislative finding—Short title.
The legislature finds and declares that the welfare of the citizens of this state is threatened by the spiraling increases in the cost of health care. It is further recognized that fraudulent health care claims contribute to these increases in health care costs. In recognition of these findings, it is declared that special attention must be directed at eliminating the unjustifiable costs of fraudulent health care claims by establishing specific penalties and deterrents. This chapter may be known and cited as "the health care false claim act."
[ 1986 c 243 § 1.]
2023 Revised Code of Washington › Title 48 - Insurance › Chapter 48.80 - Health Care False Claim Act. › 48.80.020 - Definitions.

RCW 48.80.020
Definitions.
Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter.
(1) "Claim" means any attempt to cause a health care payer to make a health care payment.
(2) "Deceptive" means presenting a claim to a health care payer that contains a statement of fact or fails to reveal a material fact, leading the health care payer to believe that the represented or suggested state of affairs is other than it actually is. For the purposes of this chapter, the determination of what constitutes a material fact is a question of law to be resolved by the court.
(3) "False" means wholly or partially untrue or deceptive.
(4) "Health care payment" means a payment for health care services or the right under a contract, certificate, or policy of insurance to have a payment made by a health care payer for a specified health care service.
(5) "Health care payer" means any insurance company authorized to provide health insurance in this state, any health care service contractor authorized under chapter 48.44 RCW, any health maintenance organization authorized under chapter 48.46 RCW, any legal entity which is self-insured and providing health care benefits to its employees, and any insurer or other person responsible for paying for health care services.
(6) "Person" means an individual, corporation, partnership, association, or other legal entity.
(7) "Provider" means any person lawfully licensed or authorized to render any health service.
[ 1995 c 285 § 25; 1986 c 243 § 2.]
NOTES:
Effective date—1995 c 285: See RCW 48.30A.900.