reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-100 - Self-insurance requirements as to local governments › Section 200-100-100 - Standards for operations-State risk manager-Expense and operating cost fees

Current through Register Vol. 24-14, July 15, 2024
(1) The state risk
				manager shall fix state risk manager fees to cover expenses and operating costs
				of the state risk manager's office in administering chapter 48.62 RCW. Such
				fees shall be levied against each joint property and liability self-insurance
				program regulated by chapter 48.62 RCW. Services covered by the state risk
				manager fees will include program reviews, monitoring and continuing
				oversight.
(2) The state risk
				manager fees shall be paid by each joint self-insurance program to the state of
				Washington, department of enterprise services within sixty days of the date of
				invoice. Any joint self-insurance program failing to remit its fee when due is
				subject to denial of permission to operate or to a cease and desist order until
				the fee is paid.
(3) A joint
				self-insurance program that has voluntarily or involuntarily terminated shall
				continue to pay an administrative fee until such time as all liabilities for
				unpaid claims and claim adjustment expenses and all administrative
				responsibilities of the joint self-insurance program have been
				satisfied.
(4) The state risk
				manager shall assess each prospective joint self-insurance program an initial
				investigation fee at a rate determined annually by the state risk
				manager.
Statutory Authority:   2011 c  43. 11-23-093, recodified as
					 WAC 200-100-100, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-01-072, § 82-60-100, filed
					 12/14/09, effective 1/14/10; 05-04-072, amended and recodified as §
					 82-60-100, filed 2/1/05, effective 3/4/05. Statutory Authority: Chapter 48.62
					 RCW. 93-16-079, § 236-22-100, filed 8/3/93, effective 9/3/93; 92-12-092,
					 § 236-22-100, filed 6/3/92, effective
					 7/1/92.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-100 - Self-insurance requirements as to local governments › Section 200-100-190 - Standards for operation-Multistate operations

Current through Register Vol. 24-14, July 15, 2024
Local government joint self-insurance programs domiciled in
				  this state and operating in this state and other states must obtain any
				  licenses, permits, and permissions to the extent required by a state prior to
				  commencing operations in that state.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-100 - Self-insurance requirements as to local governments › Section 200-100-200 - Standards for operations - Appeals of fees

Current through Register Vol. 24-14, July 15, 2024
(1) A joint self-insurance program which
				disagrees with a fee for services issued to it by the state risk manager shall
				notify the state risk manager in writing within thirty days after receipt of
				the invoice. The writing shall include the self-insurance program's reasons for
				challenging the fee and any other information the self-insurance program deems
				pertinent.
(2) The state risk
				manager shall review any fee appealed by a joint self-insurance program,
				together with the reasons for the appeal. Within fourteen days of receipt of
				notification from the self-insurance program, the state risk manager shall
				respond in writing to the self-insurance program, either reaffirming the fee or
				modifying it, and stating the reasons for the decision.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-100-200, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-01-072, § 82-60-200, filed
					 12/14/09, effective 1/14/10; 05-04-072, amended and recodified as §
					 82-60-200, filed 2/1/05, effective 3/4/05. Statutory Authority: Chapter 48.62
					 RCW. 93-16-079, § 236-22-200, filed 8/3/93, effective
					 9/3/93.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-100 - Self-insurance requirements as to local governments › Section 200-100-210 - Standards for operations - Appeals of cease and desist orders

Current through Register Vol. 24-14, July 15, 2024
Within ten days after a joint self-insurance program covering
				  property or liability risks has been served with a cease and desist order under
				  RCW
				     48.62.091(3), the entity may
				  request an administrative hearing. The hearing provided may be held in such a
				  place as is designated by the state risk manager and shall be conducted in
				  accordance with
				  chapter
				  34.05 RCW and chapter
				  10-08 WAC.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-100-210, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-01-072, § 82-60-210, filed
					 12/14/09, effective 1/14/10; 05-04-072, amended and recodified as §
					 82-60-210, filed 2/1/05, effective 3/4/05. Statutory Authority: Chapter 48.62
					 RCW. 93-16-079, § 236-22-210, filed 8/3/93, effective
					 9/3/93.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-100 - Self-insurance requirements as to local governments › Section 200-100-215 - Standards for contracts - Competitive solicitation standards for consultant contracts

Current through Register Vol. 24-14, July 15, 2024
Every joint self-insurance program shall use a formal
				  competitive solicitation process in the selection of consultants. The process
				  shall provide an equal and open opportunity to qualified parties and shall
				  culminate in a selection based on preestablished criteria which may include
				  such factors as the consultant's fees or costs, ability, capacity, experience,
				  reputation, responsiveness to time limitations, responsiveness to solicitation
				  requirements, quality of previous performance, and compliance with statutes and
				  rules relating to contracts. Bid responses, solicitation documents and evidence
				  of publication shall be retained in accordance with laws governing public
				  records and shall be available for review by state risk manager and state
				  auditor.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-100-215, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-01-072, § 82-60-215, filed
					 12/14/09, effective 1/14/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-100 - Self-insurance requirements as to local governments › Section 200-100-220 - Standards for contracts-Standards for operation-Purchases of goods and services not related to claims

Current through Register Vol. 24-14, July 15, 2024
Joint self-insurance programs comprised of one common entity
				  type must comply with bidding and purchasing requirements as prescribed by law
				  or regulation for that entity type. Joint self-insurance programs comprised of
				  multiple entity types must comply with bidding and purchasing requirements as
				  prescribed by law or regulation for multiple entity types joined by interlocal
				  agreements. Vendor selection shall be based on fees or costs, ability,
				  capacity, experience, reputation, and responsiveness to time limitations. These
				  regulations do not apply to the purchase of goods and services described in WAC
				  200-100-050(5).
Statutory Authority:   2011 c  43. 11-23-093, recodified as
					 WAC 200-100-220, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-01-072, § 82-60-220, filed
					 12/14/09, effective 1/14/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-010 - Preamble and authority

Current through Register Vol. 24-14, July 15, 2024
These rules governing local government self-insurance
				  transactions are adopted by the state risk manager to implement chapter 48.62
				  RCW relating to the management and operations of both individual and joint
				  local government health and welfare benefit self-insurance
				  programs.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-010, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-010, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-020 - Definitions

Current through Register Vol. 24-14, July 15, 2024
(1) "Actuary" means
				any person who is a member of the American Academy of Actuaries.
(2) "Assessment" means the moneys paid by the
				members to a joint self-insurance program.
(3) "Beneficiary" means any individual
				entitled to payment of all or part of a covered claim under a local government
				health and welfare self-insurance program.
(4) "Broker of record" means the insurance
				producer licensed in the state of Washington who, through a contractual
				agreement with the self-insurance program, procures insurance on behalf of the
				self-insurance program.
(5) "Claim"
				means a demand for payment for the delivery of a covered service or
				services.
(6) "Claim adjustment
				expense" means expenses, other than claim payments, incurred in the course of
				processing and settling claims.
(7)
				"Claims auditor" means a person who has the following qualifications:
(a) Has experience in auditing the same
				manner of claims filed against the program being audited;
(b) Provides proof of professional liability
				insurance; and
(c) Provides a
				statement that the auditor is independent from the program being audited, its
				brokers and third-party administrators.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-030 - Standards for management and operation - Adoption of program

Current through Register Vol. 24-14, July 15, 2024
(1) The governing
				body of every local government entity establishing an individual self-insurance
				program shall adopt the self-insurance program by resolution or
				ordinance.
(2) The governing body
				of every local government entity participating in a joint self-insurance
				program shall adopt the interlocal agreement of the joint self-insurance
				program by resolution or ordinance. The resolution or ordinance shall include,
				but not be limited to, an acknowledgment that the entity shall be subject to
				assessments as required by the joint self-insurance program. Copies of each
				resolution or ordinance shall be retained by the joint self-insurance program
				and available for inspection by the state risk manager. The interlocal
				agreement, along with a list of members participating in the program, shall be
				published on the public web site of each joint self-insurance program. The
				interlocal agreement and subsequent amendments shall be filed in accordance
				with requirements of
				chapter
				39.34 RCW.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-030, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-030, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-040 - Standards for solvency-Program funding requirements

Current through Register Vol. 24-14, July 15, 2024
(1) All individual and joint health and
				welfare programs self-insuring medical benefits shall establish program
				reserves in an amount equal to 16 weeks of program expenses. An aggregate
				stop-loss policy is recommended, but not required.
(2) All individual and joint health and
				welfare self-insurance programs providing either vision, dental or prescription
				drug benefits or any combination of programs thereof shall establish and
				maintain program reserves in an amount not less than eight weeks of program
				expenses for each program offered.
(3) In lieu of the requirements stated in
				subsections (1) and (2) of this section, all individual and joint health and
				welfare self-insurance programs providing either medical, vision, dental or
				prescription drug benefits or any combination thereof must obtain an
				independent actuarial study of estimated outstanding program liabilities as of
				fiscal year ending and maintain funds equal to or greater than the actuarially
				determined program liability at fiscal year ending.
(4) All programs in existence less than one
				year shall establish reserves according to the initial plan submitted and
				approved by the state risk manager.
(5) Self-insurance programs that do not meet
				requirements for program reserves as of the program's year end shall notify the
				state risk manager of the condition. The state risk manager shall require the
				program submit a corrective action plan within 60 days of year end. The state
				risk manager will notify the program in writing of denial or approval of the
				corrective action plan within 30 days of submission.
(6) Failure to meet the requirements of the
				approved corrective action plan may result in further remedial action by the
				state risk manager, including the service of a cease and desist order upon the
				program.
Statutory Authority:   2011 c  43. 11-23-093, recodified as
					 WAC 200-110-040, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-20-102, § 82-65-040, filed
					 10/1/10, effective 11/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-050 - Nondiscrimination in contributions

Current through Register Vol. 24-14, July 15, 2024
Contribution rate schedules for individual and joint health
				  and welfare self-insurance programs shall be consistent and nondiscriminatory
				  among beneficiaries of the self-insurance program. This provision is not
				  intended to prohibit choice of coverage for beneficiaries, classes of
				  beneficiaries, or bargaining groups from several offered by the self-insurance
				  program, or to prohibit different contribution schedules between classes of
				  beneficiaries or bargaining groups.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-050, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-050, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-060 - Standards for operations-Standards for management-Disclosures

Current through Register Vol. 24-14, July 15, 2024
(1) All individual
				health and welfare self-insurance programs shall furnish each employee or
				retiree covered by the program with a written description or access to an
				electronic description of the benefits allowable under the program, together
				with:
(a) Applicable restrictions,
				limitations, and exclusions;
(b)
				The procedure for filing a claim for benefits;
(c) The procedure for requesting an
				adjudication of disputes or appeals arising from beneficiaries regarding the
				payment or denial of any claim for benefits; and
(d) A schedule of any direct monetary
				contributions toward the program financing required by the employee.
Such benefits or procedures shall not be amended without
				  written notice to the covered employees at least thirty days in advance of the
				  effective date of the change unless exigent circumstances can be
				  demonstrated.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-070 - Standards for operations - Standards for management - Wellness programs

Current through Register Vol. 24-14, July 15, 2024
Health and welfare self-insurance programs may offer coverage
				  for preventative care, wellness programs, and/or other cost containment
				  measures.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-070, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-070, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-080 - Standards for operations - Standards for solvency - Termination provisions

Current through Register Vol. 24-14, July 15, 2024
(1) Termination
				of a program. All individual and joint health and welfare self-insurance
				programs shall maintain a written plan that provides for the partial or
				complete termination of the program and for liquidation of its assets upon
				termination of the program. The termination procedure shall include, but not be
				limited to, a provision for the settling of all its liabilities for unpaid
				claims and claim adjustment expenses.
(2) Termination of members. All joint
				self-insurance programs shall maintain a written plan that provides for the
				termination of membership of a member.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-080, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-080, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-090 - Standards for management-Standards for operations-Financial plans

Current through Register Vol. 24-14, July 15, 2024
(1) All
				self-insurance programs shall maintain a written plan for managing the
				financial resources of the program. The financial plan shall include:
(a) A procedure for accounting for moneys
				received, payments made and liabilities of the joint program which complies
				with generally accepted accounting principles. For individual programs, a
				separate fund to account for revenues and expenses associated with the program
				is recommended, but not required;
(b) An investment policy which conforms to
				RCW
				   48.62.111 governing the investments of the
				program; and
(c) All individual and
				joint self-insurance programs shall ensure the preparation and submission of
				accurate and timely annual reports to the state risk manager within 150 days of
				fiscal year end.
Joint self-insurance programs providing medical benefits must
				  submit to the state risk manager unaudited financial statements as prescribed
				  by the state auditor's office within 150 days of fiscal year end. Joint
				  self-insurance programs providing medical benefits must submit to the state
				  risk manager audited financial statements as prescribed by the state auditor's
				  office within one year of the program's fiscal year end.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-100 - Standards for management-Standards for contracts-Third-party administrator contracts

Current through Register Vol. 24-14, July 15, 2024
Before contracting for third-party administrator
				  professional services, all self-insurance programs shall establish and maintain
				  written procedures for contracting with third-party administrators. Entering a
				  contract for services shall not relieve the governing body of the
				  self-insurance program of its ultimate governing, managerial and financial
				  responsibilities. The procedures shall, as a minimum:
(1) Provide a method of third-party
				administrator selection using a competitive solicitation process;
(2) Require a complete written description of
				the services to be provided, remuneration levels, contract period and
				expiration date;
(3) Provide for
				the confidentiality of the program's information, data and other intellectual
				property developed or shared during the course of the contract;
(4) Provide for the program's ownership of
				the information, data, and other intellectual property developed or shared
				during the course of the contract;
(5) Provide for the expressed authorization
				of the self-insurance program, consultants to the program, the state auditor,
				the state risk manager, or their designees, to enter the third-party
				administrator's premises to inspect and audit the records and performance of
				the third-party administrator which pertains to the program and to obtain such
				records electronically when audit travel costs can be eliminated or
				reduced;
(6) Require the compliance
				with all applicable local, state and federal laws;
(7) Establish a monitoring and acceptance
				procedure to determine compliance with third-party administrator contract
				requirements; and
(8) Establish
				indemnification provisions and set forth insurance requirements between the
				parties.
Statutory Authority:   2011 c  43. 11-23-093, recodified as
					 WAC 200-110-100, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-20-102, § 82-65-100, filed
					 10/1/10, effective 11/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-110 - Standards for contracts-Joint self-insurance programs-Competitive solicitation standards for consultant contracts

Current through Register Vol. 24-14, July 15, 2024
Every joint self-insurance program shall use a competitive
				  solicitation process in the selection of consultants. The process shall provide
				  an equal and open opportunity to qualified parties and shall culminate in a
				  selection based on preestablished criteria which may include such factors as
				  the consultant's fees or costs, ability, capacity, experience, reputation,
				  responsiveness to time limitations, responsiveness to solicitation
				  requirements, quality of previous performance, and compliance with statutes and
				  rules relating to contracts. Bid responses, solicitation documents and evidence
				  of publication shall be retained in accordance with laws governing public
				  records and shall be available for review by the state risk manager and state
				  auditor.
Statutory Authority:   2011 c  43. 11-23-093, recodified as
					 WAC 200-110-110, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-20-102, § 82-65-110, filed
					 10/1/10, effective 11/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-120 - Standards for claims management-Claims administration

Current through Register Vol. 24-14, July 15, 2024
(1)
(a) All
				self-insurance programs shall have a written claims administration program
				which includes, as a minimum, claims filing procedures, internal financial
				control mechanisms, and claim and claim adjustment expense reports.
(b) All individual and joint health and
				welfare self-insurance programs shall have a written claim appeal procedure
				that contains, as a minimum, a time limit for filing an appeal, a time limit
				for response, and a provision for the second level of review.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-130 - Standards for management and operations-State risk manager reports

Current through Register Vol. 24-14, July 15, 2024
(1) Every
				individual and joint health and welfare self-insurance program authorized to
				transact business in the state of Washington shall electronically submit the
				annual report to the state risk manager no later than 150 days following the
				completion of the program's fiscal year.
(2) Joint self-insurance programs offering
				medical benefits shall electronically submit annual financial statements in the
				format prescribed by the state auditor's office. All individual and joint
				self-insurance programs shall electronically submit the revenue, expenses and
				other financial data on a form provided by the state risk manager.
(3) All individual and joint self-insurance
				programs providing medical benefits and maintaining reserves of less than 16
				weeks of program expenses shall submit a written actuarial estimate of
				outstanding program liabilities as of fiscal year ending.
(4) All individual and joint self-insurance
				programs shall submit electronically a list of contracted consultants with the
				annual report to the state risk manager.
(5) Joint self-insurance programs shall
				submit electronically the following additional information as part of the
				annual report to the state risk manager:
(a)
				Details of changes in articles of incorporation, bylaws or interlocal
				agreement;
(b) Details of ongoing
				significant services provided by contract to nonmembers;
(c) List of local government members added to
				or terminated from the program.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-140 - Standards for operations-Program changes-Notification to the state risk manager

Current through Register Vol. 24-14, July 15, 2024
(1) All individual
				and joint self-insurance programs shall operate in the same form and manner
				stated in the program's original application approved by the state risk
				manager. Programs shall submit a written request and receive approval from the
				state risk manager prior to implementing the following proposed program
				changes:
(a) Any change in the terms of the
				interlocal agreement of a joint self-insurance program;
(b) Acceptance of any loans or lines of
				credit;
(c) Provision of services to
				nonmembers;
(d) Addition of members
				of other entity types than those included in original application approved by
				state risk manager.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-150 - Standards for management and operations-Conflict of interest

Current through Register Vol. 24-14, July 15, 2024
(1) Every
				individual and joint self-insurance program shall require the third-party
				administrator and th e broker of record to contract separately with the
				self-insurance program. Each contract between a self-insurance program and a
				broker or third-party administrator must include a statement that no conflict
				of interest exists prior to acceptance of the contract by the self-insurance
				program.
(2) All self-insurance
				programs shall meet the following standards regarding restrictions on the
				financial interests of the program administrators:
(a) No member of the board of directors;
				trustee; administrator, including a third-party administrator; or any other
				person having responsibility for the management or administration of a
				self-insurance program or the investment or other handling of the program's
				money shall:
(i) Receive directly or
				indirectly or be pecuniarily interested in any fee, commission, compensation,
				or emolument arising out of any transaction to which the program is or is
				expected to be a party except for salary or other similar compensation
				regularly fixed and allowed for because of services regularly rendered to the
				program.
(ii) Receive compensation
				as a consultant to the program while also acting as a member of the board of
				directors, trustee, third-party administrator, or as an employee.
(iii) Have any direct or indirect pecuniary
				interest in any loan or investment of the program.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-160 - Standards for operations-State risk manager-Expense and operating cost fees

Current through Register Vol. 24-14, July 15, 2024
(1) The state risk
				manager shall fix state risk manager fees to cover expenses and operating costs
				of the state risk manager's office in administering chapter 48.62 RCW. Such
				fees shall be levied against each individual and joint health and welfare
				benefit self-insurance program regulated by chapter 48.62 RCW. Services covered
				by the state risk manager fees will include program reviews, monitoring and
				continuing oversight.
(2) The state
				risk manager fees shall be paid by each self-insurance program to the state of
				Washington, department of enterprise services, within sixty days of the date of
				invoice. Any self-insurance program failing to remit its fee when due is
				subject to denial of permission to operate or to a cease and desist order until
				the fee is paid.
(3) A
				self-insurance program that has voluntarily or involuntarily terminated shall
				continue to pay an administrative fee until such time as all liabilities for
				unpaid claims and claim adjustment expenses and all administrative
				responsibilities of the self-insurance program have been satisfied.
(4) The state risk manager shall assess each
				prospective joint health and welfare self-insurance program and each
				prospective individual health and welfare benefit self-insurance program, an
				initial investigation fee at a rate determined annually by the state risk
				manager.
Statutory Authority:   2011 c  43. 11-23-093, recodified as
					 WAC 200-110-160, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-160, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-170 - Standards for operations - Appeals of fees

Current through Register Vol. 24-14, July 15, 2024
(1) A self-insurance program which disagrees
				with a fee for services issued to it by the state risk manager shall notify the
				state risk manager in writing within thirty days after receipt of the invoice.
				The writing shall include the self-insurance program's reasons for challenging
				the fee and any other information the self-insurance program deems
				pertinent.
(2) The state risk
				manager shall review any fee appealed by a self-insurance program, together
				with the reasons for the appeal. Within fourteen days of receipt of
				notification from the self-insurance program, the state risk manager shall
				respond in writing to the self-insurance program, either reaffirming the fee or
				modifying it, and stating the reasons for the decision.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-170, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-170, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-180 - Standards for operations - Appeals of cease and desist orders

Current through Register Vol. 24-14, July 15, 2024
Within ten days after an individual or joint self-insurance
				  program covering health and welfare benefits has been served with a cease and
				  desist order under
				  RCW
				     48.62.091(3), the entity may
				  request an administrative hearing. The hearing provided may be held in such a
				  place as is designated by the state risk manager and shall be conducted in
				  accordance with
				  chapters
				  34.05 RCW and 10-08
				  WAC.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-180, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-180, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-190 - Standards for operations - Meetings

Current through Register Vol. 24-14, July 15, 2024
Every self-insurance program is subject to the requirements
				  of the Open Public Meetings Act as described in
				  chapter
				  42.30
				  RCW.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-190, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-190, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-200 - Standards for operation and management - Rules for joint self-insurance programs

Current through Register Vol. 24-14, July 15, 2024
The following rules apply exclusively to joint self-insurance
				  programs. Individual programs shall be exempt from these
				  requirements.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-200, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-200, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-210 - Standards for operation - Membership

Current through Register Vol. 24-14, July 15, 2024
Membership in a joint self-insurance program requires the
				  execution of an interlocal agreement. Members of a joint self-insurance program
				  shall receive benefits for claims covered by the program only as a result of
				  their signature on the interlocal agreement. Only members may participate in
				  risk-sharing. Only members may participate in the self-insured retention layer,
				  and only members may participate in the joint purchase of insurance. Further,
				  each member shall agree to the following:
(1) Each member shall pay assessments when
				required by the governing body of the program.
(2) Each member shall obtain approval to join
				the program from the governing body of the respective member. The approval
				shall be by resolution or ordinance of the governing body as appropriate for
				the entity type.
(3) Each member
				shall become a signatory to the interlocal agreement and subsequent amendments
				to the interlocal agreement of the joint self-insurance program.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-210, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-210, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-220 - Standards for operation-Providing services to nonmembers

Current through Register Vol. 24-14, July 15, 2024
(1) Nonmember local
				governments may purchase claims administration, risk management, claims
				processing and/or other ongoing significant support services through an
				interlocal agreement as authorized by chapter 39.34 RCW. Nonmembers shall not
				participate in any coverages of the joint self-insurance program including the
				self-insured retention layer and the excess insurance or reinsurance layer.
				This section is not intended to preclude nonmembers purchasing services from
				becoming members of the joint self-insurance program, provided the nonmember
				meets the requirements of WAC
				200-110-210 and is eligible for
				membership as authorized by
				RCW
				   48.62.021(1). This section
				is not intended to limit programs from providing occasional risk management or
				other support services to nonmembers, but is intended to provide standards for
				members providing ongoing significant services to nonmembers.
(2) A program intending to provide ongoing
				significant services to nonmembers shall submit a written plan to the state
				risk manager for approval prior to providing services. The plan shall include,
				at a minimum, the services to be provided, the time frame for providing such
				services, the expected revenues and expenditures resulting from providing said
				services, and a written legal determination of all potential federal and state
				tax liabilities created by providing services to nonmembers. The arrangement to
				provide such services shall be approved in writing by the state risk manager
				within sixty days of the joint self-insurance program's final plan
				submission.
(3) Every joint
				self-insurance program providing ongoing significant services to nonmembers as
				of the effective date of these regulations must submit a written plan meeting
				the requirements stated herein.
Statutory Authority:   2011 c  43. 11-23-093, recodified as
					 WAC 200-110-220, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-220, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-230 - Standards for operation-Communication with members-Annual membership report

Current through Register Vol. 24-14, July 15, 2024
Every joint self-insurance program shall make available to
				  each member a copy of the program's annual membership report. The annual
				  membership report shall include, at a minimum, financial information which
				  includes the statement of net position and statement of revenues and expenses .
				  The reports shall be delivered to each member by electronic or regular mail.
				  Programs may meet the delivery requirement by publishing and maintaining the
				  membership report on the official web site of the program for a minimum of
				  three years from the date of publication.
Statutory Authority:   2011 c  43. 11-23-093, recodified as
					 WAC 200-110-230, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-230, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-240 - Standards for operation-Notice of regular meetings of the governing body

Current through Register Vol. 24-14, July 15, 2024
Every joint self-insurance program shall provide every
				  member with a notice of the time and place of each regular meeting of the
				  governing body at least ten days prior to the meeting. The notice shall be
				  provided in electronic or paper form, and the time and location of each meeting
				  shall be included in such notice. The state risk manager shall be provided a
				  copy of all meeting notifications to members in the same form, manner and time
				  as provided to members. In addition to electronic or regular mail, programs
				  shall publish notification of regular meetings on the electronic web site of
				  the program accessible to the public. Notice of regular meetings shall comply
				  with the meeting notification requirements of chapter 42.30 RCW or be published
				  at least ten days in advance of regular meetings, whichever notification time
				  is greater.
Statutory Authority:   2011 c  43. 11-23-093, recodified as
					 WAC 200-110-240, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-240, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-250 - Standards for operation - Special meetings - Notice to members

Current through Register Vol. 24-14, July 15, 2024
All joint self-insurance programs shall comply with the
				  requirements of
				  RCW
				     42.30.080 in providing notification of
				  special meetings. In addition, programs shall provide notice by electronic mail
				  to the state risk manager and every member of the joint self-insurance program
				  twenty-four hours in advance of every special meeting.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-250, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-250, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-260 - Standards for operations-Meeting agendas-Meeting minutes

Current through Register Vol. 24-14, July 15, 2024
Every joint self-insurance program will provide the state
				  risk manager and every member with a preliminary agenda in advance of each
				  meeting of the governing body. The agenda shall be delivered by electronic mail
				  and shall be posted on the web site of the program accessible to the public.
				  Meeting minutes, after approval, shall be posted on the web site of the program
				  accessible to the public.
Statutory Authority:   2011 c  43. 11-23-093, recodified as
					 WAC 200-110-260, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-260, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-270 - Standards for operation - Notification of changes to bylaws or interlocal agreement

Current through Register Vol. 24-14, July 15, 2024
Every joint self-insurance program shall provide notification
				  of the intent to change the bylaws or interlocal agreement to each member of
				  the joint self-insurance program and the state risk manager by regular or
				  electronic mail at least thirty days in advance of the meeting during which a
				  vote on the proposed change will occur. Such notification shall include a copy
				  of proposed changes.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-110-270, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-270, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-110 - Local government self-insurance health and welfare program requirements › Section 200-110-280 - Standards for operation-Changes to interlocal agreement

Current through Register Vol. 24-14, July 15, 2024
(1) Changes to any terms of the interlocal
				agreement shall be by amendment and shall be approved by the governing body of
				each joint self-insurance program during a regular meeting of the governing
				body.
(2) Amendments to the
				interlocal agreement shall be adopted by ordinance or resolution of the
				governing board or council of each member and signed by an authorized
				representative of each member. The resolution or ordinance shall include, but
				not be limited to, an acknowledgment that the member is subject to assessments
				and reassessments if required by the joint self-insurance program. The signed
				amendment and copy of the ordinance or resolution, as appropriate, shall be
				submitted to, and retained by, the joint self-insurance program. Copies of the
				interlocal agreement and subsequent amendments shall be published on the
				electronic web site of the joint self-insurance program.
(3) Changes to any terms of the interlocal
				agreement shall require amendment using the approval and adoption process
				described above.
(4) Each new
				member joining a joint self-insurance program after the formation of the
				program shall sign a copy of the most current interlocal agreement and copies
				of all subsequent amendments to that agreement that have been adopted by the
				governing body of the joint self-insurance program. The joint self-insurance
				program shall retain the signed interlocal agreements and amendments until
				termination of the program occurs.
(5) When a new interlocal agreement is
				adopted by the governing body of the joint self-insurance program to replace
				the existing interlocal agreement and incorporate amendments, the new
				interlocal agreement shall be adopted by ordinance or resolution of each member
				of the joint self-insurance program. The new interlocal agreement shall be
				signed by an authorized representative of each member. The signed interlocal
				agreement and a copy of the ordinance or resolution adopting the program shall
				be submitted to, and retained by, the joint self-insurance program until
				termination of the program occurs.
Statutory Authority:   2011 c  43. 11-23-093, recodified as
					 WAC 200-110-280, filed 11/17/11,
					 effective 11/17/11. Statutory Authority:
					 RCW
					    48.62.061. 10-14-034, § 82-65-280, filed
					 6/28/10, effective 10/1/10.
Washington Administrative Code › Title 200 - Enterprise Services, Department of › RISK MANAGEMENT › Chapter 200-120 - Affordable housing entity joint self-insurance property and liability program requirements › Section 200-120-010 - Preamble and authority

Current through Register Vol. 24-14, July 15, 2024
These rules governing affordable housing self-insurance
				  transactions are adopted by the state risk manager to implement chapter 48.64
				  RCW relating to the management and operations of a joint affordable housing
				  entity property and liability self-insurance program.
Statutory Authority: 2011 c 43. 11-23-093, recodified as
					 WAC 200-120-010, filed 11/17/11,
					 effective 11/17/11. Statutory Authority: Chapter 48.64 RCW, RCW 48.64.015, and
					 42.64.020. 11-06-001, § 82-70-010, filed 2/16/11, effective
					 3/19/11.