and that indemnify, provided they do not conflict with the requirements of Chapter 284-51 WAC. WAC Plan cannot have a COB provision that permits it to reduce its 284-51-200 (4) benefits on the basis that: (4)(a) o Another plan exists and the enrollee did not enroll in that plan; (4)(b) o A person could have been covered under another plan; or (4)(c) o A person could have elected an option under another plan that pays a higher level of benefits than what he elected. WAC • Plan may not provide that its benefits are "always excess" or "always secondary" except as permitted in Chapter 284-51 WAC. RCW • A carrier may not administer COB in a way that reduces total 48.21.200(1) benefits payable below an amount equal to 100% of total allowable expenses. (Note: by its terms, this statute applies to HCSCs) WAC • Any secondary plan must pay an amount which, together with 284-51-230(1) the payment made by the primary plan, cannot be less than the same allowable expense as the secondary plan would have paid if it was the primary plan. In no event will a secondary plan be required to pay an amount in excess of its maximum benefit plus accrued savings.
and that indemnify, provided they do not conflict with the requirements of Chapter 284-51 WAC. WAC 284-51-200 (4) (4)(a) Plan cannot have a COB provision that permits it to reduce its benefits on the basis that: o Another plan exists and the enrollee did not enroll in that plan; (4)(b) o A person could have been covered under another plan; or (4)(c) o A person could have elected an option under another plan that pays a higher level of benefits than what he elected. WAC • Plan may not provide that its benefits are "always excess" or "always secondary" except as permitted in Chapter 284-51 WAC. RCW 48.21.200(1) • A carrier may not administer COB in a way that reduces total benefits payable below an amount equal to 100% of total allowable expenses. (Note: by its terms, this statute applies to HCSCs) WAC 284-51-230(1) • Any secondary plan must pay an amount which, together with the payment made by the primary plan, cannot be less than the same allowable expense as the secondary plan would have paid if it was the primary plan. In no event will a secondary plan be required to pay an amount in excess of its maximum benefit plus accrued savings.