Guaranteed Issuer Must 45 CFR Issuer must accept for enrollment any state resident within the group to Accept All §147.104(a); whom the plan is offered and within the carrier's service area and Issue and Continuity of Residents in RCW 48.43. provide or assure the provision of all covered services regardless of age, Coverage Service Area 035(1) sex, family structure, ethnicity, race, religion, national origin, health condition, geographic location, employment status socioeconomic status, the presence of any sensory, mental, or physical handicap, other condition or situation, or actual or perceived status regarding HIV or Hepatitis C. Contract Must RCW Plan must contain or incorporate by endorsement a guarantee of the Contain 48.43.035(2) continuity of coverage of the plan. Guarantee of 45 C.F.R. A plan is "renewed" when it is continued beyond the earliest date Continuity §147.106 (a) upon at the carrier's sole option, the plan could have been terminated for other than nonpayment of premium. When Plan May RCW 48.43.035 Plan may still be canceled or nonrenewed for: Nonrenew (3)(a) Nonpayment of premium; Guaranteed When Plan may RCW Violation of published policies of the carrier approved by the Issue and be 48.43.035(3)(b) commissioner; Continuity of Nonrenewed RCW 48.43.035 Covered persons entitled to become eligible for Medicare benefits Coverage (Cont’d) (3)(c) by reason of age who fail to apply for a Medicare supplement plan (Cont’d) or Medicare cost, risk, or other plan offered by the issuer pursuant to federal laws and regulations; RCW 48.43.035 Covered persons who fail to pay any deductible or copayment (3)(d) amount owed to the carrier and not the provider of health care services; (3)(e) Covered persons committing fraudulent acts as to the issuer; (3)(f) Covered persons who materially breach the health plan; or 48.43.035 Change or implementation of federal or state laws that no longer (3)(g) permit the continued offering of such coverage.
Guaranteed Issue and Continuity of Coverage Issuer Must Accept All Residents in Service Area 45 CFR §147.104(a); RCW 48.43. 035(1) Issuer must accept for enrollment any state resident within the group to whom the plan is offered and within the carrier's service area and provide or assure the provision of all covered services regardless of age, sex, family structure, ethnicity, race, religion, national origin, health condition, geographic location, employment status socioeconomic status, the presence of any sensory, mental, or physical handicap, other condition or situation, or actual or perceived status regarding HIV or Hepatitis C. Contract Must Contain Guarantee of Continuity RCW 48.43.035(2) 45 C.F.R. §147.106 (a) Plan must contain or incorporate by endorsement a guarantee of the continuity of coverage of the plan. A plan is "renewed" when it is continued beyond the earliest date upon at the carrier's sole option, the plan could have been terminated for other than nonpayment of premium. When Plan May Nonrenew RCW 48.43.035 (3)(a) Plan may still be canceled or nonrenewed for: Nonpayment of premium; Guaranteed Issue and When Plan may be RCW 48.43.035(3)(b) Violation of published policies of the carrier approved by the commissioner; Continuity of Coverage (Cont’d) Nonrenewed (Cont’d) RCW 48.43.035 (3)(c) Covered persons entitled to become eligible for Medicare benefits by reason of age who fail to apply for a Medicare supplement plan or Medicare cost, risk, or other plan offered by the issuer pursuant to federal laws and regulations; RCW 48.43.035 (3)(d) Covered persons who fail to pay any deductible or copayment amount owed to the carrier and not the provider of health care services; (3)(e) Covered persons committing fraudulent acts as to the issuer; (3)(f) Covered persons who materially breach the health plan; or 48.43.035 (3)(g) Change or implementation of federal or state laws that no longer permit the continued offering of such coverage.