(1978) ); Great The contract cannot unreasonably restrict or delay the payment of West Life Annuity benefits. Delays are not justified because the expenses incurred, or Ins v. Knudson the services received, resulted from an act or omission of a third party Unfair and False RCW 48.44.110 The forms may not contain any false, deceptive, or misleading Advertising representation or advertising relative to the business of a HCSC or to Discriminatory Practices any person engaged therein. RCW 48.44.120 The forms may not contain any misrepresentation of the terms of any of contract, or the benefits or advantages promised thereby, or use the Contract name or title of any contract or class of contract misrepresenting the Terms nature thereof. No RCW 48.44.130 Contract must not guarantee or agree to the payment of future guarantee of dividends or future refunds of unused charges or savings. future payments Unfair and Misleading RCW 48.44.140 The forms may not include misrepresentation or misleading Discriminatory comparisons comparisons to induce or attempt to induce any member of any Practices to terminate HCSC to terminate or retain a contract or membership. (Cont’d) or retain contract RCW 48.44.220 Form provisions cannot result in denial of coverage to any person solely on account of race, religion, national origin, or the presence Prohibited of any sensory, mental, or physical handicap. Injury due to RCW 48.44.305 Plan must not deny coverage for treatment of an injury solely because Intoxication the injury was caused by the enrolled participant's being intoxicated or narcotics or under the influence of a narcotic.
(1978) ); Great West Life Annuity Ins v. Knudson The contract cannot unreasonably restrict or delay the payment of benefits. Delays are not justified because the expenses incurred, or the services received, resulted from an act or omission of a third party Unfair and Discriminatory Practices Unfair and Discriminatory Practices (Cont’d) False Advertising RCW 48.44.110 The forms may not contain any false, deceptive, or misleading representation or advertising relative to the business of a HCSC or to any person engaged therein. of Contract Terms RCW 48.44.120 The forms may not contain any misrepresentation of the terms of any contract, or the benefits or advantages promised thereby, or use the name or title of any contract or class of contract misrepresenting the nature thereof. No guarantee of future payments RCW 48.44.130 Contract must not guarantee or agree to the payment of future dividends or future refunds of unused charges or savings. Misleading comparisons to terminate or retain contract RCW 48.44.140 The forms may not include misrepresentation or misleading comparisons to induce or attempt to induce any member of any HCSC to terminate or retain a contract or membership. Prohibited RCW 48.44.220 Form provisions cannot result in denial of coverage to any person solely on account of race, religion, national origin, or the presence of any sensory, mental, or physical handicap. Injury due to Intoxication or narcotics RCW 48.44.305 Plan must not deny coverage for treatment of an injury solely because the injury was caused by the enrolled participant's being intoxicated or under the influence of a narcotic.
cl-forms-19-hcsc-ind-stand-alone-dental-w-pediatric-ehbs.docx