Guaranteed Issuer Must 45 CFR Issuer must accept for enrollment any state resident within the Issue and Accept All §147.104(a) group to whom the plan is offered and within the carrier's service Continuity of Residents in area and provide or assure the provision of all covered services Coverage Service Area 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. Guaranteed Contract Must RCW Plan must contain or incorporate by endorsement a guarantee of Issue and Contain 48.43.038(1) the continuity of coverage of the plan. Continuity of Guarantee of 45 C.F.R. A plan is "renewed" when it is continued beyond the earliest Coverage Continuity §147.106 (a) date upon which, at the carrier's sole option, the plan could (Cont’d) have been terminated for other than nonpayment of premium. When RCW Plan Plan may still be canceled or nonrenewed for: 48.43.038 May Be Nonpayment of premium; Nonrenewed (2)(a) RCW Violation of published policies of the carrier approved by the 48.43.038 commissioner; (2)(b) RCW Covered persons entitled to become eligible for Medicare 48.43.038 benefits by reason of age who fail to apply for a Medicare (2)(c) supplement plan or Medicare cost, risk, or other plan offered by the carrier pursuant to federal laws and regulations; RCW Covered persons who fail to pay any deductible or 48.43.038 copayment amount owed to the carrier and not the provider (2)(d) of health care services;
Guaranteed Issue and Continuity of Coverage Guaranteed Issue and Continuity of Coverage (Cont’d) Issuer Must Accept All Residents in Service Area 45 CFR §147.104(a) 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 48.43.038(1) 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 which, at the carrier's sole option, the plan could have been terminated for other than nonpayment of premium. When Plan May Be Nonrenewed RCW 48.43.038 (2)(a) Plan may still be canceled or nonrenewed for: Nonpayment of premium; RCW 48.43.038 (2)(b) Violation of published policies of the carrier approved by the commissioner; RCW 48.43.038 (2)(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 carrier pursuant to federal laws and regulations; RCW 48.43.038 (2)(d) Covered persons who fail to pay any deductible or copayment amount owed to the carrier and not the provider of health care services;
cl-forms-19-disability-ind-analyst-checklist.docx