Cancellation WAC 284-44-310 The Contract Must: (1)(a) Have a continuous term; WAC 284-44-310 Fully insure the benefits of the persons who have paid for or (1)(b) contracted for covered health care services, which persons shall be designated as beneficiaries, when such services are not performed by the health care service contractor or a participant; WAC 284-44-310 Contain a provision that, in the of cancellation, the coverage (1)(c) shall continue with respect to services provided prior to the effective date of such cancellation; WAC 284-44-310 Contain a provision that it may not be cancelled without ninety days (1)(d) advance written notice to the insured or insurer by the cancelling party; and WAC 284-44-310 Contain a provision requiring not less than sixty days advance notice (1)(e) to the insurance commissioner, health care services division, by the insurer of any cancellation. WAC 284-44-310 The original or a true copy of the actual insurance contract or policy (2) be filed with the insurance commissioner, health care services division, prior to its effective date. Examination / Contract RCW The filing must not: 48.44.020(2)(a) Disapproval contain any inconsistent, ambiguous, misleading clauses, Standards Required exceptions, or conditions, which unreasonably or deceptively (Cont’d) affect the risk purported to be assumed in the general coverage of the contract; RCW have any title, heading, or other indication of its provisions 48.44.020(2)(b) which is misleading; RCW Solicit the purchase of health care services thereunder by 48.44.020(2)(c) deceptive advertising; (2)(d) contain unreasonable restrictions on the treatment of patients;
Cancellation WAC 284-44-310 (1)(a) The Contract Must: Have a continuous term; WAC 284-44-310 (1)(b) Fully insure the benefits of the persons who have paid for or contracted for covered health care services, which persons shall be designated as beneficiaries, when such services are not performed by the health care service contractor or a participant; WAC 284-44-310 (1)(c) Contain a provision that, in the of cancellation, the coverage shall continue with respect to services provided prior to the effective date of such cancellation; WAC 284-44-310 (1)(d) Contain a provision that it may not be cancelled without ninety days advance written notice to the insured or insurer by the cancelling party; and WAC 284-44-310 (1)(e) Contain a provision requiring not less than sixty days advance notice to the insurance commissioner, health care services division, by the insurer of any cancellation. Examination / Disapproval WAC 284-44-310 (2) The original or a true copy of the actual insurance contract or policy be filed with the insurance commissioner, health care services division, prior to its effective date. Contract Standards Required (Cont’d) RCW 48.44.020(2)(a) The filing must not: contain any inconsistent, ambiguous, misleading clauses, exceptions, or conditions, which unreasonably or deceptively affect the risk purported to be assumed in the general coverage of the contract; RCW 48.44.020(2)(b) have any title, heading, or other indication of its provisions which is misleading; RCW 48.44.020(2)(c) Solicit the purchase of health care services thereunder by deceptive advertising; (2)(d) contain unreasonable restrictions on the treatment of patients;
cl-forms-19-hcsc-sg-analyst-checklist.docx