H-3919.2          _______________________________________________

 

                                  HOUSE BILL 2772

                  _______________________________________________

 

State of Washington              52nd Legislature             1992 Regular Session

 

By Representatives Zellinsky, Dellwo, Haugen, Broback, R. Johnson, Anderson, Paris, Dorn, Winsley, Schmidt, R. Meyers, Brough, Wood, Ludwig, Hochstatter, Mitchell, J. Kohl and Nelson

 

Read first time 01/27/92.  Referred to Committee on Financial Institutions & Insurance.Prohibiting individual exclusions from health coverage based solely on medical condition or health status.


     AN ACT Relating to health coverage offered to employers prohibiting individual exclusions from coverage based solely on medical condition or health status; adding a new section to chapter 48.21 RCW; adding a new section to chapter 48.44 RCW; and adding a new section to chapter 48.46 RCW.

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

 

     NEW SECTION.  Sec. 1.  A new section is added to chapter 48.21 RCW to read as follows:

     An insurer offering employer-sponsored group coverage is prohibited from excluding individuals otherwise eligible for coverage based solely on the medical condition or health status of the individuals.  When determining the acceptance or rejection of an employer-sponsored group making application for coverage, insurers shall make the determinations for the entire group of eligible employees, and may not exclude individuals otherwise eligible based solely on medical condition or health status.

 

     NEW SECTION.  Sec. 2.  A new section is added to chapter 48.44 RCW to read as follows:

     A health care service contractor offering employer-sponsored group coverage is prohibited from excluding individuals otherwise eligible for coverage based solely on the medical condition or health status of the individuals.  When determining the acceptance or rejection of an employer-sponsored group making application for coverage, health care service contractors shall make the determinations for the entire group of eligible employees, and may not exclude individuals otherwise eligible based solely on medical condition or health status.

 

     NEW SECTION.  Sec. 3.  A new section is added to chapter 48.46 RCW to read as follows:

     A health maintenance organization offering employer-sponsored group coverage is prohibited from excluding individuals otherwise eligible for coverage based solely on the medical condition or health status of the individuals.  When determining the acceptance or rejection of an employer-sponsored group making application for coverage, health maintenance organizations shall make the determinations for the entire group of eligible employees, and may not exclude individuals otherwise eligible based solely on medical condition or health status.