2069-S2 AMH BAIL H2588.1

2SHB 2069  - H AMD169
     By Representative Bailey

WITHDRAWN 03/14/2005

     On page 6, line 3, after "legislature." insert "Any managed health care system as defined under RCW 70.47.020, and any self-funded or self-insured program operated by the state health care authority under RCW 41.05.140 that provides the small business assist plan offered by the administrator under subsections (2) through (6) of this section must comply with the following requirements:
     (a) Each small business assist plan offered by a managed health care system or self-funded or self-insured program, and the rates for any small business assist plan, shall be subject to disapproval by the insurance commissioner pursuant to the same standards provided under RCW 48.44.023 with respect to forms, policies, and contracts offered by a health care service contractor;
     (b) Each managed health care system or self-funded or self-insured program that provides the small business assist plan offered by the administrator under subsections (2) through (6) of this section is subject to examination by the insurance commissioner under chapter 48.03 RCW;
     (c) Each managed health care system or self-funded or self-insured program that provides the small business assist plan offered by the administrator under subsections (2) through (6) of this section is subject to the minimum net worth requirements provided under chapter 48.44 RCW with respect to health care service contractors;
     (d) Each small business assist plan offered by a managed health care system or self-funded or self-insured program under subsections (2) through (6) of this section is subject to the requirements of RCW 48.43.045; and
     (e) Each small business assist plan offered by a managed health care system or self-funded or self-insured program under subsections (2) through (6) of this section is subject to the requirements of RCW 48.43.510 through 48.43.550."

EFFECT:  Requires the small business assist program to comply with the same standards and requirements that health carriers must meet related to filing rates and forms, market conduct and financial examinations, minimum net worth requirements, every category of provider requirements, and comply with the requirements related to the patient bill of rights.

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