WSR 15-04-067
AGENDA
OFFICE OF
INSURANCE COMMISSIONER
[Filed January 30, 2015, 10:54 a.m.]
Rule Development Agenda
January 31 through July 31, 2015
The commissioner has introduced the following rule makings. Each rule making is currently between the CR-101, CR-102, and CR-103 stage. They are currently under review and there may be further rule-making activity before July 31, 2015. If you have any questions regarding any of these rule makings, please contact Jim Keogh, rulescoordinator@oic.wa.gov or (360) 725-7056.
WAC
RCW Authority
Subject
Current Activity
CR-103E
CR-101
CR-105
CR-102
 
48.02.060, 48.21.270, 48.44.380, 48.46.460
Conversion health plans.
 
12-07-091
3/21/12
 
 
 
48.02.060, 48.44.050, 48.46.200
Issuer disclosures, notices, and processes to protect privacy of health care information.
 
13-11-144
5/22/13
 
 
 
48.02.060, 48.83.170, 48.84.030
Long-term care unintentional lapse notices.
 
14-02-074
12/30/13
 
 
 
48.17.005, 48.17.150
Insurance producer continuing education requirements.
 
14-07-104
3/19/14
 
 
 
48.02.060, 48.17.005
Designation of a designated responsible licensed person by a business entity.
 
14-14-132
7/2/14
 
15-02-059
1/6/15
 
48.02.060, 48.18.120, 48.20.450, 48.20.460, 48.43.505, 48.43.510, 48.43.515, 48.43.525, 48.43.530, 48.43.535, 48.44.020, 48.44.050, 48.44.080, 48.46.030, 48.46.200, 45 C.F.R. 156.230, 45 C.F.R. 156.235, 45 C.F.R. 156.245
Network access.
 
14-15-104
7/18/14
 
 
 
48.02.060
Adjusting disability insurers' filing rules to match those of HCSCs and HMOs.
 
14-15-105
7/18/14
 
 
 
48.02.060, 48.43.510, 48.165.0301
Prior authorization of pharmacy benefits.
 
14-22-086
11/3/14
 
 
Possible Rule-Makings: In addition to the rules listed above, the commissioner continues the effort to update and clarify the code as well as implement recent legislation. In the period before July 31, 2015, subjects that may be considered for rule making in this effort include:
Annuity marketing and disclosure requirements
Statistical data reporting
Coordination of benefits
Common implementation dates for forms and rates in a filing
Disability insurance loss ratios
Discontinuation and renewal of health plan coverage
Discrimination in health plan design
Electronic filing of state specific reporting
Essential health benefits—Pharmacy/formulary tiers
Essential health benefits—Preventive services
External review of adverse benefit decisions for health plans
Federal financial reform implementation
Federal health care reform implementation
Large group filing requirements
Member transparency tools
NAIC Model Act implementation (as needed, dependent on legislation)
Numeric recodification of chapter 284-43 WAC
OIC emergency powers
Open and special enrollment technical issues
Payee notification (SIU)
Prior authorization of health care claims form and process requirements
Ride-sharing insurance coverage
Student health plans
Summary of health insurance benefits coverage
Trainee requirements for adjuster licensing
Use of vehicle history in rating
Wellness programs (health plans)
Mike Kreidler