WSR 16-04-009
AGENDA
OFFICE OF
INSURANCE COMMISSIONER
[Filed January 21, 2016, 8:34 a.m.]
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, 2016. If you have any questions regarding any of these rule makings, please contact Jim Keogh, rulescoordinator@oic.wa.gov or (360) 725-7056.
Rule Development Agenda
January 31 through July 31, 2016
WAC
RCW Authority
Subject
Current Activity
CR-103E
CR-101
CR-105
CR-102
 
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
 
 
 
48.02.060, 48.30.010
Notice of payment of settlements by insurers.
 
15-13-068
6/11/15
 
 
 
48.02.060, 48.19.035, 48.19.080
Requiring insurers using credit scores for rating to update scores at least every three years.
 
15-21-051
10/16/15
 
 
 
Health plan special enrollment rules.
 
15-23-064
11/13/15
 
 
 
Addressing the insurance commissioner's powers during a state of emergency.
 
16-01-051
12/10/15
 
 
 
48.02.060
Shifting subchapters regarding health care networks and provider contracts/payments from chapter 284-43 WAC to chapter 284-170 WAC.
 
 
16-03-090
1/20/16
 
 
48.02.060, 48.43.715
Clarifying essential health benefit coverage for obesity management.
 
 
16-01-162
12/22/15
 
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 January 31, 2016, subjects that may be considered for rule making in this effort include:
Annuity marketing and disclosure requirements
Allowing electronic payment of settled claims
Barriers to patient care access resulting from contracting practices
Cleanup of references related to the recodification of chapter 284-43 WAC
Coordination of benefits
Dental insurance practices
Disability insurance loss ratios
Discontinuation and renewal of health plan coverage
Discrimination in health plan design
Electronic filing of state specific reporting
Electronic notices and document delivery of insurance products
Essential health benefits—Pharmacy/formulary tiers
Establishing rules for interest rate tables referenced in RCW
External review of adverse benefit decisions for health plans
Federal financial reform implementation
Federal health care reform implementation
Formulary transparency
Hearing rules revisions
Implementation of rules required by new state legislation
Informing consumers re: The risk taken declining UIM coverage
Minimum valuation standards
NAIC model act implementation (as needed, dependent on legislation)
Prior authorization of health care claims form and process requirements
Ride-sharing insurance coverage
Student health plans
Summary of health insurance benefits coverage
Title insurance agent escrow services
Title insurance agent report of affiliated business ownership
Trainee requirements for adjuster licensing
Transparency rules for emergency Rx fills
Use of vehicle history in rating
Wellness programs (health plans)
Mike Kreidler