WSR 16-16-052
AGENDA
OFFICE OF
INSURANCE COMMISSIONER
[Filed July 27, 2016, 11:21 a.m.]
Rule Development Agenda
July 31, 2016 through January 31, 2017
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 January 31, 2017. 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, 48.44.050, 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
 
 
284-30-396
48.02.060, 48.30.010
Notice of payment of settlements by insurers.
 
 
 
16-08-024
3/29/16
284-24-140
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
 
16-13-127
6/21/16
 
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
 
 
284-43-5642
48.02.060, 48.43.715
Clarifying essential health benefit coverage for obesity management.
 
 
 
16-10-050
4/29/16
 
48.02.060, 48.29.005
Title insurance agent escrow practices and accounts.
 
16-07-083
3/17/16
 
 
 
48.02.060, SSB 6536 (chapter 156, Laws of 2016, effective March 31, 2016)
Rating requirements (SSB 6536).
 
16-10-048
4/29/16
 
 
 
5ESSB 5857 (2016)
Registration and regulation of pharmacy benefit managers.
 
16-10-049
4/29/16
 
 
 
48.02.060, 48.43.510
Notification re: Emergency fills.
 
16-10-051
4/29/16
 
 
 
48.02.060
Implementing RCW 48.43.016.
 
16-10-052
4/29/16
 
 
 
48.43.740, 48.43.743
Adding dental insurance requirements to comply with SHB 1002.
 
16-10-056
4/29/16
 
 
 
48.02.060, 48.30.010
Allowing electronic payment of settled claims.
 
16-11-062
5/13/16
 
 
 
48.02.060, 48.18.120(2), 48.20.450, 48.44.050,
48.46.200
Special enrollment rules: Health benefit exchange request.
 
16-11-063
5/13/16
 
 
 
48.02.060, Sections 5 (4)(e) and (g), 6 (4)(g), 12, 13(5), 16 (3)(a), and 18 (7)(h)(viii), chapter 142, Laws of 2016
Principle based reserving.
 
16-12-080
5/31/16
 
 
 
48.02.060, 34.05.220, 34.05.250
Administrative hearings.
 
16-12-081
5/31/16
 
 
 
48.02.060, 48.43.510
Prescription drug benefit disclosures.
 
16-12-082
5/31/16
 
 
 
48.02.060, 48.43.535, 43.70.235 - as recodified by chapter 139, Laws of 2016
Transfer regulatory authority over independent review organization from the department of health to the office of insurance commissioner.
 
16-13-101
6/17/16
 
 
 
48.02.060 (3)(a), 48.22.030(4)
Amend existing motorist underinsured rejection form.
 
16-13-102
6/17/16
 
 
 
Prior authorization processes and transparency.
 
16-13-103
6/17/16
 
 
 
48.02.060, 48.43.505
Privacy of consumer financial information.
 
16-15-068
7/18/16
 
 
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, 2017, subjects that may be considered for rule making in this effort include:
Annuity marketing and disclosure requirements
Barriers to patient care access resulting from contracting practices
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
Essential health benefits—Clarifications, as needed, of pediatric dental and other provisions
Establishing rules for interest rate tables referenced in RCW
Federal financial reform implementation
Federal health care reform implementation
Fixing investment statute outdated references
Health care coverage for dependent and incapacitated children
Implementation of rules required by new state legislation
Minimum valuation standards
NAIC Model Act implementation (dependent on legislation)
Pharmacy exception (substitution) and appeals process
Prelicensing insurance education
Producer commissions for special enrollment periods
Ride-sharing insurance coverage
Standards for gold card programs in health insurance coverage
Summary of health insurance benefits coverage
Trainee requirements for adjuster licensing
Use of vehicle history in rating
Wellness programs (health plans).
Mike Kreidler