ESHB 1220 -
By Senators Becker, Zarelli, Hewitt, Schoesler, Ericksen, Benton, King, Baumgartner, Hatfield, Sheldon, Roach, Morton, Tom, Parlette, Carrell, Holmquist Newbry, Fain, Hill, Honeyford, Harper, Stevens, Pflug, Delvin, Litzow, Swecker, Baxter
OUT OF ORDER 04/07/2011
Strike everything after the enacting clause and insert the following:
"Sec. 1 RCW 48.02.120 and 1985 c 264 s 2 are each amended to read
as follows:
(1) The commissioner shall preserve in permanent form records of
his or her proceedings, hearings, investigations, and examinations, and
shall file such records in his or her office.
(2) The records of the commissioner and insurance filings in his or
her office shall be open to public inspection, except as otherwise
provided by this code.
(3) Actuarial formulas, statistics, and assumptions submitted in
support of a rate or form filing by an insurer, health care service
contractor, or health maintenance organization or submitted to the
commissioner upon his or her request shall be withheld from public
inspection in order to preserve trade secrets or prevent unfair
competition.
(4) Except as provided in subsection (5) of this section, for all
rate increases for an individual and small group health benefit plan
rate filing filed with the office of the insurance commissioner on or
after July 1, 2011, the following shall apply:
(a) The health carrier must submit part I rate increase summary and
part II written explanation of the rate increase as set forth by the
centers for medicaid and medicare services at the time of filing; and
(b) The commissioner must:
(i) Make available for public inspection the part I rate increase
summary and part II written explanation of the rate increase on the
tenth calendar day after the commissioner determines that a rate filing
is complete and accepts the filing for review through the electronic
rate and form filing system;
(ii) Prepare a standardized rate summary form to explain his or her
findings after the rate review process is completed. The
commissioner's summary form must be included as part of the rate filing
documentation available to the public electronically and shall be made
available on the effective date of the filing; and
(iii) Subject to subsection (3) of this section and 45 C.F.R. Sec.
5.65, make the portions of each rate filing that are open to public
inspection available on the effective date of the filing.
(5) Subsection (4) of this section does not apply to a new
individual or small group product filing for a period of one year from
the date a new individual or small group product filing is submitted or
until the next rate filing for the product, whichever occurs earlier,
if the commissioner determines that the proposed rate filing is for a
new product that is distinct and unique from any of the carrier's
currently or previously offered health benefit plans. A carrier must
make a written request for a product classification as a new product
under this subsection and must receive subsequent written approval by
the commissioner for this subsection to apply."
ESHB 1220 -
By Senators Becker, Zarelli, Hewitt, Schoesler, Ericksen, Benton, King, Baumgartner, Hatfield, Sheldon, Roach, Morton, Tom, Parlette, Carrell, Holmquist Newbry, Fain, Hill, Honeyford, Harper, Stevens, Pflug, Delvin, Litzow, Swecker, Baxter
OUT OF ORDER 04/07/2011
On page 1, line 1 of the title, after "rates;" strike the remainder of the title and insert "and amending RCW 48.02.120."