WSR 14-04-117 PROPOSED RULES OFFICE OF INSURANCE COMMISSIONER [Insurance Commissioner Matter No. R 2013-27—Filed February 4, 2014, 3:24 p.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 13-24-109.
Title of Rule and Other Identifying Information: Plan management - filing deadline.
Hearing Location(s): Office of the Insurance Commissioner, Training Room (TR-120), 5000 Capitol Boulevard S.E., Tumwater, WA, on March 11, 2014, at 2:00 p.m.
Date of Intended Adoption: March 13, 2014.
Submit Written Comments to: Jason Siems, P.O. Box 40258, Olympia, WA 98504-0258, e-mail rulescoordinator@oic.wa.gov, fax (360) 586-3109, by March 10, 2014.
Assistance for Persons with Disabilities: Contact Lori [Lorie] Villaflores by March 10, 2014, TTY (360) 586-0241 or (360) 725-7087.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The proposed rule will allow the commissioner to set filing deadlines to file with the commissioner rate and form filings for all individual health plans, small group health plans, and stand-alone dental plans that provide pediatric dental benefits as one of the essential health benefits. This will ensure that these plans are filed timely for review.
Reasons Supporting Proposal: Setting a filing deadline will require issuers to file timely and allow the agency to effectively manage the review and approval process of health benefit plans. In addition, the health benefit plans that must be sent to the health benefit exchange to be certified as qualified health plans will be sent to the health benefit exchange within consistent time frames.
Statutory Authority for Adoption: RCW 48.02.060, 48.18.100, 48.43.340, 48.43.715, 48.44.050, 48.46.200.
Statute Being Implemented: RCW 48.18.100, 48.44.020, 48.46.060.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: Mike Kreidler, insurance commissioner, governmental.
Name of Agency Personnel Responsible for Drafting: Jason Siems, P.O. Box 40258, Olympia, WA 98504-0258, (360) 725-7037; Implementation: Molly Nollette, P.O. Box 40255, Olympia, WA 98504-0255, (360) 725-7117; and Enforcement: AnnaLisa Gellermann, P.O. Box 40255, Olympia, WA 98504-0255, (360) 725-7050.
No small business economic impact statement has been prepared under chapter 19.85 RCW. The entities that must comply with the proposed rule are not small businesses, pursuant to chapter 19.85 RCW.
A cost-benefit analysis is required under RCW 34.05.328. A preliminary cost-benefit analysis may be obtained by contacting Jason Siems, P.O. Box 40258, Olympia, WA 98504-0258, phone (360) 725-7037, fax (360) 586-3535, e-mail rulescoordinator@oic.wa.gov.
February 4, 2014
Mike Kreidler
Insurance Commissioner
NEW SECTION
WAC 284-170-870 Deadline for filing individual health plans, small group health plans, and stand-alone dental plans.
This section applies to all individual health plans, small group health plans, and stand-alone dental plans that provide pediatric dental benefits as one of the essential health benefits. Each year, issuers must file with the commissioner a complete rate and form filing for the next calendar year on or before the deadline set by the commissioner. The commissioner must announce and post the filing deadline no later than March 31st of each year. Issuers will be permitted to amend filings only at the direction of the commissioner. Filings not timely submitted will be rejected without review.
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