WSR 20-20-121
PROPOSED RULES
OFFICE OF THE
INSURANCE COMMISSIONER
[Insurance Commissioner Matter R 2020-11—Filed October 6, 2020, 11:37 a.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 20-115-130 [20-15-130].
Title of Rule and Other Identifying Information: Prompt response requirement.
Hearing Location(s): On November 10, 2020, at 10:00 a.m. Remote access information for public testimony will be made available at the webpage linked here: https://www.insurance.wa.gov/prompt-response-requirement-r-2020-11. Due to the COVID-19 public health emergency, this hearing will be held via Zoom.
Date of Intended Adoption: November 11, 2020.
Submit Written Comments to: Bode Makinde, P.O. Box 40260, Olympia, WA 98504-0260, email rulescoordinator@oic.wa.gov, fax 360-586-3109, by November 12, 2020.
Assistance for Persons with Disabilities: Contact Melanie Watness, phone 360-725-7013, fax 360-586-2023, TTY 360-586-0241 or 360-725-7087, email MelanieW@oic.wa.gov, by November 9, 2020.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The proposed rules will seek to clarify/amend WAC 284-30-650. These rules will also seek to explicitly clarify that the changes apply to all other regulated entities that have to comply with chapter 48.30 RCW.
Reasons Supporting Proposal: Prompt responses are required to all office of the insurance commissioner (OIC) division inquiries, regardless of line of business or coverage and extend to all forms of delivery to OIC. Not all OIC inquiries and responses are complaint driven and channeled through the commissioner's electronic response system. The rule change would offer guidance to all respondents using any method of response and restores the original regulation prior to January 1, 2014, while retaining the electronic response system when appropriate.
Statutory Authority for Adoption: RCW 48.02.060, 48.44.050, 48.46.200, and 48.30.010.
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: Bode Makinde, P.O. Box 40260, Olympia, WA 98504-0260, 360-725-7041; Implementation: Melanie Anderson, P.O. Box 40255, Olympia, WA 98504-0255, 360-725-7156; and Enforcement: Toni Hood, P.O. Box 40255, Olympia, WA 98504-0255, 360-725-7264.
A school district fiscal impact statement is not required under RCW 28A.305.135.
A cost-benefit analysis is required under RCW 34.05.328. A preliminary cost-benefit analysis may be obtained by contacting Bode Makinde, P.O. Box 40260, Olympia, WA 98504-0260, phone 360-725-7041, fax 360-586-3109, TTY 360-586-0241, email bodem@oic.wa.gov.
This rule proposal, or portions of the proposal, is exempt from requirements of the Regulatory Fairness Act because the proposal:
Is exempt under RCW 19.85.025(3) as the rules only correct typographical errors, make address or name changes, or clarify language of a rule without changing its effect; and rules adopt, amend, or repeal a procedure, practice, or requirement relating to agency hearings; or a filing or related process requirement for applying to an agency for a license or permit.
Is exempt under RCW 34.05.310 (4)(g); WAC 284-30-650.
Explanation of exemptions: Correct or clarify language in WAC 284-30-650 and update agency process.
The proposed rule does not impose more-than-minor costs on businesses. Following is a summary of the agency's analysis showing how costs were calculated.
Section 1 - Background: Prompt responses are required to any OIC division inquiry. Not all OIC inquiries and responses are channeled through the commissioner's electronic response system. The rule change would offer guidance to all respondents using any method of response.
Section 2 - Rule groups and their status relative to RFA analysis:
Rule Group
Content
WAC
Exemption Category
, unless otherwise indicated in the inquiry. If the inquiry originates from the commissioner's electronic company complaint system, the response must be in writing and submitted using that same system. This rule also applies to any other entity or person subject to the requirements of chapter 48.30 RCW.
Add text
WAC 284-30-650
RCW 34.05.310 (4)(g)(i) (relating to agency hearings; or (ii) process requirements for applying to an agency for a license or permit)
((and submitted using the commissioner's electronic company complaint system))
Delete text
WAC 284-30-650
RCW 34.05.310 (4)(d) (correct or clarify language)
Section 3 - Cost of compliance/minor cost threshold: The Washington insurers, health care service contractors and health maintenance organizations (HMO) that are affected by this rule are not small businesses as defined in RCW 19.85.020(3). The OIC applied a default cost of compliance ($100) when analyzing whether the rules would have a disproportionate impact on small businesses as defined in RCW 19.85.020(3). Below are calculations for minor cost thresholds across all impacted industries based on the best analogous NAICS types. For these reasons, the proposed rules do not impose more than minor costs on businesses as defined by RCW 19.85.020(2).
2017 Industry NAICS Code
NAICS Code Title
Minor Cost Estimate
Average Annual Employment
1% of Avg Annual Payroll
0.3% of Avg Annual Gross Business Income
524113
Direct Life Insurance Carriers
25599.65
2,787
$25,599.65
2018 Dataset pulled from USBLS
$3,520.62
2018 Dataset pulled from DOR
524114
Direct Health and Medical Insurance Carriers
228929.41
6,777
$88,030.57
2018 Dataset pulled from USBLS
$228,929.41
2018 Dataset pulled from DOR
524126
Direct Property and Casualty Insurance Carriers
33951.09
6,393
$33,951.09
2018 Dataset pulled from USBLS
$2,571.20
2018 Dataset pulled from DOR
524127
Direct Title Insurance Carriers
21078.9
2,646
$12,947.98
2018 Dataset pulled from USBLS
$21,078.90
2018 Dataset pulled from DOR
524128
Other Direct Insurance (except Life; Health; and Medical) Carriers
6357.56
118
$6,357.56
2018 Dataset pulled from ESD
$5,264.55
2018 Dataset pulled from DOR
524130
Reinsurance Carriers
8724.18
94
$8,724.18
2018 Dataset pulled from USBLS
$5,532.67
2018 Dataset pulled from DOR
524210
Insurance Agencies and Brokerages
4879.47
15,498
$4,879.47
2018 Dataset pulled from USBLS
$2,407.22
2018 Dataset pulled from DOR
524291
Claims Adjusting
4302.81
530
$4,302.81
2018 Dataset pulled from USBLS
$2,779.17
2018 Dataset pulled from DOR
524292
Third Party Administration of Insurance and Pension Funds
23596.65
3,108
$23,596.65
2018 Dataset pulled from ESD
$15,044.80
2018 Dataset pulled from DOR
524298
All Other Insurance Related Activities
10871.62
1,243
$10,871.62
2018 Dataset pulled from USBLS
$4,340.77
2018 Dataset pulled from DOR
621111
Offices of Physicians (except Mental Health Specialists)
26877.38
52,688
$26,877.38
2018 Dataset pulled from ESD
$11,406.29
2018 Dataset pulled from DOR
621112
Offices of Physicians; Mental Health Specialists
2299.39
672
$2,299.39
2018 Dataset pulled from ESD
$1,113.55
2018 Dataset pulled from DOR
621210
Offices of Dentists
3853.85
28,203
$3,853.85
2018 Dataset pulled from ESD
$3,551.76
2018 Dataset pulled from DOR
621310
Offices of Chiropractors
1292.12
5,359
$1,292.12
2018 Dataset pulled from ESD
$1,124.85
2018 Dataset pulled from DOR
621320
Offices of Optometrists
2690.05
3,145
$2,420.60
2018 Dataset pulled from ESD
$2,690.05
2018 Dataset pulled from DOR
621330
Offices of Mental Health Practitioners (Except Physicians)
2718.96
2,095
$2,718.96
2018 Dataset pulled from ESD
$519.90
2018 Dataset pulled from DOR
621340
Offices of Physical; Occupational and Speech Therapists; and Audiologists
6532.95
9,965
$6,532.95
2018 Dataset pulled from ESD
$1,839.55
2018 Dataset pulled from DOR
621391
Offices of Podiatrists
1674.73
*
$1,669.92
2018 Dataset pulled from ESD
$1,674.73
2018 Dataset pulled from DOR
621399
Offices of All Other Miscellaneous Health Practitioners
1623.22
5,245
$1,623.22
2018 Dataset pulled from ESD
$826.66
2018 Dataset pulled from DOR
621410
Family Planning Centers
19316.98
721
$19,316.98
2018 Dataset pulled from ESD
$4,347.88
2018 Dataset pulled from DOR
621420
Outpatient Mental Health and Substance Abuse Centers
22672.95
9,834
$22,627.95
2018 Dataset pulled from ESD
$3,444.05
2018 Dataset pulled from DOR
621491
HMO Medical Center
99243.89
*
Redacted
2018 Dataset pulled from ESD
$99,243.89
2018 Dataset pulled from DOR
621492
Kidney Dialysis Centers
139253.36
3,456
$139,253.36
2018 Dataset pulled from ESD
$81,597.40
2018 Dataset pulled from DOR
621493
Freestanding Ambulatory Surgical and Emergency Centers
37919.63
1,904
$37,919.63
2018 Dataset pulled from ESD
$25,083.15
2018 Dataset pulled from DOR
621498
All Other Outpatient Care Centers
59983.13
5,816
$59,983.13
2018 Dataset pulled from ESD
$4,682.97
2018 Dataset pulled from DOR
621511
Medical Laboratories
29239.62
4,328
$20,374.41
2018 Dataset pulled from ESD
$29,239.62
2018 Dataset pulled from DOR
621512
Diagnostic Imaging Centers
12574.14
1,000
$11,672.26
2018 Dataset pulled from ESD
$12,574.14
2018 Dataset pulled from DOR
621610
Home Health Care Services
27694.67
11,822
$27,694.67
2018 Dataset pulled from ESD
$9,631.09
2018 Dataset pulled from DOR
621910
Ambulance Services
32606.95
2,470
$32,606.95
2018 Dataset pulled from ESD
$17,939.90
2018 Dataset pulled from DOR
621991
Blood and Organ Banks
64849.95
2,169
$64,849.95
2018 Dataset pulled from ESD
$40,844.25
2018 Dataset pulled from DOR
622110
General Medical and Surgical Hospitals
1323310.72
88,081
$1,323,310.72
2018 Dataset pulled from ESD
$585,843.60
2018 Dataset pulled from DOR
622210
Psychiatric and Substance Abuse Hospitals
82560.45
2,406
$82,560.45
2018 Dataset pulled from ESD
$28,916.57
2018 Dataset pulled from DOR
622310
Specialty (Except Psychiatric and Substance Abuse) Hospitals
303210.02
2,072
$303,210.02
2018 Dataset pulled from ESD
$40,368.29
2018 Dataset pulled from DOR
623110
Nursing Care Facilities (Skilled Nursing Facilities)
38281.56
21,141
$38,281.56
2018 Dataset pulled from ESD
$18,640.19
2018 Dataset pulled from DOR
623210
Residential Intellectual and Developmental Disability Facilities
17438.07
4,376
$17,438.07
2018 Dataset pulled from ESD
$5,515.79
2018 Dataset pulled from DOR
623220
Residential Mental Health and Substance Abuse Facilities
28073.51
4,200
$28,073.51
2018 Dataset pulled from ESD
$21,981.10
2018 Dataset pulled from DOR
623311
Continuing Care Retirement Communities
31393.25
13,242
$31,393.25
2018 Dataset pulled from ESD
$12,837.77
2018 Dataset pulled from DOR
623312
Assisted Living Facilities for the Elderly
6276.02
17,970
$3,140.52
2018 Dataset pulled from ESD
$6,276.02
2018 Dataset pulled from DOR
623990
Other Residential Care Facilities
13676.48
1,673
$11,708.07
2018 Dataset pulled from ESD
$13,676.48
2018 Dataset pulled from DOR
624110
Child and Youth Services
5847.59
3,955
$5,847.59
2018 Dataset pulled from ESD
$1,733.54
2018 Dataset pulled from DOR
624120
Services For the Elderly and Persons With Disabilities
3186.57
64,498
$338.52
2018 Dataset pulled from ESD
$3,186.57
2018 Dataset pulled from DOR
624190
Other Individual and Family Services
6856.93
15,883
$6,856.93
2018 Dataset pulled from ESD
$1,027.00
2018 Dataset pulled from DOR
624210
Community Food Services
3854.23
1,079
$3,854.23
2018 Dataset pulled from ESD
$1,869.92
2018 Dataset pulled from DOR
624221
Temporary Shelters
10504.79
2,382
$10,504.79
2018 Dataset pulled from ESD
$8,611.36
2018 Dataset pulled from DOR
624229
Other Community Housing Services
36016.14
884
$6,133.87
2018 Dataset pulled from ESD
$36,016.14
2018 Dataset pulled from DOR
624230
Emergency and Other Relief Services
9580.3
674
$9,580.30
2018 Dataset pulled from ESD
$1,783.48
2018 Dataset pulled from DOR
624310
Vocational Rehabilitation Services
15953.81
7,648
$15,953.81
2018 Dataset pulled from ESD
$7,557.41
2018 Dataset pulled from DOR
624410
Child Day Care Services
3075.58
20,507
$3,075.58
2018 Dataset pulled from ESD
$1,163.71
2018 Dataset pulled from DOR
October 6, 2020
Mike Kreidler
Insurance Commissioner
AMENDATORY SECTION(Amending WSR 13-12-079, filed 6/5/13, effective 1/1/14)
WAC 284-30-650Prompt responses required.
It is an unfair practice for an insurer, and a prohibited practice for a health care service contractor or a health maintenance organization, to fail to respond promptly to any inquiry from the insurance commissioner relative to the business of insurance. A lack of response within fifteen business days from receipt of an inquiry will be considered untimely. A response must be in writing ((and submitted using the commissioner's electronic company complaint system)), unless otherwise indicated in the inquiry. If the inquiry originates from the commissioner's electronic company complaint system, the response must be in writing and submitted using that same system. This rule also applies to any other entity or person subject to the requirements of chapter 48.30 RCW.