2097‑S AMH DYER HAGE 4

SHB 2097 ‑ H AMD 158 ADOPTED 2-13-96

By Representative Dyer

     On page 3, beginning on line 13, strike lines 13, 14, and 15 and insert:

 "(d) To develop, as an offering by all health carriers providing coverage identical to the basic health plan((, a)).  This model plan benefits package ((with uniformity in enrollee cost-sharing requirements))shall include an optional provision for enrollee cost-sharing requirements utilizing a deductible and coinsurance features that are actuarially equivalent to the nonsubsidized level of cost sharing of the Washington basic health plan.  The administrator shall revise the model plan cost-sharing features periodically to maintain actuarial equivalency with the cost-sharing features of the Washington basic health plan."

EFFECT:   Clarifies the requirement of disability insurers in complying with the Model Basis Health Plan offering provisions.