SHB 2404 -
By Senator Jacobsen
On page 6, after line 33 of the amendment, insert the following:
"NEW SECTION. Sec. 7 (1) Any retainer health care practice may
enter into contracts with or for the benefit of retainer subscribers
which require prepayment for primary care services by such persons in
consideration of such retainer primary care practice providing one or
more primary care services to such persons.
(2) The commissioner may on examination disapprove any retainer
agreement for any of the following grounds:
(a) If it contains or incorporates by reference any inconsistent,
ambiguous, or misleading clauses, or exceptions and conditions which
unreasonably or deceptively affect the risk purported to be assumed in
the general coverage of the retainer agreement;
(b) If it has any title, heading, or other indication of its
provisions which is misleading;
(c) If purchase of primary care services thereunder is being
solicited by deceptive advertising;
(d) If it contains unreasonable restrictions on the treatment of
retainer subscribers; or
(e) If it fails to conform to minimum provisions or standards.
(3) In addition to the grounds listed in subsection (2) of this
section, the commissioner may disapprove any retainer agreement if the
benefits provided therein are unreasonable in relation to the retainer
fees charged for the retainer agreement."
Renumber the remaining sections consecutively and correct internal references accordingly.
EFFECT: Requires OIC to review and approve retainer medicine agreements and retainer fees.