ESHB 1220 -
By Committee on Health & Long-Term Care
NOT ADOPTED 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) Except as provided in subsection (4) of this section, 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) For rate filings with an effective date on or after January 1,
2012, subsection (3) of this section does not apply to rate filings for
individual and small group health benefit plans. Subsection (3) of
this section may continue to apply 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. Carriers 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.
(5) Unless the commissioner has determined that the filing is for
a new product pursuant to subsection (4) of this section, for
individual or small group health benefit plan rate filings with an
effective date on or after January 1, 2012, the commissioner must:
(a) Make each filing available for public inspection on the tenth
calendar day after the commissioner determines that the rate filing is
complete and accepts the filing for review through the electronic rate
and form filing system;
(b) Prepare a rate disclosure summary form in a standard format for
carriers to complete and submit to the commissioner electronically as
part of each rate filing. The disclosure form must be written in plain
language easily understood by the general public. The summary must
allow carriers to explain the relationship between premium and health
care cost drivers. The summary must set forth, at a minimum, the
following: (i) The rate increase, year over year, for annual
increases, including historic rate adjustments for at least the past
three years; (ii) any percent increase to current rates attributed to
mandated changes, not including changes due to demographics; (iii) the
number of members impacted by the rate; (iv) the impact of benefit
changes on the rate; (v) the products' filed health care trend; (vi)
the projected medical loss ratio for the rating period; and (vii) other
information the commissioner finds reasonably necessary to help
consumers understand the reasons for proposed and accepted rates;
(c) 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 and available to the public electronically.
(6) The commissioner must adopt rules to implement and administer
this section. The rules must include, but are not limited to, a
process for updating the summary form content referenced in subsection
(5)(b) of this section. In adopting rules under this section, the
commissioner must consult with carriers, as defined in RCW 48.43.005,
and consumers in the development of the summary forms."
ESHB 1220 -
By Committee on Health & Long-Term Care
NOT ADOPTED 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."