WSR 15-21-095 PERMANENT RULES OFFICE OF INSURANCE COMMISSIONER [Insurance Commissioner Matter No. R 2015-03—Filed October 21, 2015, 10:46 a.m., effective January 1, 2016] Effective Date of Rule: January 1, 2016.
Purpose: RCW 48.43.007 requires health plan issuers in Washington to attest to the office of the insurance commissioner that their member transparency tools meet the requirements in the statute and that access to the tools is available on the issuers' home page within the health plan's secured member web site. This proposed rule directs health plan issuers to file with the office of insurance commissioner (OIC) one annual attestation for each market level of plans offered in Washington (e.g., individual, small group and large group). The proposed rule provides guidance as to how the attestation(s) should be provided to OIC.
Adopted under notice filed as WSR 15-17-046 on August 12, 2015.
A final cost-benefit analysis is available by contacting Jim Keogh, P.O. Box 40258, Olympia, WA 98504-0258, phone (360) 725-7056, fax (360) 586-3109, e-mail rulescoordinator@oic.wa.gov.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 1, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 1, Amended 0, Repealed 0.
Date Adopted: October 21, 2015.
Mike Kreidler
Insurance Commissioner
NEW SECTION
WAC 284-43-927 Issuer filing of attestation form, transparency tools.
Every issuer offering or renewing a health benefit plan on or after January 1, 2016, must attest to the insurance commissioner that the transparency tools available to their members meet the requirements of RCW 48.43.007.
(1) Annually, each health plan issuer must file an attestation form with the insurance commissioner for each line of business written by the issuer. For purposes of this section, line of business is defined as individual, small group and large group health plans.
(2) The form must be signed by an officer of the issuer that is responsible for ensuring compliance with RCW 48.43.007.
(3) The form must be submitted to the insurance commissioner no later than February 1st of each calendar year. Instructions for filing of the form will be available on the insurance commissioner's web site no later than sixty days prior to the filing deadline.
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