Statutes, codes, and regulations
Washington Administrative Code
Title 284 - Insurance Commissioner, Office of theChapter 284-43 - Health carriers and health plans
Subchapter E - ADVERSE BENEFIT DETERMINATION PROCESS REQUIREMENTS FOR NONGRANDFATHERED PLANS
Section 284-43-3000 - Scope and intent

Wash. Admin. Code § 284-43-3000

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Current through Register Vol. 24-12, June 15, 2024
Section 284-43-3000 - Scope and intent

Carriers and not grandfathered plans must follow the rules in this subchapter in order to comply with the adverse benefit determination process required by RCW 48.43.530 and 48.43.535. These rules apply to any request for a review of an adverse benefit determination made by a carrier or its designee on or after January 1, 2012.

Wash. Admin. Code § 284-43-3000

WSR 16-01-081, recodified as § 284-43-3000, filed 12/14/15, effective 12/14/15.

Statutory Authority: RCW 48.02.060, 48.43.525, 48.43.530, 48.43.535, and The Patient Protection and Affordable Care Act, P.L. 111-148, as amended (2010). WSR 12-23-005 (Matter No. R 2011-11), § 284-43-500, filed 11/7/12, effective 11/20/12.