Wash. Admin. Code § 284-43-6640

Current through Register Vol. 25-01, January 1, 2025

Section 284-43-6640 - Evaluating experience data

In determining the credibility and appropriateness of experience data, consideration will be given to all relevant factors, including:

(1) Statistical credibility of the amount charged and services and benefits paid, such as low exposure, low loss frequency, and recoupment;

(2) Actual and projected trends relative to changes in medical costs and changes in utilization;

(3) The mix of business by risk classification; and

(4) Adverse selection or lapse factors reasonably expected in connection with revisions to plan provisions, services, benefits, and amount charged.

Wash. Admin. Code § 284-43-6640

Decodified by WSR 16-23-019, Filed 11/4/2016, effective 12/5/2016. Recodified from § 284-43-6140.