Chapter 48.46 - HEALTH MAINTENANCE ORGANIZATIONS

Section 48.46.010 - Legislative declaration-Purpose
Section 48.46.012 - Filings with secretary of state-Copy for commissioner
Section 48.46.020 - Definitions
Section 48.46.023 - Insurance producer-Definition-License required-Application, issuance, renewal, fees-Penalties involving license
Section 48.46.027 - Registration, required-Issuance of securities-Penalty
Section 48.46.030 - Eligibility requirements for certificate of registration-Application requirements, information-Provider compensation
Section 48.46.033 - Unregistered activities-Acts committed in this state-Sanctions
Section 48.46.040 - Certificate of registration-Issuance-Grounds for refusal-Name restrictions-Inspection and review of facilities
Section 48.46.045 - Catastrophic health plans permitted
Section 48.46.060 - Prepayment agreements-Standards for forms and documents-Grounds for disapproval-Cancellation or failure to renew-Filing of agreement forms
Section 48.46.062 - Schedule of rates for individual agreements-Loss ratio-Definitions
Section 48.46.063 - Calculation of premiums-Members of a purchasing pool-Adjusted community rating method-Definitions
Section 48.46.064 - Calculation of premiums-Adjusted community rate-Definitions
Section 48.46.066 - Health plan benefits for small employers-Coverage-Exemption from statutory requirements-Premium rates-Requirements for providing coverage for small employers
Section 48.46.068 - Requirements for plans offered to small employers-Definitions
Section 48.46.070 - Governing body
Section 48.46.080 - Annual statement-Filings-Contents-Fee-Penalty for failure to file-Accuracy required
Section 48.46.090 - Standard of services provided
Section 48.46.100 - Grievance procedure
Section 48.46.110 - Name restrictions-Discrimination-Recovery of costs of health care services participant not entitled to
Section 48.46.120 - Examination of health maintenance organizations-Duties of organizations, powers of commissioner-Independent audit reports
Section 48.46.130 - Investigation of violations-Hearing-Findings-Penalties-Order requiring compliance, etc.-Suspension or revocation of certificate, effect-Application to courts
Section 48.46.135 - Fine in addition to or in lieu of suspension, revocation, or refusal
Section 48.46.140 - Fees
Section 48.46.170 - Effect of chapter as to other laws-Construction
Section 48.46.180 - Duty of employer to inform and make available to employees option of enrolling in health maintenance organization
Section 48.46.190 - Payroll deductions for capitation payments to health maintenance organizations
Section 48.46.200 - Rules and regulations
Section 48.46.210 - Compliance with federal funding requirements-Construction
Section 48.46.220 - Review of administrative action
Section 48.46.225 - Financial failure-Supervision of commissioner-Priority of distribution of assets
Section 48.46.235 - Minimum net worth-Requirement to maintain-Determination of amount
Section 48.46.237 - Minimum net worth-Domestic or foreign health maintenance organization
Section 48.46.240 - Funded reserve requirements
Section 48.46.243 - Contract-Participant liability
Section 48.46.245 - Plan for handling insolvency-Commissioner's review
Section 48.46.247 - Insolvency-Commissioner's duties-Participants' options-Allocation of coverage
Section 48.46.250 - Coverage of dependent children-Newborn infants, congenital anomalies-Notification period
Section 48.46.260 - Individual health maintenance agreement-Return within ten days of delivery-Refunds-Void from beginning
Section 48.46.270 - Financial interests of health maintenance organization authorities, restricted-Exceptions, regulations
Section 48.46.272 - Diabetes coverage-Definitions
Section 48.46.274 - Prescribed, self-administered anticancer medication
Section 48.46.275 - Mammograms-Insurance coverage
Section 48.46.277 - Prostate cancer screening
Section 48.46.280 - Reconstructive breast surgery
Section 48.46.285 - Mastectomy, lumpectomy
Section 48.46.291 - Mental health services-Health plans-Definition-Coverage required, when
Section 48.46.292 - Mental health treatment-Waiver of preauthorization for persons involuntarily committed
Section 48.46.300 - Future dividends or refunds, restricted-Issuance or sale of securities regulated
Section 48.46.310 - Registration not endorsement
Section 48.46.320 - Dependent children, termination of coverage, conditions
Section 48.46.325 - Option to cover child under age twenty-six
Section 48.46.340 - Return of agreement within ten days
Section 48.46.350 - Chemical dependency treatment
Section 48.46.355 - "Chemical dependency" defined
Section 48.46.360 - Payment of cost of agreement directly to holder during labor dispute-Changes restricted-Notice to employee
Section 48.46.370 - Coverage not denied for disability
Section 48.46.375 - Benefits for prenatal diagnosis of congenital disorders-Agreements entered into or renewed on or after January 1, 1990
Section 48.46.380 - Notice of reason for cancellation, denial, or refusal to renew agreement
Section 48.46.390 - Providing information on cancellation or refusal-No liability for insurance commissioner or health maintenance organization
Section 48.46.400 - False or misleading advertising prohibited
Section 48.46.410 - Misrepresentations to induce termination or retention of agreement prohibited
Section 48.46.420 - Penalty for violations
Section 48.46.430 - Enforcement authority of commissioner
Section 48.46.440 - Continuation option to be offered
Section 48.46.450 - Conversion agreement to be offered-Exceptions, conditions
Section 48.46.460 - Conversion agreement-Restrictions and requirements-Rules
Section 48.46.470 - Endorsement of modifications
Section 48.46.480 - Continuation of coverage of former family members
Section 48.46.490 - Coverage for adopted children
Section 48.46.500 - Cancellation of rider
Section 48.46.510 - Phenylketonuria
Section 48.46.520 - Neurodevelopmental therapies-Employer-sponsored group contracts
Section 48.46.530 - Temporomandibular joint disorders-Insurance coverage
Section 48.46.535 - Prescriptions-Preapproval of individual claims-Subsequent rejection prohibited-Written record required
Section 48.46.540 - Nonresident pharmacies
Section 48.46.565 - Foot care services
Section 48.46.570 - Denturist services
Section 48.46.575 - Doctor of osteopathic medicine and surgery-Discrimination based on board certification is prohibited
Section 48.46.580 - When injury caused by intoxication or use of narcotics
Section 48.46.600 - Disclosure of certain material transactions-Report-Information is confidential
Section 48.46.605 - Material acquisitions or dispositions
Section 48.46.610 - Asset acquisitions-Asset dispositions
Section 48.46.615 - Report of a material acquisition or disposition of assets-Information required
Section 48.46.620 - Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements
Section 48.46.625 - Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements-Information required
Section 48.46.900 - Liberal construction
Section 48.46.920 - Short title
Section 48.46.930 - Construction-Chapter applicable to state registered domestic partnerships-2009 c 521