1. (1) All joint self-insurance programs shall operate in the same form and manner stated in the program's original application approved by the state risk manager in accordance with RCW 48.190.060(5). Programs shall submit a written request and receive approval from the state risk manager prior to implementing the following proposed program changes:

   1. (a) Elimination or reduction of stop loss insurance;
   2. (b) Acceptance of any loans or lines of credit;
   3. (c) Provision of ongoing services to nonmembers;
   4. (d) Addition of members of other entity types than those included in original application approved by state risk manager.

2. (2) The following program changes require written notification to the state risk manager prior to implementing the following changes:

   1. (a) Increases in retention level;
   2. (b) Decrease or elimination of insurance limits;
   3. (c) Initial contract with a third-party administrator, or change in third-party administrator;
   4. (d) Any change to bylaws;
   5. (e) Any amendments to the foundation agreement.

[Statutory Authority: RCW 48.190.040 and 43.19.011. WSR 18-09-086, § 200-160-220, filed 4/17/18, effective 5/18/18.]