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Washington Administrative Code (WAC)

Chapter 180

Wash. Admin. Code ch. 284-180

Health Care Benefit Managers

INSURANCE COMMISSIONER, OFFICE OF THE

284-180-110Purpose 284-180-120Applicability and scope 284-180-130Definitions 284-180-150Severability 284-180-210Registration and renewal fees 284-180-220Health care benefit manager registration 284-180-230Health care benefit manager renewal 284-180-240Providing and updating registration information 284-180-310Health care benefit manager records 284-180-320Deadline to provide copies of records 284-180-325Required notices 284-180-405Definitions in this subchapter 284-180-411Purpose of this subchapter 284-180-415Scope of this subchapter 284-180-421Filing instructions that are incorporated into this subchapter 284-180-425General health care benefit management form filing rules 284-180-431The commissioner may reject filings 284-180-435Filing authorization rules 284-180-441Rules for responding to an objection letter 284-180-445Rules for revised or replaced forms 284-180-450Effective date rules 284-180-455Carrier filings related to health care benefit managers 284-180-460Health care benefit manager filings 284-180-465Self-funded group health plan opt-in 284-180-500Applicability and scope 284-180-501Pharmacy reimbursement 284-180-505Appeals by network pharmacies to health care benefit managers who provide pharmacy benefit management services 284-180-507Appeals by network pharmacies to health care benefit managers who provide pharmacy benefit management services 284-180-510Computation of time 284-180-515Use of brief adjudicative proceedings for appeals by network pharmacies to the commissioner 284-180-517Use of brief adjudicative proceedings for appeals by network pharmacies to the commissioner 284-180-520Appeals by network pharmacies to the commissioner 284-180-522Appeals by network pharmacies to the commissioner 284-180-530Review of initial orders from brief adjudicative proceedings 284-180-540General procedures governing brief adjudicative proceedings before the commissioner 284-180-550Enrollee rights and pharmacy benefit manager obligations—Mail order and retail pharmacies