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Washington Administrative Code (WAC)
Title 284
Chapter 212
Wash. Admin. Code ch. 284-212
Supplemental Long-term Care Insurance Rules
INSURANCE COMMISSIONER, OFFICE OF THE
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284-212-005
Applicability and scope
284-212-010
Definitions
284-212-015
Standards for policy definitions and terms
284-212-020
Standards for policy provisions
284-212-025
Unintentional lapse
284-212-030
Required disclosure provisions
284-212-035
Required disclosure of rating practices to consumers
284-212-040
Initial form and rate filing requirements
284-212-045
Prohibition against post-claims underwriting
284-212-050
Minimum standards for home health and community care benefits in supplemental long-term care insurance policies
284-212-053
Independent third-party review
284-212-054
Form for reporting independent third-party review decisions
284-212-055
Requirement to offer inflation protection
284-212-060
Requirements for application forms and replacement coverage
284-212-063
Notice to applicant regarding replacement of individual accident and sickness, supplemental long-term care insurance, or long-term care insurance marketed by an insurance producer
284-212-067
Notice to applicant regarding replacement of direct-marketed individual accident and sickness, supplemental long-term care insurance, or long-term care insurance
284-212-070
Reporting requirements
284-212-075
Discretionary powers of commissioner
284-212-080
Reserve standards
284-212-090
Premium rate schedule increases
284-212-095
Filing requirements
284-212-100
Filing requirements for advertising
284-212-105
Standards for marketing
284-212-110
Suitability
284-212-115
Prohibition against preexisting conditions and probationary periods in replacement policies or certificates
284-212-120
Availability of new services or providers
284-212-125
Right to reduce coverage and lower premiums
284-212-130
Nonforfeiture benefit requirement
284-212-135
Standards for benefit triggers
284-212-140
Qualified supplemental long-term care insurance policies—Additional standards for benefit triggers
284-212-145
Standard format outline of coverage
284-212-150
Requirement to deliver consumer's guide
284-212-155
Prohibited practices
284-212-165
Form for reporting rescission of supplemental long-term care insurance policies
284-212-170
Form of personal worksheet
284-212-175
Disclosure form
284-212-180
Response letter
284-212-185
Sample claims denial reporting form
284-212-190
Potential rate increase disclosure form
284-212-195
Form for reporting replacement and lapse of supplemental long-term care insurance policies
284-212-210
Definitions
284-212-220
Grouping of policy forms for purposes of ratemaking and requests for rate increase
284-212-225
Separation of data regarding certain policies
284-212-230
Loss ratio requirements for supplemental long-term care insurance forms
284-212-240
Experience records
284-212-245
Evaluating experience data
284-212-250
Life insurance policies that accelerate benefits for supplemental long-term care
284-212-255
Supplemental long-term care insurance policy issued with life insurance policy—Rates and forms
284-212-300
Standards for protecting patient privacy rights
284-212-310
Right of insureds to receive confidential health services
284-212-320
Standards for the issuer's timely review of a claim denial
284-212-325
Prompt payment of clean claims
284-212-350
Standard applied if there is a conflict between a master policy and certificate of insurance
284-212-400
Purpose and authority
284-212-405
Applicability and scope
284-212-410
Minimum standards for supplemental long-term care partnership policies
284-212-415
Long-term care partnership policy exchange or replacement
284-212-420
Reporting
284-212-425
Producer education