(1) A health care service contractor shall
not require proof of insurability as a condition for issuance of
the conversion contract.
(2) A conversion contract may not contain an exclusion for
preexisting conditions for any applicant who is under age
nineteen. For policies issued to those age nineteen and older,
an exclusion for a preexisting condition is permitted only to the
extent that a waiting period for a preexisting condition has not
been satisfied under the group contract.
(3) A health care service contractor must offer at least
three contract benefit plans that comply with the following:
(a) A major medical plan with a five thousand dollar
deductible per person;
(b) A comprehensive medical plan with a five hundred dollar
deductible per person; and
(c) A basic medical plan with a one thousand dollar
deductible per person.
(4) The insurance commissioner may revise the deductible
amounts in subsection (3) of this section from time to time to
reflect changing health care costs.
(5) The insurance commissioner shall adopt rules to
establish minimum benefit standards for conversion contracts.
(6) The commissioner shall adopt rules to establish specific
standards for conversion contract provisions. These rules may
include but are not limited to:
(a) Terms of renewability;
(b) Nonduplication of coverage;
(c) Benefit limitations, exceptions, and reductions; and
(d) Definitions of terms.
[2011 c 314 § 7; 1984 c 190 § 7.]
NOTES:
Legislative intent -- Severability -- 1984 c 190: See notes following RCW 48.21.250.