(1) The commissioner must
adopt rules that include standards for full and fair disclosure
setting forth the manner, content, and required disclosures for
the sale of long-term care insurance policies, terms of
renewability, initial and subsequent conditions of eligibility,
nonduplication of coverage provisions, coverage of dependents,
preexisting conditions, termination of insurance, continuation or
conversion, probationary periods, limitations, exceptions,
reductions, elimination periods, requirements for replacement,
recurrent conditions, and definitions of terms. The commissioner
must adopt rules establishing loss ratio standards for long-term
care insurance policies. The commissioner must adopt rules to
promote premium adequacy and to protect policyholders in the
event of proposed substantial rate increases, and to establish
minimum standards for producer education, marketing practices,
producer compensation, producer testing, penalties, and reporting
practices for long-term care insurance.
(2) The commissioner shall adopt rules establishing
standards protecting patient privacy rights, rights to receive
confidential health care services, and standards for an issuer's
timely review of a claim denial upon request of a covered person.
(3) The commissioner may adopt reasonable rules to
effectuate any provision of this chapter in accordance with the
requirements of chapter 34.05 RCW.
[2008 c 145 § 18.]