Revised Code of Washington
Chapter 48.20 - Disability Insurance.
48.20.212 - Optional standard provision No. 17—Insurance with other insurers.

RCW 48.20.212
Optional standard provision No. 17—Insurance with other insurers.

(1) There may be a provision as follows:
INSURANCE WITH OTHER INSURERS: If there be other valid coverage, not with this insurer, providing benefits for the same loss on other than an expense incurred basis and of which this insurer has not been given written notice prior to the occurrence or commencement of loss, the only liability for such benefits under this policy shall be for such proportion of the indemnities otherwise provided hereunder for such loss as the like indemnities of which the insurer had notice (including the indemnities under this policy) bear to the total amount of all like indemnities for such loss, and for the return of such portion of the premium paid as shall exceed the pro rata portion for the indemnities thus determined.
(2) If the foregoing policy provision is included in a policy which also contains the policy provision set out in RCW 48.20.202, there shall be added to the caption of the foregoing provision the phrase ". . . . . . other benefits." The insurer may, at its option, include in this provision a definition of "other valid coverage," approved as to form by the commissioner, which definition shall be limited in subject matter to coverage provided by organizations subject to regulation by insurance law or by insurance authorities of this or any other state of the United States or any province of Canada, and to any other coverage the inclusion of which may be approved by the commissioner. In the absence of such definition such term shall not include group insurance, or benefits provided by union welfare plans or by employer or employee benefit organizations. For the purpose of applying the foregoing policy provision with respect to any insured, any amount of benefit provided for such insured pursuant to any compulsory benefit statute (including any workers' compensation or employer's liability statute) whether provided by a governmental agency or otherwise shall in all cases be deemed to be "other valid coverage" of which the insurer has had notice. In applying the foregoing policy provision no third party liability coverage shall be included as "other valid coverage."

[ 1987 c 185 § 27; 1951 c 229 § 22. Prior: 1947 c 79 § .20.22; Rem. Supp. 1947 § 45.20.22.]
NOTES:

Intent—Severability—1987 c 185: See notes following RCW 51.12.130.

Structure Revised Code of Washington

Revised Code of Washington

Title 48 - Insurance

Chapter 48.20 - Disability Insurance.

48.20.002 - Scope of chapter.

48.20.012 - Format of disability policies.

48.20.013 - Return of policy and refund of premium—Notice required—Effect of return.

48.20.015 - Endorsements.

48.20.022 - Policies issued by domestic insurer for delivery in another state.

48.20.025 - Schedule of rates for individual health benefit plans—Loss ratio—Definitions.

48.20.028 - Calculation of premiums—Adjusted community rating method—Definitions.

48.20.029 - Calculation of premiums—Members of a purchasing pool—Adjusted community rating method—Definitions.

48.20.032 - Standard provisions required—Substitutions—Captions.

48.20.042 - Standard provision No. 1—Entire contract; changes.

48.20.050 - Standard provision No. 2—Misstatement of age or sex.

48.20.052 - Standard provision No. 3—Time limit on certain defenses.

48.20.062 - Standard provision No. 4—Grace period.

48.20.072 - Standard provision No. 5—Reinstatement.

48.20.082 - Standard provision No. 6—Notice of claim.

48.20.092 - Standard provision No. 7—Claim forms.

48.20.102 - Standard provision No. 8—Proofs of loss.

48.20.112 - Standard provision No. 9—Time of payment of claims.

48.20.122 - Standard provision No. 10—Payment of claims.

48.20.132 - Standard provision No. 11—Physical examination and autopsy.

48.20.142 - Standard provision No. 12—Legal actions.

48.20.152 - Standard provision No. 13—Change of beneficiary.

48.20.162 - Optional standard provisions.

48.20.172 - Optional standard provision No. 14—Change of occupation.

48.20.192 - Optional standard provision No. 15—Other insurance in this insurer.

48.20.202 - Optional standard provision No. 16—Insurance with other insurers (Provision of service or expense incurred basis).

48.20.212 - Optional standard provision No. 17—Insurance with other insurers.

48.20.222 - Optional standard provision No. 18—Relation of earnings to insurance.

48.20.232 - Optional standard provision No. 19—Unpaid premium.

48.20.242 - Optional standard provision No. 20—Cancellation.

48.20.252 - Optional standard provision No. 21—Conformity with state statutes.

48.20.262 - Optional standard provision No. 22—Illegal occupation.

48.20.282 - Order of certain policy provisions.

48.20.292 - Third party ownership.

48.20.302 - Requirements of other jurisdictions.

48.20.312 - Age limit.

48.20.340 - "Family expense disability insurance" defined.

48.20.350 - "Franchise plan" defined.

48.20.360 - Extended disability benefit.

48.20.380 - Incontestability after reinstatement.

48.20.385 - When injury caused by intoxication or use of narcotics.

48.20.389 - Prescribed, self-administered anticancer medication.

48.20.390 - Podiatric medicine and surgery.

48.20.391 - Diabetes coverage.

48.20.392 - Prostate cancer screening.

48.20.393 - Mammograms—Insurance coverage.

48.20.395 - Reconstructive breast surgery.

48.20.397 - Mastectomy, lumpectomy.

48.20.410 - Optometry.

48.20.411 - Registered nurses or advanced registered nurses.

48.20.412 - Chiropractic.

48.20.414 - Psychological services.

48.20.416 - Dentistry.

48.20.417 - Dental services that are not subject to contract or provider agreement.

48.20.418 - Denturist services.

48.20.420 - Dependent child coverage—Continuation for incapacity.

48.20.430 - Dependent child coverage—From moment of birth—Congenital anomalies—Notification of birth.

48.20.435 - Option to cover dependents under age twenty-six.

48.20.450 - Standardization and simplification of terms and coverages—Disclosure requirements.

48.20.460 - Standardization and simplification—Minimum standards for benefits and coverages.

48.20.470 - Standardization and simplification—Outline of coverage—Format and contents.

48.20.480 - Standardization and simplification—Simplified application form—Coverage of loss from preexisting health condition.

48.20.490 - Continuation of coverage by former spouse and dependents.

48.20.500 - Coverage for adopted children.

48.20.510 - Cancellation of rider.

48.20.520 - Phenylketonuria.

48.20.525 - Prescriptions—Preapproval of individual claims—Subsequent rejection prohibited—Written record required.

48.20.530 - Nonresident pharmacies.

48.20.550 - Fixed payment insurance—Standard disclosure form.

48.20.555 - Fixed payment insurance—Benefit restrictions.

48.20.580 - Mental health services—Definition—Coverage required, when.

48.20.900 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.