RCW 48.20.222
Optional standard provision No. 18—Relation of earnings to insurance.
(1) There may be a provision as follows:
RELATION OF EARNINGS TO INSURANCE: If the total monthly amount of loss of time benefits promised for the same loss under all valid loss of time coverage upon the insured, whether payable on a weekly or monthly basis, shall exceed the monthly earnings of the insured at the time disability commenced or his or her average monthly earnings for the period of two years immediately preceding a disability for which claim is made, whichever is the greater, the insurer will be liable only for such proportionate amount of such benefits under this policy as the amount of such monthly earnings of the insured bears to the total amount of monthly benefits for the same loss under all such coverage upon the insured at the time such disability commences and for the return of such part of the premiums paid during such two years as shall exceed the pro rata amount of the premiums for the benefits actually paid hereunder; but this shall not operate to reduce the total monthly amount of benefits payable under all such coverage upon the insured below the sum of two hundred dollars or the sum of the monthly benefits specified in such coverages, whichever is the lesser, nor shall it operate to reduce benefits other than those payable for loss of time.
(2) The foregoing policy provision may be inserted only in a policy which the insured has the right to continue in force subject to its terms by the timely payment of premiums (a) until at least age 50 or, (b) in the case of a policy issued after age 44, for at least five years from its date of issue. The insurer may, at its option, include in this provision a definition of "valid loss of time coverage," approved as to form by the commissioner, which definition shall be limited in subject matter to coverage provided by governmental agencies or 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, or to any other coverage the inclusion of which may be approved by the commissioner or any combination of such coverages. In the absence of such definition such term shall not include any coverage provided for such insured pursuant to any compulsory benefit statute (including any workers' compensation or employer's liability statute), or benefits provided by union welfare plans or by employer or employee benefit organizations.
[ 2009 c 549 § 7100; 1987 c 185 § 28; 1951 c 229 § 23.]
NOTES:
Intent—Severability—1987 c 185: See notes following RCW 51.12.130.
Structure Revised Code of Washington
Chapter 48.20 - Disability Insurance.
48.20.012 - Format of disability policies.
48.20.013 - Return of policy and refund of premium—Notice required—Effect of return.
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.
48.20.032 - 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.
48.20.212 - 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.
48.20.340 - "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.
48.20.411 - Registered nurses or advanced registered nurses.
48.20.414 - Psychological services.
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.
48.20.435 - 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.
48.20.490 - Continuation of coverage by former spouse and dependents.
48.20.500 - Coverage for adopted children.
48.20.510 - Cancellation of rider.
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.