Revised Code of Washington
Chapter 48.20 - Disability Insurance.
48.20.470 - Standardization and simplification—Outline of coverage—Format and contents.

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

(1) No policy of individual disability insurance shall be delivered or issued for delivery in this state unless an outline of coverage described in subsection (2) of this section is furnished to the applicant in accord with such rules or regulations as the commissioner shall prescribe.
(2) The commissioner shall prescribe the format and content of the outline of coverage required by subsection (1) of this section. "Format" means style, arrangement, and overall appearance, including such items as the size, color, and prominence of type and the arrangement of text and captions. Such outline of coverage shall include:
(a) A statement identifying the applicable category or categories of coverage provided by the policy as prescribed in RCW 48.20.450;
(b) A description of the principal benefits and coverage provided in the policy;
(c) A statement of the exceptions, reductions and limitations contained in the policy;
(d) A statement of the renewal provisions including any reservation by the insurer of a right to change premiums; and
(e) A statement that the outline is a summary of the policy issued or applied for and that the policy should be consulted to determine governing contractual provisions.

[ 1985 c 264 § 12; 1975 1st ex.s. c 266 § 18.]
NOTES:

Severability—1975 1st ex.s. c 266: See note following RCW 48.01.010.

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.