RCW 48.20.555
Fixed payment insurance—Benefit restrictions.
Illness-triggered fixed payment insurance, hospital confinement fixed payment insurance, or other fixed payment insurance policies are not considered to provide coverage for hospital or medical expenses under this chapter, if the benefits provided are a fixed dollar amount that is paid regardless of the amount charged. The benefits may not be related to, or be a percentage of, the amount charged by the provider of service and must be offered as an independent and noncoordinated benefit with any other health plan as defined in *RCW 48.43.005(19).
[ 2007 c 296 § 3.]
NOTES:
*Reviser's note: RCW 48.43.005 was amended by 2011 c 314 § 3 and by 2011 c 315 § 2, changing subsection (19) to subsection (24). RCW 48.43.005 was subsequently amended by 2012 c 87 § 1, changing subsection (24) to subsection (26). RCW 48.43.005 was subsequently alphabetized pursuant to RCW 1.08.015(2)(k), changing subsection (26) to subsection (27), and effective January 1, 2020, changing subsection (26) to subsection (29). RCW 48.43.005 was alphabetized pursuant to RCW 1.08.015(2)(k), changing subsection (29) to subsection (31).
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.