RCW 48.21.015
"Group stop loss insurance" defined for the purpose of exemption—Scope of application.
Group stop loss insurance is exempt from all sections of this chapter and chapter 48.32A RCW except for RCW 48.21.010 and this section. For the purpose of this exemption, group stop loss is further defined as follows:
(1) The policy must be issued to and insure the employer, the trustee or other sponsor of the plan, or the plan itself, but not the employees, members, or participants;
(2) Payment by the insurer must be made to the employer, the trustee, or other sponsor of the plan or the plan itself, but not to the employees, members, participants, or health care providers;
(3) The policy must contain a provision that establishes an aggregate attaching point or retention that is at the minimum one hundred twenty percent of the expected claims; and
(4) The policy may provide for an individual attaching point or retention that is not less than five percent of the expected claims or one hundred thousand dollars, whichever is less.
[ 2000 c 80 § 8; 1992 c 226 § 3.]
NOTES:
Application—1992 c 226: See note following RCW 48.11.030.
Structure Revised Code of Washington
Chapter 48.21 - Group and Blanket Disability Insurance.
48.21.010 - "Group disability insurance" defined—Issuance.
48.21.015 - "Group stop loss insurance" defined for the purpose of exemption—Scope of application.
48.21.020 - "Employees," "employer" defined.
48.21.030 - Health care groups.
48.21.040 - "Blanket disability insurance" defined.
48.21.047 - Requirements for plans offered to small employers—Definitions.
48.21.050 - Standard provisions required.
48.21.060 - The contract—Representations.
48.21.070 - Payment of premiums.
48.21.080 - Certificates of coverage.
48.21.100 - Examination and autopsy.
48.21.110 - Payment of benefits.
48.21.120 - Readjustment of premiums—Dividends.
48.21.125 - When injury caused by intoxication or use of narcotics.
48.21.130 - Podiatric medicine and surgery.
48.21.141 - Registered nurses or advanced registered nurses.
48.21.143 - Diabetes coverage—Definitions.
48.21.144 - Psychological services.
48.21.147 - Dental services that are not subject to contract or provider agreement.
48.21.148 - Denturist services.
48.21.150 - Dependent child coverage—Continuation for incapacity.
48.21.157 - Option to cover dependents under age twenty-six.
48.21.160 - Chemical dependency benefits—Legislative declaration.
48.21.180 - Chemical dependency benefits—Contracts issued or renewed after January 1, 1988.
48.21.195 - "Chemical dependency" defined.
48.21.197 - Chemical dependency benefits—Rules.
48.21.223 - Prescribed, self-administered anticancer medication.
48.21.225 - Mammograms—Insurance coverage.
48.21.227 - Prostate cancer screening.
48.21.230 - Reconstructive breast surgery.
48.21.235 - Mastectomy, lumpectomy.
48.21.241 - Mental health services—Group health plans—Definition—Coverage required, when.
48.21.242 - Mental health treatment—Waiver of preauthorization for persons involuntarily committed.
48.21.250 - Continuation option to be offered.
48.21.260 - Conversion policy to be offered—Exceptions, conditions.
48.21.270 - Conversion policy—Restrictions and requirements—Rules.
48.21.280 - Coverage for adopted children.
48.21.290 - Cancellation of rider.
48.21.310 - Neurodevelopmental therapies—Employer-sponsored group contracts.
48.21.320 - Temporomandibular joint disorders—Insurance coverage.
48.21.330 - Nonresident pharmacies.
48.21.370 - Fixed payment insurance—Standard disclosure form.
48.21.375 - Fixed payment insurance—Benefit restrictions.
48.21.380 - Noninsurance benefits.
48.21.900 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.