Revised Code of Washington
Chapter 48.21 - Group and Blanket Disability Insurance.
48.21.015 - "Group stop loss insurance" defined for the purpose of exemption—Scope of application.

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

Revised Code of Washington

Title 48 - Insurance

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.

48.21.045 - Health plan benefits for small employers—Coverage—Exemption from statutory requirements—Premium rates—Requirements for providing coverage for small employers—Definitions.

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.

48.21.075 - Payment of premiums by employee in event of suspension of compensation due to labor dispute.

48.21.080 - Certificates of coverage.

48.21.090 - Age limitations.

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.

48.21.140 - Optometry.

48.21.141 - Registered nurses or advanced registered nurses.

48.21.142 - Chiropractic.

48.21.143 - Diabetes coverage—Definitions.

48.21.144 - Psychological services.

48.21.146 - Dentistry.

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.

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

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.

48.21.190 - Chemical dependency benefits—RCW 48.21.160 through 48.21.190, 48.44.240 inapplicable, when.

48.21.195 - "Chemical dependency" defined.

48.21.197 - Chemical dependency benefits—Rules.

48.21.200 - Individual or group disability, health care service contract, health maintenance agreement—Reduction of benefits on basis of other existing coverages.

48.21.220 - Home health care, hospice care, optional coverage required—Standards, limitations, restrictions—Rules—Medicare supplemental contracts excluded.

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.

48.21.244 - Benefits for prenatal diagnosis of congenital disorders—Contracts entered into or renewed on or after January 1, 1990.

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.

48.21.300 - Phenylketonuria.

48.21.310 - Neurodevelopmental therapies—Employer-sponsored group contracts.

48.21.320 - Temporomandibular joint disorders—Insurance coverage.

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

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.