Revised Code of Washington
Chapter 48.21 - Group and Blanket Disability Insurance.
48.21.270 - Conversion policy—Restrictions and requirements—Rules.

RCW 48.21.270
Conversion policy—Restrictions and requirements—Rules.

(1) An insurer shall not require proof of insurability as a condition for issuance of the conversion policy.
(2) A conversion policy may not contain an exclusion for preexisting conditions for any applicant.
(3) An insurer must offer at least three policy benefit plans that comply with the following:
(a) A major medical plan with a five thousand dollar deductible per person;
(b) A comprehensive medical plan with a five hundred dollar deductible per person; and
(c) A basic medical plan with a one thousand dollar deductible per person.
(4) The insurance commissioner may revise the deductible amounts in subsection (3) of this section from time to time to reflect changing health care costs.
(5) The insurance commissioner shall adopt rules to establish minimum benefit standards for conversion policies.
(6) The commissioner shall adopt rules to establish specific standards for conversion policy provisions. These rules may include but are not limited to:
(a) Terms of renewability;
(b) Nonduplication of coverage;
(c) Benefit limitations, exceptions, and reductions; and
(d) Definitions of terms.

[ 2019 c 33 § 4; 2011 c 314 § 2; 1984 c 190 § 4.]
NOTES:

Effective date—2019 c 33: See note following RCW 48.43.005.


Legislative intent—Severability—1984 c 190: See notes following RCW 48.21.250.

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.