RCW 48.21.375
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 or care 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 § 5.]
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 48.21 - 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.