Revised Code of Washington
Chapter 48.41 - Health Insurance Coverage Access Act.
48.41.210 - Last payor of benefits.

RCW 48.41.210
Last payor of benefits.

It is the express intent of this chapter that the pool be the last payor of benefits whenever any other benefit is available.
(1) Benefits otherwise payable under pool coverage shall be reduced by all amounts paid or payable through any other health insurance, or health benefit plans, including but not limited to self-insured plans and by all hospital and medical expense benefits paid or payable under any worker's compensation coverage, automobile medical payment or liability insurance whether provided on the basis of fault or nonfault, and by any hospital or medical benefits paid or payable under or provided pursuant to any state or federal law or program.
(2) The administrator or the pool shall have a cause of action against an eligible person for the recovery of the amount of benefits paid which are not for covered expenses. Benefits due from the pool may be reduced or refused as a set-off against any amount recoverable under this subsection.

[ 1987 c 431 § 21.]

Structure Revised Code of Washington

Revised Code of Washington

Title 48 - Insurance

Chapter 48.41 - Health Insurance Coverage Access Act.

48.41.010 - Short title.

48.41.020 - Intent.

48.41.030 - Definitions.

48.41.037 - Washington state health insurance pool account.

48.41.040 - Health insurance pool—Creation, membership, organization, operation, rules.

48.41.050 - Operation plan—Contents.

48.41.060 - Board powers and duties.

48.41.070 - Examination and report.

48.41.080 - Pool administrator—Selection, term, duties, pay.

48.41.090 - Financial participation in pool—Computation, deficit assessments.

48.41.100 - Eligibility for coverage.

48.41.110 - Policy coverage—Eligible expenses, cost containment, limits—Explanatory brochure.

48.41.120 - Comprehensive pool policy—Deductibles—Coinsurance—Carryover.

48.41.130 - Policy forms—Approval required.

48.41.140 - Coverage for children, dependents.

48.41.150 - Medical supplement policy.

48.41.160 - Pool policy requirements—Continued coverage—Rate changes—Continuation—Statement of intent to discontinue pool coverage.

48.41.170 - Required rule making.

48.41.190 - Civil and criminal immunity.

48.41.200 - Rates—Standard risk and maximum.

48.41.210 - Last payor of benefits.

48.41.220 - Mental health services—Definition—Coverage required, when.

48.41.240 - Review of populations needing coverage through pool—Analysis and recommendations—Report.

48.41.250 - Administration of risk management functions—Contract with commissioner authorized—Recommendations—Report to legislature.

48.41.900 - Federal supremacy.

48.41.920 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.