Revised Code of Washington
Chapter 48.44 - Health Care Services.
48.44.037 - Minimum net worth—Requirement to maintain—Determination of amount.

RCW 48.44.037
Minimum net worth—Requirement to maintain—Determination of amount.

(1) Except as provided in subsection (2) of this section, every health care service contractor must have and maintain a minimum net worth equal to the greater of:
(a) Three million dollars; or
(b) Two percent of the annual premium earned, as reported on the most recent annual financial statement filed with the commissioner, on the first one hundred fifty million dollars of premium and one percent of the annual premium on the premium in excess of one hundred fifty million dollars.
(2) A health care service contractor registered before July 27, 1997, that, on July 27, 1997, has a minimum net worth equal to or greater than that required by subsection (1) of this section must continue to have and maintain the minimum net worth required by subsection (1) of this section. A health care service contractor registered before July 27, 1997, that, on July 27, 1997, does not have the minimum net worth required by subsection (1) of this section must have and maintain a minimum net worth of:
(a) The amount required immediately prior to July 27, 1997, until December 31, 1997;
(b) Fifty percent of the amount required by subsection (1) of this section by December 31, 1997;
(c) Seventy-five percent of the amount required by subsection (1) of this section by December 31, 1998; and
(d) One hundred percent of the amount required by subsection (1) of this section by December 31, 1999.
(3)(a) In determining net worth, no debt shall be considered fully subordinated unless the subordination is in a form acceptable to the commissioner. An interest obligation relating to the repayment of a subordinated debt must be similarly subordinated.
(b) The interest expenses relating to the repayment of a fully subordinated debt shall not be considered uncovered expenditures.
(c) A subordinated debt incurred by a note meeting the requirement of this section, and otherwise acceptable to the commissioner, shall not be considered a liability and shall be recorded as equity.
(4) Every health care service contractor shall, when determining liabilities, include an amount estimated in the aggregate to provide for any unearned premium and for the payment of all claims for health care expenditures which have been incurred, whether reported or unreported, which are unpaid and for which the organization is or may be liable, and to provide for the expense of adjustment or settlement of the claims.
Liabilities shall be computed in accordance with regulations adopted by the commissioner upon reasonable consideration of the ascertained experience and character of the health care service contractor.
(5) All income from reserves on deposit with the commissioner shall belong to the depositing health care service contractor and shall be paid to it as it becomes available.
(6) Any funded reserve required by this chapter shall be considered an asset of the health care service contractor in determining the organization's net worth.
(7) A health care service contractor that has made a securities deposit with the commissioner may, at its option, withdraw the securities deposit or any part thereof after first having deposited or provided in lieu thereof an approved surety bond, a deposit of cash or securities, or any combination of these or other deposits of equal amount and value to that withdrawn. Any securities and surety bond shall be subject to approval by the commissioner before being substituted.

[ 1997 c 212 § 2; 1990 c 120 § 4.]

Structure Revised Code of Washington

Revised Code of Washington

Title 48 - Insurance

Chapter 48.44 - Health Care Services.

48.44.010 - Definitions.

48.44.011 - Insurance producer—Definition—License required—Application, issuance, renewal, fees—Penalties involving license.

48.44.013 - Filings with secretary of state—Copy for commissioner.

48.44.015 - Registration by health care service contractors required—Penalty.

48.44.016 - Unregistered activities—Acts committed in this state—Sanctions.

48.44.017 - Schedule of rates for individual contracts—Loss ratio—Definitions.

48.44.020 - Contracts for services—Examination of contract forms by commissioner—Grounds for disapproval—Liability of participant.

48.44.021 - Calculation of premiums—Members of a purchasing pool—Adjusted community rating method—Definitions.

48.44.022 - Calculation of premiums—Adjusted community rate—Definitions.

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

48.44.024 - Requirements for plans offered to small employers—Definitions.

48.44.026 - Payment for certain health care services.

48.44.030 - Underwriting of indemnity by insurance policy, bond, securities, or cash deposit.

48.44.033 - Financial failure—Supervision of commissioner—Priority of distribution of assets.

48.44.035 - Limited health care service—Uncovered expenditures—Minimum net worth requirements.

48.44.037 - Minimum net worth—Requirement to maintain—Determination of amount.

48.44.039 - Minimum net worth—Domestic or foreign health care service contractor.

48.44.040 - Registration with commissioner—Fee.

48.44.050 - Rules and regulations.

48.44.055 - Plan for handling insolvency—Commissioner's review.

48.44.057 - Insolvency—Commissioner's duties—Participants' options—Allocation of coverage.

48.44.060 - Penalty.

48.44.080 - Master lists of contractor's participating providers—Filing with commissioner—Notice of termination or participation.

48.44.090 - Refusal to register corporate, etc., contractor if name confusing with existing contractor or insurance company.

48.44.095 - Annual financial statement—Filings—Contents—Fee—Penalty for failure to file.

48.44.100 - Filing inaccurate financial statement prohibited.

48.44.110 - False representation, advertising.

48.44.120 - Misrepresentations of contract terms, benefits, etc.

48.44.130 - Future dividends or refunds—When permissible.

48.44.140 - Misleading comparisons to terminate or retain contract.

48.44.145 - Examination of contractors—Duties of contractor, powers of commissioner—Independent audit reports.

48.44.150 - Certificate of registration not an endorsement—Display in solicitation prohibited.

48.44.160 - Revocation, suspension, refusal of registration—Hearing—Cease and desist orders, injunctive action—Grounds.

48.44.164 - Notice of suspension, revocation, or refusal to be given contractor—Authority of insurance producers.

48.44.166 - Fine in addition to or in lieu of suspension, revocation, or refusal.

48.44.170 - Hearings and appeals.

48.44.180 - Enforcement.

48.44.200 - Individual health care service plan contracts—Coverage of dependent child with developmental or physical disability.

48.44.210 - Group health care service plan contracts—Coverage of dependent child with developmental or physical disability.

48.44.212 - Coverage of dependent children to include newborn infants and congenital anomalies from moment of birth—Notification period.

48.44.215 - Option to cover child under age twenty-six.

48.44.220 - Discrimination prohibited.

48.44.225 - Podiatric physicians and surgeons not excluded.

48.44.230 - Individual health service plan contract—Return within ten days of delivery—Refunds—Void from beginning—Notice required.

48.44.240 - Chemical dependency benefits—Provisions of group contracts delivered or renewed after January 1, 1988.

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

48.44.245 - "Chemical dependency" defined.

48.44.250 - Payment of premium by employee in event of suspension of compensation due to labor dispute.

48.44.260 - Notice of reason for cancellation, denial, or refusal to renew contract.

48.44.270 - Immunity from libel or slander.

48.44.290 - Registered nurses or advanced registered nurses.

48.44.299 - Legislative finding.

48.44.300 - Podiatric medicine and surgery—Benefits not to be denied.

48.44.305 - When injury caused by intoxication or use of narcotics.

48.44.309 - Legislative finding.

48.44.310 - Chiropractic care, coverage required, exceptions.

48.44.315 - Diabetes coverage—Definitions.

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

48.44.323 - Prescribed, self-administered anticancer medication.

48.44.325 - Mammograms—Insurance coverage.

48.44.327 - Prostate cancer screening.

48.44.330 - Reconstructive breast surgery.

48.44.335 - Mastectomy, lumpectomy.

48.44.341 - Mental health services—Health plans—Definition—Coverage required, when.

48.44.342 - Mental health treatment—Waiver of preauthorization for persons involuntarily committed.

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

48.44.350 - Financial interests of health care service contractors, restricted—Exceptions, regulations.

48.44.360 - Continuation option to be offered.

48.44.370 - Conversion contract to be offered—Exceptions, conditions.

48.44.380 - Conversion contract—Restrictions and requirements—Rules.

48.44.390 - Modification of basis of agreement, endorsement required.

48.44.400 - Continuance provisions for former family members.

48.44.420 - Coverage for adopted children.

48.44.430 - Cancellation of rider.

48.44.440 - Phenylketonuria.

48.44.450 - Neurodevelopmental therapies—Employer-sponsored group contracts.

48.44.460 - Temporomandibular joint disorders—Insurance coverage.

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

48.44.470 - Nonresident pharmacies.

48.44.495 - Dental services that are not subject to contract or provider agreement.

48.44.500 - Denturist services.

48.44.530 - Disclosure of certain material transactions—Report—Information is confidential.

48.44.535 - Material acquisitions or dispositions.

48.44.540 - Asset acquisitions—Asset dispositions.

48.44.545 - Report of a material acquisition or disposition of assets—Information required.

48.44.550 - Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.

48.44.555 - Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements—Information required.

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