Revised Code of Washington
Chapter 48.66 - Medicare Supplemental Health Insurance Act.
48.66.030 - Renewability—Benefit standards—Benefit limitations.

RCW 48.66.030
Renewability—Benefit standards—Benefit limitations.

(1) A medicare supplement insurance policy which provides for the payment of benefits may not be based on standards described as "usual and customary," "reasonable and customary," or words of similar import.
(2) Limitations on benefits, such as policy exclusions or waiting periods, shall be labeled in a separate section of the policy or placed with the benefit provisions to which they apply, rather than being included in other sections of the policy, rider, or endorsement.

[ 1992 c 138 § 2; 1981 c 153 § 3.]

Structure Revised Code of Washington

Revised Code of Washington

Title 48 - Insurance

Chapter 48.66 - Medicare Supplemental Health Insurance Act.

48.66.010 - Short title—Intent—Application of chapter.

48.66.020 - Definitions.

48.66.025 - Restrictions on issuers—Age of applicants—Preexisting conditions.

48.66.030 - Renewability—Benefit standards—Benefit limitations.

48.66.035 - Commissioner's approval required.

48.66.041 - Minimum standards required by rule—Waiver.

48.66.045 - Mandated coverage for replacement policies—Rates on a community-rated basis.

48.66.050 - Policy or certificate provisions prohibited by rule—Waivers restricted.

48.66.055 - Termination or disenrollment—Application for coverage—Eligible persons—Types of policies—Guaranteed issue periods.

48.66.057 - Rejection of medicare eligible person—When notice and information must be provided to applicant.

48.66.060 - Equal coverage of sickness and accidents.

48.66.070 - Adjustment of benefits and premiums for medicare cost-sharing.

48.66.080 - "Benefit period"—"Medicare benefit period"—Minimum requirements.

48.66.090 - Guaranteed renewable—Exceptions.

48.66.100 - Loss ratio requirements—Mass sales practices of individual policies.

48.66.110 - Disclosure by insurer—Outline of coverage required.

48.66.120 - Return of policy and refund of premium—Notice required—Effect of return.

48.66.130 - Preexisting condition limitations.

48.66.140 - Medical history.

48.66.150 - Reporting and recordkeeping, separate data required.

48.66.160 - Federal law supersedes.

48.66.165 - Conformity with federal law—Rules.

48.66.910 - Effective date—1981 c 153.

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