Revised Code of Washington
Chapter 48.66 - Medicare Supplemental Health Insurance Act.
48.66.100 - Loss ratio requirements—Mass sales practices of individual policies.

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

(1) Medicare supplement insurance policies shall return to policyholders in the form of aggregate benefits under the policy, for the entire period for which rates are computed to provide coverage, loss ratios of:
(a) At least seventy-five percent of the aggregate amount of premiums earned in the case of group policies; and
(b) At least sixty-five percent of the aggregate amount of premiums earned in the case of individual policies.
(2) For the purpose of this section, medicare supplement insurance policies issued as a result of solicitation of individuals through the mail or mass media advertising, including both print and broadcast advertising, shall be treated as individual policies.
(3) The insurance commissioner may adopt rules sufficient to accomplish the provisions of this section and may, by such rules, impose more stringent or appropriate loss ratio requirements when it is necessary for the protection of the public interest.

[ 1992 c 138 § 7; 1982 c 200 § 2; 1981 c 153 § 10.]

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.