Revised Code of Washington
Chapter 70.47 - Basic Health Plan—Health Care Access Act.
70.47.090 - Removal of enrollees.

RCW 70.47.090
Removal of enrollees.

Any enrollee whose premium payments to the plan are delinquent or who moves his or her residence out of an area served by the plan may be dropped from enrollment status. An enrollee whose premium is the responsibility of the department of social and health services under RCW 70.47.110 may not be dropped solely because of nonpayment by the department. The *administrator shall provide delinquent enrollees with advance written notice of their removal from the plan and shall provide for a hearing under chapters 34.05 and 34.12 RCW for any enrollee who contests the decision to drop the enrollee from the plan. Upon removal of an enrollee from the plan, the *administrator shall promptly notify the managed health care system in which the enrollee has been enrolled, and shall not be responsible for payment for health care services provided to the enrollee (including, if applicable, members of the enrollee's family) after the date of notification. A managed health care system may contest the denial of payment for coverage of an enrollee through a hearing under chapters 34.05 and 34.12 RCW.

[ 1987 1st ex.s. c 5 § 11.]
NOTES:

*Reviser's note: The definition of "administrator" was changed to "director" in RCW 70.47.020 by 2011 1st sp.s. c 15 § 83.

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Structure Revised Code of Washington

Revised Code of Washington

Title 70 - Public Health and Safety

Chapter 70.47 - Basic Health Plan—Health Care Access Act.

70.47.002 - Intent—2002 c 2 (Initiative Measure No. 773).

70.47.005 - Transfer power, duties, and functions to Washington state health care authority.

70.47.010 - Legislative findings—Purpose—Director to coordinate eligibility.

70.47.015 - Enrollment—Findings—Intent—Enrollee premium share—Expedited application and enrollment process—Commission for insurance producers.

70.47.020 - Definitions (as amended by 2011 c 284).

70.47.030 - Basic health plan trust account—Basic health plan subscription account.