For Consumers

2015 recently adopted rules

The rules below were adopted in 2015. "Adopted" indicates the date the rule was formally approved, and is also known as the filing date. "Effective date" specifies the date the rule went into effect.

R 2014-08 Network Access

  • Adopted: 12/14/2015
  • Effective date: 1/14/2016
  • Complete text: 2014-08103P (PDF, 995KB)
  • WAC: New: WAC 284-43-202, -225 Amended: WAC 284-43-251, -300, -310, -320, -330

R 2015-09 Credit for Reinsurance Model Regulation

  • Adopted: 12/2/2015
  • Effective date: 1/2/2016
  • Complete text: 2015-09103P (PDF, 1,692KB)
  • New: WAC 284-13-503, -516, -517, -531, -532, -533, -536, -537, -538, -539, -53901, -59501, -59502, -59503, -59504, -59505, -59506, -59507, -59508 Amended: WAC 284-13-500, -510, -520, -530, -535, -540, -550, -560, -570, -580, -590, -595 Repealed: WAC 284-13-505, -515

R 2015-07 Sharing of commissions by licensed insurance producers

  • Adopted: 12/7/2015
  • Effective date: 1/7/2016
  • Complete text: 2015-07103P (PDF, 239KB)
  • WAC: New: WAC 284-17-805,-825, -835 Repealed: WAC 284-17-800, -820, -830

R 2015-12 Requiring carriers and health plans to enter independent review organization (IRO) information into an online database

  • Adopted: 11/25/2015
  • Effective date: 12/26/2015
  • Complete text: 2015-12103P (PDF, 310KB)
  • WAC: Amended: WAC 284-43-550 and 284-43-630

R 2014-13 Prior authorization of pharmacy benefits

  • Adopted: 11/25/2015
  • Effective date: 7/1/2016
  • Complete text: 2014-13103P (PDF, 385KB)
  • WAC: 284-43-130, 284-43-410, 284-43-818

R 2015-05 Adoption of rules implementing the Holding Company Act, Chapter 122- Laws of 2015

  • Adopted: 10/30/2015
  • Effective date: 1/1/2016
  • Complete text: 2015-05103P (PDF, 404KB)
  • WAC: New WAC sections include: WAC 284-18-200, -385, -445, -500, -950, and -960. Amended WACs sections include: WAC 284-03-030, WAC 284-07-110 and WAC 284-07-600; WAC 284-18-300, -310, -320, -330, -340, -350, -360, -370, -380, -390, -400, -410, -420, -430, -440, -450, -460, -910, -920, -930, and -940. Chapter 284-18A WAC would be repealed.

R 2015-11 Repeal of certification requirement for multiple Washington state attendees at Continuing Education Training

R 2015-03 Attestation requirements regarding consumer transparency tools for health care cost and quality

  • Adopted: 9/29/2015
  • Effective date: 1/1/2016
  • Complete text: 2015-02103P (PDF, 358KB)
  • WAC: Amended: WAC 284-43-865,-877, -878,-879, and -880 New: WAC 284-43-8651,-8771,-8781,-8791, and -8801

R 2015-02 Essential Health Benefits: Designation of benchmark plan for 2017 and any supplementation

  • Adopted: 6/10/2015
  • Effective date: 7/10/2015
  • Complete text: 2014-01103P (PDF, 290KB)
  • WAC: Amended sections 284-17-200- -210, -220, -224, -226, -250, -254, -256, -262, -264, -270, -272, - 278, -282, -284, -286, -292, -294, -296, -302, -304, -306 New sections 284-17-273, -277, -279, -281, -297, -299, -303 Repealed sections 284-17-244, -246, -274

R 2014-02 Insurance producer continuing education (CE) requirements

  • Adopted: 6/10/2015
  • Effective date: 7/10/2015
  • Complete text: 2014-01103P (PDF, 290KB)
  • WAC: Amended sections 284-17-200- -210, -220, -224, -226, -250, -254, -256, -262, -264, -270, -272, - 278, -282, -284, -286, -292, -294, -296, -302, -304, -306 New sections 284-17-273, -277, -279, -281, -297, -299, -303 Repealed sections 284-17-244, -246, -274

R 2014-07 Designation of a Designated Responsible Licensed Person (DRLP) by a business

R 2014-12 Fraternal Benefit Society Risk-Based Surplus (RBS) standards