For individuals
File the following:
- Policy:
Renewal provision, see WAC 284-50-375(1) (leg.wa.gov) and RCW 48.18.298 (leg.wa.gov)
"Free look", minimum 10 days, see WAC 284-50-375(7) (leg.wa.gov) and RCW 48.20.013 (leg.wa.gov)
Title of insurance, form number location, etc, see RCW 48.20.012 (leg.wa.gov)
- John Doe schedule page
- John Doe application
- Rates - fill out rates section of the Uniform Transmittal form
- Actuarial memo, see WAC 284-60-050 (leg.wa.gov) and RCW 48.70 (leg.wa.gov) - Specified disease insurance act
- General rules and minimum standards, see WAC 284-50-330 (leg.wa.gov) and WAC 284-50-335 (leg.wa.gov)
- Cannot combine limited benefit, specified disease, specified accident and Medicare supplemental coverage with other types of insurance, see RCW 48.20.460 (leg.wa.gov)
Standard provisions
Subrogation, insured made whole (Thiringer - Bulleting 79-4)
WAC 284-30-620 (leg.wa.gov) - Permissible time limit for benefits payable because of accidental injury or death
WAC 284-50-315 (leg.wa.gov) - Policy definitions
WAC 284-50-320 (leg.wa.gov) - Prohibited policy provisions
WAC 284-50-330 (leg.wa.gov) - General rules as to minimum standards
WAC 284-50-365 (leg.wa.gov) - Specified disease and specified accident coverage
WAC 284-50-377 (leg.wa.gov) - Experimental and investigational prescriptions, treatments, procedures, or service - Definition required - Standard for definition - Written notice of denial required - Appeal process required
RCW 48.18.190 (leg.wa.gov) - Policy must contain entire contract
RCW 48.20.042 through .152 (leg.wa.gov) - Standard provisions
RCW 48.20.172 through .272 (leg.wa.gov)- Optional provisions
RCW 48.20.420 (leg.wa.gov) - Dependent child coverage - Continuation for incapacity
RCW 48.20.490 (leg.wa.gov) - Continuation of coverage by former spouse and dependents
Waiver, rider, endorsements
- Signed acceptance by insured when limiting, excluding or reducing benefits, see WAC 284-50-320(7) (leg.wa.gov) - Prohibited policy provisions, WAC 284-50-375(2) (leg.wa.gov) - Required disclosure provisions, general rules, and RCW 48.20.015 (leg.wa.gov) - Endorsements
- Option to cancel after five years when excluding, limiting or reducing benefits, see:
RCW 48.20.510 (leg.wa.gov) - Cancellation of rider
For groups
File the following for in-state and out-of-state.
- Policy
- Certificate
- Rates
- Actuarial memorandum, see WAC 284-60-060 (leg.wa.gov) and RCW 48.70 (leg.wa.gov) - Specified disease insurance act
- John Doe schedule of benefits page
- Time limit for benefits, see WAC 284-30-620 (leg.wa.gov)
Standard provisions
- WAC 284-96-015 (leg.wa.gov) - Experimental and investigational prescriptions, treatments, procedures, or services - Definition required - Standard for definition - Written notice of denial required - Appeal process required
- RCW 48.21.050 through .090 (leg.wa.gov) - Standard provisions
- RCW 48.21.110 (leg.wa.gov) - Payment of benefits