For Consumers

Requiring carriers and health plans to enter independent review organization (IRO) information into an online database (R2015-12)

Washington’s current IRO system does not allow for accessible and usable IRO decision information; consistency in the review process; or effective oversight, enforcement, and regulation of the IRO process. This proposed rule adds new language to WAC Chapter 284-43, requiring each carrier and health plan to submit final IRO-decision-determination information to the insurance commissioner’s online database within three days of receipt of the IRO’s final decision. Data requirements for such decision-determination information will also be published when the rule is effective.

Rule adopted November 25, 2015

Proposed filed October 16, 2015

Stakeholder draft released September 29, 2015

Preproposal filed August 12, 2015