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Special data calls and surveys
https://www.insurance.wa.gov/special-data-calls-and-surveys
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For Insurers & Regulated Entities Please reference the survey materials on this page for special data calls from the Washington state Office of the…, 2024, Property and casualty policy count data call, Washington annual property & casualty policy count data call cover letter (PDF, 338.22 KB) Washington property & casualty policy count instructions…, Residential nonrenewal and cancellation data call, Washington residential nonrenewal and cancellation data call cover letter (PDF, 225.00 KB) Washington residential nonrenewal and cancellation data call…, Housing provider work group data call, Pursuant to Chapter 74, Laws of 2024 , Commissioner Kreidler issued a data call to specifically identified insurance related entities that may have…, NAIC data call relating to 2023 Gray fire and Oregon Road fire, NAIC industry state disaster reporting data calls NAIC post wildfire data call instructions (PDF, 154.89 KB) Notice NAIC post wildfire data call (PDF, 426.…, Climate risk disclosure survey, 2024 climate risk disclosure survey (PDF, 163.84 KB) 2024 climate risk disclosure survey Commissioner Kreidler's cover letter (PDF, 274.65 KB), 2023, Climate risk disclosure survey, 2023 climate risk disclosure survey (PDF, 379.34 KB) 2023 climate risk disclosure survey Commissioner Kreidler's cover letter (PDF, 274.60 KB), 2022, Washington state Medicare Supplemental insurance survey, As directed by the Washington state legislature, OIC has engaged Milliman to provide an assessment of Medicare Supplemental ("MedSupp") insurance…, Washington state electric utility liability insurance market survey, The legislature directed the OIC and the Washington Utility and Transportation Commission to provide a report on the accessibility and affordability of…, Climate risk disclosure survey, 2022 climate risk disclosure survey (PDF, 421.17 KB) 2022 climate risk disclosure survey Commissioner Kreidler's cover letter (PDF, 276.93 KB), Credit history rulemaking survey, Credit history rulemaking survey cover letter Jan. 10, 2022 (PDF, 255.09 KB) Credit history premium impact worksheet (Excel, 28.01 KB), 2021, Credit history rulemaking survey , Credit history rulemaking survey cover letter Dec. 6, 2021 (PDF, 274.01 KB) Credit history premium impact worksheet (Excel, 28.01 KB), Climate risk disclosure survey, 2021 Climate Risk Disclosure survey (PDF, 336.64 KB) 2021 Climate Risk Disclosure Survey Commissioner Kreidler's cover letter (PDF, 274.73 KB), Adjuster continuing education rulemaking survey, Adjuster continuing education rulemaking survey cover letter (PDF, 247.07 KB) Adjuster continuing education rulemaking survey questions (PDF, 235.23 KB), Private passenger automobile data call, Private passenger automobile data call cancellation survey notice (PDF, 214.35 KB) Private passenger automobile data call cover letter (PDF, 260.75 KB)…, 2020, Captive insurance study, Final Notice to Comply with Captive Survey (PDF, 248.43 KB) Second Captive Insurance Survey (PDF, 235.02 KB) Initial Captive Insurance Survey (PDF, 298.99…, Employee count survey, 2020 Employee Count Survey (PDF, 271.55 KB) 2020 Employee Count Survey Cover Letter (PDF, 196.77 KB), Fire alarm rate discount survey, 2020 Fire Alarm Rate Discount Survey (PDF, 217.75 KB) 2020 Fire Alarm Rate Discount Survey Cover Letter (PDF, 238.05 KB), Climate risk disclosure survey, 2020 Climate Risk Disclosure Survey (PDF, 254.72 KB) 2020 Climate Risk Disclosure Survey Commissioner Kreidler's Cover Letter (PDF, 235.69 KB), Special data call on COVID-19, Special data call on COVID-19 (PDF, 278.87 KB), 2019, Adverse notification survey, Adverse Notification Survey (PDF, 91.46 KB), Health insurance enrollment data call , Health insurance enrollment data call cover letter (PDF, 203.60 KB) Health insurance data call instructions (PDF, 613.37 KB) Health insurance enrollment…, Risk mitigation survey, Risk Mitigation Survey Cover Letter (PDF, 228.59 KB) Risk Mitigation Survey instructions (PDF, 137.17 KB) Risk Mitigation Goods and Services Survey (PDF,…, Direct care, Direct Practice Cover Letter (PDF, 263.93 KB), Disaster resiliency work group data call, Data call instructions (PDF, 193.43 KB) Disaster resiliency data call (PDF, 582.45 KB) WA DRWG data call (Excel, 53.38 KB), Climate risk disclosure survey, 2019 Climate Risk Disclosure Survey (PDF, 199.04 KB), See also, Medical malpractice closed-claim reporting Special liability insurance report instructions, forms and historical data, Need more help?, Call us at 360-725-7171
Get free, unbiased Medicare help from the Washington SHIBA program
https://www.insurance.wa.gov/get-free-unbiased-medicare-help-washington-shiba-program
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For Consumers, See also, Learn how Medicare works, Need more help?, Statewide Health Insurance Benefits Advisors (SHIBA) offers free, unbiased Medicare counseling Call SHIBA at 800-562-6900 Contact the Washington state…
Palliative care benefit work group
https://www.insurance.wa.gov/palliative-care-benefit-work-group
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About OIC Connect with us Online services and tools Laws & Rules The Washington state Legislature has directed the Office of the Insurance Commissioner…, Work group meetings, Past work group meeting materials, and recordings, Oct. 23, 2024 , Oct. 23, 2024 meeting agenda (PDF, 168.39 KB) Bree Collaborative presentation (PDF, 2.06 MB) Oct. 23, 2024 meeting recording, July 11, 2024, July 11, 2024 meeting agenda (PDF, 121.37 KB) Office of the Insurance Commissioner palliative care work group presentation (PDF, 477.72 KB) July 11, 2024…, Work group members , Name Organization Nico Janssen Office of the Insurance Commissioner Heather Schultz Health Care Authority Peter Graham Department of Social and Health…, SEE ALSO, Chapter 166, Laws of 2024 Health Care Authority: Palliative Care Sign up to receive updates, NEED MORE HELP OR WISH TO SUBMIT A COMMENT?, Contact Policy and Legislative Affairs
Approved balance billing arbitrators
https://www.insurance.wa.gov/approved-balance-billing-arbitrators
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The Balance Billing Protection Act directs the Office of the Insurance Commissioner (OIC) to develop a list of approved arbitrators or entities that…, How balance billing arbitration works, Parties to arbitration select an arbitrator or entity from the list. If the parties cannot agree, the OIC will narrow the list to five options. If the…, Approved individual arbitrators, Approved Individuals Individual Contact information Application Allen, Barbara Ann Mediators and Arbitrators of America 4500 Williams Drive Georgetown, TX…, Approved arbitration entities , Approved organizations Organization Contact information American Arbitration Association 6000 Fairview Rd Suite 1200 Charlotte, NC 28210 704-643-8605…, SEE ALSO, Arbitration and using the Balance Billing Protection Act data set Medical providers and the Balance Billing Protection Act, Need more help?, Contact the arbitration team
News and events
https://www.insurance.wa.gov/news-and-events
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SHIBA volunteers and volunteer coordinators can find all the latest News Flashes and how to sign up to receive them, along with getting outreach events on…, About OIC Connect with us Laws & Rules Log in SHIBA Town Hall Meeting Recordings: April 23, 2024 April 24, 2025 April 25, 2024 Oct 8th Town Hall…, See also, About SHIBA services, Need more help?, Email us Call SHIBA's communications manager at 360-725-7238
Ground ambulance services and surprise billing
https://www.insurance.wa.gov/ground-ambulance-services-and-surprise-billing
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For Consumers In 2024, the Washington legislature enacted a law protecting consumers from out-of-network charges by Ground Ambulance Service Organizations…, Consumer notice requirements for ground ambulance service organizations, Effective January 1, 2025, ground ambulance service organizations (GASO) are included in the Balance Billing Protection Act. The updated consumer notice (…, How enforcement works , If a GASO continues to balance bill a consumer and we see a pattern of unresolved violations of the Balance Billing Protection Act, we will first give the…, SEE ALSO, Balance Billing Protection Act Rule implementing the Balance Billing Protection Act, Need more help?, Contact Policy and Legislative Affairs
Washington state insurance fraud - Most Wanted
https://www.insurance.wa.gov/washington-state-insurance-fraud-most-wanted
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For Consumers The individuals on this page are wanted for arrest. They failed to appear to answer to charges of criminal insurance fraud and theft. Do not…, Insurance fraud makes insurance cost more for everyone, The total cost of (non-health) insurance fraud is estimated at more than $40 billion per year. Fraud costs the average U.S. family $400 to $700 per year in…, The Office of the Insurance Commissioner's Most Wanted list, Bryan Caraway, Bryan Caraway posing for a drivers license photo at Department of Licensing October 2024 - Caraway failed to appear for Pre-Trial Conference after being…, Santiago Rodriguez, Santiago Rodriguez posing for a drivers license photo at Department of Licensing July 2023 - Rodriguez has been charged with False Claims or Proof in…, Kacee Lee Garner, Kacee Lee Garner posing for a drivers license photo at Department of Licensing November 2022 - Garner has been charged with False Claims or Proof in excess…, Patrick Kim, Patrick Kim DOL photo May 2022 - Kim failed to appear in King County Superior Court after being charged with multiple counts of Theft 1 RCW 9A.56.030 (1) (…, Jessica Berman, DOL photo of Jessica Berman February 2022 - Berman has been charged with two counts of Theft 1 RCW 9A.56.030 (1) ., Anfernee Aldan, Department of Licensing photo for Anfernee Aldan Department of Licensing photo for Anfernee Aldan September 2021 - Aldan has been charged with Theft 1 RCW…, Nickolas Andrews, Nickolas Andrews April 2020 - Andrews has been charged with False Insurance Claims in Excess of $1,500 RCW 48.30.230 RCW 48.30.230., Sisi Imani, Sisi Imani Sisi Imani December 2016 - Imani has been charged with Theft II RCW 9A.56.040(1) ., Erich Scott, Erich Scott Photo of Erich Scott September 2016 - Scott has been charged with False Insurance Claims in Excess of $1,500 RCW 48.30.230 and Attempted Theft…, Branko Cekarmis, Branko Cekarmis Branko Cekarmis August 2011 - Cekarmis has been charged with Theft 2 RCW 9A.56.040(1) ., Shinebayer Baterdene, Shinebayer Baterdene June 2011 - Baterdene has been charged with False Insurance Claims in Excess of $1,500 RCW 48.30.230 , Theft 1 RCW 9A.56.030 (1) , and…, Common types of insurance fraud, Insurance fraud is a crime we all pay for. Our detectives conduct criminal investigations, make arrests and submit cases to prosecutors for insurance fraud…, Insurance fraud examples in the media, See examples of insurance fraud cases in the media that the Office of the Insurance Commissioner's Criminal Investigations Unit worked on. Snohomish County…, Contact the CIU if you spot insurance fraud, If you suspect insurance fraud against an insurance company, you can report insurance fraud in Washington state to the OIC's Criminal Investigations Unit…, See also, Report insurance fraud in Washington state, Need more help?, Contact the Criminal Investigations Unit (CIU) Contact information for media inquiries Call us at 360-586-2561
The Washington State Health Insurance Pool (WSHIP)
https://www.insurance.wa.gov/washington-state-health-insurance-pool-wship
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For Consumers, Note:, Recently, the company WSHIP used to collect your premium and pay your medical providers suddenly closed its doors. WSHIP is working with a new company,…, the WSHIP website is back online, ., The Washington State Health Insurance Pool, known as WSHIP, was created by the state Legislature in 1987. It offers insurance to Washingtonians rejected in…, What is WSHIP?, The Washington State Health Insurance Pool is our state's high-risk insurance pool. With health reform, insurance companies can no longer deny individual…, WSHIP Medicare plans, WSHIP sells the Medicare Basic plan to Washingtonians in two situations: People on Medicare who've been rejected due to health reasons by a Medicare…, WSHIP non-Medicare plans, If you're already on a WSHIP non-Medicare plan, you can stay on it. WSHIP non-Medicare plans are not accepting new enrollees. You no longer have to answer…, Contact WSHIP, For more information, call their, Customer Service number at 888-277-9135 or visit online at www.wship.org ., See also, Health savings accounts Can't afford coverage, Need more help?, Call us at 800-562-6900, 8 a.m. to 5 p.m., Monday - Friday Live chat with us Contact us to ask an insurance question
Network access
https://www.insurance.wa.gov/network-access
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For Insurers & Regulated Entities Find network access filing requirements, forms and instructions., Instructions and frequently asked questions, Network Access Reports submission instructions (PDF, 518.00 KB) Urban Counties (updated 03-30-2022) (Excel, 15.48 KB) Frequently Asked Questions (updated 3…, Templates, Access Plan cover sheet (PDF, 106.08 KB) Alternative Access Delivery Request (AADR) - Request Form (PDF, 15.83 KB) Form C - AADR (Alternative Access…, Provider network form A, Note, : The Provider Network Form A's National Plan and Provider Enumeration System (NPPES) data was loaded on 10/26/2024 using the NPPES file from 10/14/2024.…, 988 crisis hotline appointment form D, You must file the 988 Crisis Hotline Appointment D report if you're a disability insurer, health care service contractor (HCSC) or health maintenance…, Amended alternate access delivery request form E , An issuer that meets the criteria in RCW 48.49.135(2)(b) may submit an amended alternate access delivery request (AADR) for review and approval. The…, Analyst checklists, Network Access Reports (updated 3-30-23) (Word, 75.01 KB) Analyst Checklist Provider and Facility Agreements (updated 7/1/2024) (Word, 73.00 KB) Analyst…, Login, Network Access Portal, See also, Title 48 RCW - Insurance Title 284 WAC - Office of the Insurance Commissioner, Need more help?, Call us at 360-725-7111 Mailing and street address
2025 Medicare Open Enrollment
https://www.insurance.wa.gov/2025-medicare-open-enrollment
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For Consumers Oct. 15 - Dec. 7 is Medicare's annual Open Enrollment Period. If you've recently learned that your Medicare Advantage plan is going away, we…, 1: Choose a different Medicare Advantage plan, You can select a different Medicare Advantage plan, but your options will depend on where you live. People who have a low income, live in an institution or…, 2: Choose a Medicare Supplement or "Medigap" plan and a Medicare Part D plan, Since you already have Original Medicare (Parts A and B) you can select a Medicare Supplement (Medigap) plan that will help pay for out-of-pocket costs…, Note: , If your plan was discontinued, you have special rights, called "guaranteed issue." This means the insurance company cannot deny you coverage based on your…, How to get help , Start reviewing your Medicare and You handbook (PDF, 3.7 MB) and visit Medicare.gov to create an account or use the Plan Finder to see your options.…, See Also, What you need to know about Medigap (Medicare Supplement) plans (PDF, 13.32 MB) Approved Medicare Supplement (Medigap) plans (PDF, 495.23 KB) 2025 Medicare…, Need more help?, Find coverage options using Medicare's Plan Finder Find a Medicare event in your area