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Individuals & families
https://www.insurance.wa.gov/individuals-families
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If you don't have health insurance through an employer, you can buy an individual health plan during the annual open enrollment period. You can either buy…, For Consumers, See also, Your health insurance rights Benefits health plans must cover under Washington state law Health carrier information comparison tool, 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
Certifying as an independent review organization (IRO)
https://www.insurance.wa.gov/certifying-independent-review-organization-iro
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For Insurers & Regulated Entities, New rules, As required by RCW 48.43.537 , all entities acting as an IRO in Washington state must register and certify with the Office of the Insurance Commissioner (…, How to register, An IRO must hold a current business license issued by the Department of Revenue. All IRO applicants must register through the OIC's online registration…, Application and attestation forms, IROs may submit the following required certification and recertification documents and other supplemental documents through the OIC's online services…, See also, RCWs and WACs related to IROs, Need more help?, Call 360-725-7219 Contact Company Supervision. Select company applications from the dropdown.
What consumers need to know about surprise or balance billing
https://www.insurance.wa.gov/what-consumers-need-know-about-surprise-or-balance-billing
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For Consumers State and federal law protects you from surprise or balance billing if you receive emergency care, including emergency behavioral health…, What is surprise or balance billing?, Surprise billing happens because some types of medical providers and or facilities may not be contracted with your health insurer even though they provide…, What to do if you get a surprise bill, If you get a surprise bill, contact the provider or facility and tell them you believe you've been wrongly billed. You can also file a complaint with our…, The state and federal laws apply to all health plans, Surprise billing protections apply to all state-regulated health plans, state and school employee benefit plans and self-funded group health plans. Some…, How much do you pay? , If you receive a surprise medical bill, you're not responsible for paying it. Your insurer must pay the out-of-network provider and facility directly. You…, What health insurers must do , Base your cost-sharing responsibility on what it would pay an in-network provider or in-network facility in your area and show the amount on your…, What medical providers and facilities must do, Tell you which provider networks they participate in on their website or if you ask. Refund any amount you overpay within 30 business days. For most health…, Know your rights under the Balance Billing Protection Act in other languages, Please use the following translated consumer notifications through December 31, 2024. Spanish (PDF, 106.75 KB) Vietnamese (PDF, 140.28 KB) Russian (PDF,…, See also, What you need to know about medical provider networks How your health insurance claims process works The No Surprises Act protects people from unexpected…, Need more help?, Call us at 800-562-6900, 8 a.m. to 5 p.m., Monday - Friday Ask an insurance expert
SHIBA publications
https://www.insurance.wa.gov/shiba-publications
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My Shiba Search You can order the publications below from the Dept. of Enterprise Services Fulfillment department unless otherwise noted. Please don't…, Medicare Supplement (Medigap) plans, Medicare Supplement (Medigap) plan publications Publication name SHP number Document image Approved Medicare Supplement (Medigap) plans (PDF, 495.23 KB)…, Note:, This also includes the 10 Standardized Medicare Supplement (Medigap) plans (PDF, 200.03 KB) . SHP 521 Picture of the Medicare Supplement (Medigap) plan…, Medicare Prescription Drug Program (Part D), Publication name SHP number Document image 2025 Medicare Part D stand-alone prescription drug plans (PDF, 256.06 KB) Revised Oct. 7, 2024 2024 Medicare…, Medicare Advantage plans, 2025 Medicare Advantage plans and Special Needs Plans by county 2024 Medicare Advantage plans and Special Needs Plans by county Online only No image…, Disabilities, Disability publications Publication name SHP number Document image Health insurance options for people with disabilities (PDF, 1.31 MB) Updated May 2017…, Under age 65, Under age 65 publications Publication name SHP number Document image Understanding your health insurance options (PDF, 329.46 KB) November 2022 SHP 106FR…, People considered low-income, People considered low-income publications, Publication name SHP number Document image Get help paying for Medicare brochure (PDF, 705.60 KB), Updated March 2024, SHP 849, Picture of Get help paying for Medicare brochure, Get help paying for Medicare - information for American Indians & Alaskan Natives (PDF, 280.85 KB), Updated March 2024, SHP 878, Picture of Get help paying for Medicare, tribal version, Get help paying for Medicare - in fact sheet form, English (Updated March 2024), Get help paying for Medicare fact sheet (PDF, 256.75 KB) Other languages (Updated September 2024), Spanish: , Obtenga ayuda para pagar los costos de Medicare (PDF, 293.39 KB), Tagalog: , Humingi ng tulong sa pagbabayad sa Medicare (PDF, 302.28 KB), Vietnamese:, Nhan tro giup thanh toan Medicare (PDF, 258.46 KB), Russian:, Poluchite pomosch v oplate programmy Medicare (PDF, 262.91 KB), Japanese:, mete~ikea(Medicare)fudanbuzhukaderaremasu (PDF, 323.45 KB), Traditional Chinese:, huoquzhifu Medicare feiyongfangmiandeyuanzhu (PDF, 603.72 KB), Simplified Chinese:, huoquzhifu Medicare feiyongfangmiandeyuanzhu (PDF, 544.44 KB), Korean:, medikeeo biyong nabbuleul dowadeulibnida (PDF, 329.52 KB), Khmer:, ddualjMnuayknungkaarpngthlai Medicare (PDF, 214.73 KB), Ukranian: , Otrimayte dopomogu v oplati programi Medicare (PDF, 263.87 KB), Somalian: , Hel caawimaad adiga bixinaya khidmada Medicare (PDF, 284.78 KB) Online only Thumbnail of SHIBA fact sheet Get help paying for Medicare Free or low-cost…, Medicare fraud, Medicare fraud publications Publication name SHP number Document image Your Guide to Medicare and Common Medicare Scams (PDF, 3.59 MB) Medicare and COVID…, Miscellaneous publications, Miscellaneous Medicare-related publications Publication name SHP number Document image SHIBA PEBB Fact Sheet (PDF, 163.10 KB) SHP 881 Image of the document…, Spanish:, Conozcanos Asesores de Beneficios de Seguro Medico del Estado (SHIBA, por sus siglas en ingles) (PDF, 1.02 MB), Tagalog:, Tungkol sa amin Mga Tagapayo tungkol sa Mga Benepisyo ng Insurance ng Kalusugan sa Buong Estado (Statewide Health Insurance Benefits Advisors o SHIBA) (PDF…, Vietnamese:, Gioi thieu ve chung toi Co van Quyen loi Bao hiem Y te Toan tieu bang (Statewide Health Insurance Benefits Advisors - SHIBA) (PDF, 1.01 MB), Russian:, O nas Programma sovetnikov po medicinskomu strakhovaniyu v shtate Vashington (SHIBA) (PDF, 1.26 MB), Japanese:, SHIBAnitsuite quanzhoubaoxianjinatohaisa (SHIBA) (PDF, 1.11 MB), Traditional Chinese:, guanyuwomen SHIBA (ji Statewide Health Insurance Benefits Advisors dejiancheng,huashengdunzhoujiankangbaoxianliyiguwen) (PDF, 1.40 MB), Simplified Chinese:, guanyuwomen Statewide Health Insurance Benefits Advisors (SHIBA)(quanzhoujiankangbaoxianfuliguwen) (PDF, 1.18 MB), Korean:, gigwan sogae ju jeonche uilyoboheom hyetaeg joeonja(SHIBA) (PDF, 1.16 MB) Online only Thumbnail of About us - Statewide Health Insurance Benefits Advisors…, Long-term care , Long-term care publications Publication name SHP number Document image Long-term care options workbook (PDF, 2.12 MB) Updated August 2023 SHP 827 Long-…, See also, Order SHIBA publications Other agencies' foreign-language publications Centers for Medicare & Medicaid Services, Need more help?, Contact SHIBA staff (for volunteers and volunteer coordinators)
Health insurance companies that sell to small businesses
https://www.insurance.wa.gov/health-insurance-companies-sell-small-businesses
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For Consumers For information about the benefits in small business health plans and their current rates, contact the company directly: Health insurance…, See also, Small business health insurance options Search health insurance rate requests, 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
Health insurer responsibilities under the Balance Billing Protection Act
https://www.insurance.wa.gov/health-insurer-responsibilities-under-balance-billing-protection-act
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For Consumers An out-of-network provider or facility that treats a patient for emergency services or cares for a patient at an in-network hospital for…, How arbitration works, If the insurer and provider or facility cannot agree on a price for the service, either party can start arbitration . The law requires that health…, What information insurers must share with enrollees , Insurers must post the notice of consumers' surprise billing rights on their website and update their online provider directory within 30 days when a…, SEE ALSO, Read the 2020 Report to the Legislature on Arbitration Outcomes (PDF, 313.76 KB) Summary of 2022 Surprise Billing Law (PDF, 600.34 KB), NEED MORE HELP?, Contact Policy and Legislative Affairs View the Balance Billing Protection Act data set (Excel, 4.69 MB)
Protections from surprise medical billing
https://www.insurance.wa.gov/protections-surprise-medical-billing
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Patients are protected under state and federal law from getting surprise medical bills for emergency services, including behavioral health emergencies and…, For Consumers, SEE ALSO, Balance Billing Protection Act Rule implementing the Balance Billing Protection Act, NEED MORE HELP?, Call us at 800-562-6900, 8 a.m. to 5 p.m., Monday - Friday Contact Policy and Legislative Affairs
Reinsurer applications
https://www.insurance.wa.gov/reinsurer-applications
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For Insurers & Regulated Entities A reinsurer seeking accredited, certified, trusteed alien, or reciprocal jurisdiction reinsurer status in the state…, Accredited reinsurers application process, Accredited reinsurers should follow these instructions to apply in Washington state: Complete the Application Checklist for Accredited Reinsurers in…, Washington laws regarding accredited reinsurers, RCW 48.12.415 WAC 284-13-510 WAC 284-13-516 WAC 284-13-517, Certified reinsurers application process, Certified reinsurers should follow these instructions to apply in Washington state: Complete the Uniform Application Checklist for Certified Reinsurers (…, Additional information regarding certified reinsurers, NAIC list of qualified jurisdictions NAIC list of accredited U.S. jurisdictions List of certified reinsurers in Washington state (PDF, 413.64 KB) ReFAWG…, Washington laws regarding certified reinsurers, RCW 48.12.439 WAC 284-13-539, Trusteed alien reinsurers application process, Trusteed alien reinsurers should follow these instructions to apply in Washington state: Complete the Application Checklist for Trusteed Alien Reinsurers (…, Washington laws regarding trusteed alien reinsurers, RCW 48.12.475 WAC 284-13-520 WAC 284-13-530 WAC 284-13-531 WAC 284-13-532, Reciprocal jurisdiction reinsurers application process, Reciprocal jurisdiction reinsurers should follow these instructions to apply in Washington state: Complete the Uniform Checklist for Reciprocal…, Additional information regarding reciprocal jurisdiction reinsurers, NAIC list of reciprocal jurisdictions Washington state approved reciprocal jurisdiction reinsurers (PDF, 417.47 KB) ReFAWG review process for passporting…, Washington laws regarding reciprocal jurisdiction reinsurers, RCW 48.12.462 WAC 284-13-53902, Renewal application requirements for maintaining your reinsurer status, Accredited reinsurers, certified reinsurers, trusteed alien reinsurers and reciprocal jurisdiction reinsurers must follow the corresponding instructions to…, Accredited reinsurers, Applicants that initially filed for accreditation reinsurer recognition in the State of Washington must submit, annually, a completed full Application…, Certified reinsurers, Based on section WAC 284-13-539 , a reinsurer must meet, annually, applicable information-filing requirements to maintain certified reinsurer status.…, Trusteed alien reinsurers, Applicants that initially filed for trusteed alien reinsurer recognition in the state of Washington must submit, annually, a completed full Application…, Reciprocal jurisdiction reinsurers, Applicants that obtained reciprocal jurisdiction reinsurer recognition in the state of Washington must submit annually all necessary renewal application…, See also, Title 284 WAC (insurance regulations) Title 48 RCW (insurance laws) Search authorized companies in Washington, Need more help?, Call 360-725-7219 Contact Company Supervision. Select company applications from the dropdown.
이렇게 도와드립니다
https://www.insurance.wa.gov/ileohge-dowadeulibnida
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About OIC Connect with us Online services and tools Laws & Rules boheom bulman sahang jeobsue doumi pilyohasigeona hangugeolo boheom gwanlyeon…, 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
服务支持
https://www.insurance.wa.gov/fuwuzhichi
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About OIC Connect with us Online services and tools Laws & Rules ruguoninzaitichubaoxiantousushixuyaobangzhu,…, 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