Section 284-43-0110. Purpose.

Section 284-43-0120. Applicability and scope.

Section 284-43-0140. Compliance with state and federal laws.

Section 284-43-0160. Definitions.

Section 284-43-0200. Deadline for filing individual health plans, small group health plans, and stand-alone dental plans.

Section 284-43-0210. Transitional reinsurance program.

Section 284-43-0230. Risk adjustment program.

Section 284-43-0250. Grandfathered health plan status.

Section 284-43-0270. Market conduct requirements related to grandfathered status.

Section 284-43-0290. Small group coverage market transition requirements.

Section 284-43-0310. Association health plan compliance with statutory or regulatory changes.

Section 284-43-0330. Transition of plans purchased by association members.

Section 284-43-0350. Individual coverage market transition requirements.

Section 284-43-1020. Special enrollment requirements for small group plans.

Section 284-43-1040. Special enrollment periods for small group qualified health plans.

Section 284-43-1060. Duration and effective dates of small group special enrollment periods.

Section 284-43-1080. Individual market open enrollment requirements.

Section 284-43-1100. Individual market special enrollment requirements.

Section 284-43-1120. Individual market special enrollment period requirements for qualified health plans.

Section 284-43-1140. Duration, notice requirements and effective dates of coverage for individual market special enrollment periods.

Section 284-43-2000. Health care services utilization review—Generally.

Section 284-43-2020. Drug utilization review—Generally.

Section 284-43-3000. Scope and intent.

Section 284-43-3010. Definitions.

Section 284-43-3030. Review of adverse benefit determinations—Generally.

Section 284-43-3050. Explanation of right to review.

Section 284-43-3070. Notice and explanation of adverse benefit determination—General requirements.

Section 284-43-3090. Electronic disclosure and communication by carriers.

Section 284-43-3110. Internal review of adverse benefit determinations.

Section 284-43-3130. Exhaustion of internal review remedies.

Section 284-43-3150. Notice of internal review determination.

Section 284-43-3170. Expedited review.

Section 284-43-3190. Concurrent expedited review of adverse benefit determinations.

Section 284-43-3210. External review of adverse benefit determinations.

Section 284-43-4000. Application of subchapter F.

Section 284-43-4020. Grievance and complaint procedures—Generally.

Section 284-43-4040. Procedures for review and appeal of adverse determinations.

Section 284-43-4060. Independent review of adverse determinations.

Section 284-43-4500. Definition.

Section 284-43-4520. Grievance process—Generally.

Section 284-43-5000. Preexisting condition limitations.

Section 284-43-5020. Recognizing the exercise of conscience by purchasers of basic health plan services and ensuring access for all enrollees to such services.

Section 284-43-5040. Coverage for pharmacy services.

Section 284-43-5060. General prescription drug benefit requirements.

Section 284-43-5080. Prescription drug benefit design.

Section 284-43-5100. Formulary changes.

Section 284-43-5110. Cost-sharing for prescription drugs.

Section 284-43-5130. Health plan disclosure requirements.

Section 284-43-5150. Unfair practice relating to health coverage.

Section 284-43-5170. Prescription drug benefit disclosures.

Section 284-43-5200. Anticancer medication.

Section 284-43-5400. Purpose and scope.

Section 284-43-5410. Definitions.

Section 284-43-5420. Clinical trials.

Section 284-43-5440. Medical necessity determination.

Section 284-43-5600. Essential health benefits package benchmark reference plan.

Section 284-43-5602. Essential health benefits package benchmark reference plan.

Section 284-43-5620. Plan design.

Section 284-43-5622. Plan design.

Section 284-43-5640. Essential health benefit categories.

Section 284-43-5642. Essential health benefit categories.

Section 284-43-5700. Essential health benefit category—Pediatric oral services.

Section 284-43-5702. Essential health benefit category—Pediatric oral services.

Section 284-43-5720. Purpose and scope—Pediatric dental benefits for health benefit plans sold outside of the health benefit exchange.

Section 284-43-5740. Definitions.

Section 284-43-5760. Pediatric dental benefits design—Methods of satisfying requirements.

Section 284-43-5780. Pediatric vision services.

Section 284-43-5782. Pediatric vision services.

Section 284-43-5800. Plan cost-sharing and benefit substitutions and limitations.

Section 284-43-5820. Representations regarding coverage.

Section 284-43-5900. Effective date.

Section 284-43-6000. Authority and purpose.

Section 284-43-6010. Applicability and scope.

Section 284-43-6020. Definitions.

Section 284-43-6040. Demonstration that benefits provided are not reasonable in relation to the amount charged for a contract per RCW 48.44.020 and 48.46.060.

Section 284-43-6060. General contents of all filings.

Section 284-43-6080. Issuer filing of attestation form, transparency tools.

Section 284-43-6100. Contents of individual and small group filings.

Section 284-43-6120. Experience records.

Section 284-43-6580. General contents of all filings.

Section 284-43-6600. Issuer filing of attestation form, transparency tools.

Section 284-43-6140. Evaluating experience data.

Section 284-43-6160. Summary for individual and small group contract filings.

Section 284-43-6620. Experience records.

Section 284-43-6640. Evaluating experience data.

Section 284-43-6200. Geographic rating area factor development.

Section 284-43-6220. Geographic rating area designation.

Section 284-43-6660. Summary for individual and small group contract filings.

Section 284-43-6680. Geographic rating area factor development.

Section 284-43-6500. Applicability and scope.

Section 284-43-6520. Definitions.

Section 284-43-6700. Geographic rating area designation.

Section 284-43-6540. Summary for group contract filings other than small group contract filings.

Section 284-43-6560. When a carrier is required to file.

Section 284-43-7000. Scope and intent—Parity in mental health and substance use disorder benefits.

Section 284-43-7010. Definitions.

Section 284-43-7020. Classification of benefits.

Section 284-43-7040. Measuring health plan benefits—Financial requirements and quantitative treatment limitations.

Section 284-43-7060. Measuring health plan benefits—Nonquantitative treatment limitations.

Section 284-43-7080. Prohibited exclusions.

Section 284-43-7100. Required disclosures.

Section 284-43-7120. Compliance and reporting of quantitative parity analysis.