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Home » 2016 Issues » Vol. 2016, No. 16 (08/15/2016) » 16-16-052

  16-16-052  

  • WSR 16-16-052
    AGENDA
    OFFICE OF
    INSURANCE COMMISSIONER
    [Filed July 27, 2016, 11:21 a.m.]
    Rule Development Agenda
    July 31, 2016 through January 31, 2017
    The commissioner has introduced the following rule makings. Each rule making is currently between the CR-101, CR-102, and CR-103 stage. They are currently under review and there may be further rule-making activity before January 31, 2017. If you have any questions regarding any of these rule makings, please contact Jim Keogh, rulescoordinator@oic.wa.gov or (360) 725-7056.
    WAC
    RCW Authority
    Subject
    Current Activity
    CR-103E
    CR-101
    CR-105
    CR-102
     
    48.02.060, 48.44.050, 48.46.200
    Issuer disclosures, notices, and processes to protect privacy of health care information.
     
    13-11-144 5/22/13
     
     
     
    48.02.060, 48.83.170, 48.84.030
    Long-term care unintentional lapse notices.
     
    14-02-074
    12/30/13
     
     
    284-30-396
    48.02.060, 48.30.010
    Notice of payment of settlements by insurers.
     
     
     
    16-08-024
    3/29/16
    284-24-140
    48.02.060, 48.19.035, 48.19.080
    Requiring insurers using credit scores for rating to update scores at least every three years.
     
    15-21-051
    10/16/15
     
    16-13-127
    6/21/16
     
    Health plan special enrollment rules.
     
    15-23-064
    11/13/15
     
     
     
    Addressing the insurance commissioner's powers during a state of emergency.
     
    16-01-051
    12/10/15
     
     
    284-43-5642
    48.02.060, 48.43.715
    Clarifying essential health benefit coverage for obesity management.
     
     
     
    16-10-050
    4/29/16
     
    48.02.060, 48.29.005
    Title insurance agent escrow practices and accounts.
     
    16-07-083
    3/17/16
     
     
     
    48.02.060, SSB 6536 (chapter 156, Laws of 2016, effective March 31, 2016)
    Rating requirements (SSB 6536).
     
    16-10-048
    4/29/16
     
     
     
    5ESSB 5857 (2016)
    Registration and regulation of pharmacy benefit managers.
     
    16-10-049
    4/29/16
     
     
     
    48.02.060, 48.43.510
    Notification re: Emergency fills.
     
    16-10-051
    4/29/16
     
     
     
    48.02.060
    Implementing RCW 48.43.016.
     
    16-10-052
    4/29/16
     
     
     
    48.43.740, 48.43.743
    Adding dental insurance requirements to comply with SHB 1002.
     
    16-10-056
    4/29/16
     
     
     
    48.02.060, 48.30.010
    Allowing electronic payment of settled claims.
     
    16-11-062
    5/13/16
     
     
     
    48.02.060, 48.18.120(2), 48.20.450, 48.44.050,
    48.46.200
    Special enrollment rules: Health benefit exchange request.
     
    16-11-063
    5/13/16
     
     
     
    48.02.060, Sections 5 (4)(e) and (g), 6 (4)(g), 12, 13(5), 16 (3)(a), and 18 (7)(h)(viii), chapter 142, Laws of 2016
    Principle based reserving.
     
    16-12-080
    5/31/16
     
     
     
    48.02.060, 34.05.220, 34.05.250
    Administrative hearings.
     
    16-12-081
    5/31/16
     
     
     
    48.02.060, 48.43.510
    Prescription drug benefit disclosures.
     
    16-12-082
    5/31/16
     
     
     
    48.02.060, 48.43.535, 43.70.235 - as recodified by chapter 139, Laws of 2016
    Transfer regulatory authority over independent review organization from the department of health to the office of insurance commissioner.
     
    16-13-101
    6/17/16
     
     
     
    48.02.060 (3)(a), 48.22.030(4)
    Amend existing motorist underinsured rejection form.
     
    16-13-102
    6/17/16
     
     
     
    Prior authorization processes and transparency.
     
    16-13-103
    6/17/16
     
     
     
    48.02.060, 48.43.505
    Privacy of consumer financial information.
     
    16-15-068
    7/18/16
     
     
    Possible Rule Makings: In addition to the rules listed above, the commissioner continues the effort to update and clarify the code as well as implement recent legislation. In the period before January 31, 2017, subjects that may be considered for rule making in this effort include:
    Annuity marketing and disclosure requirements
    Barriers to patient care access resulting from contracting practices
    Coordination of benefits
    Dental insurance practices
    Disability insurance loss ratios
    Discontinuation and renewal of health plan coverage
    Discrimination in health plan design
    Electronic filing of state specific reporting
    Electronic notices and document delivery of insurance products
    Essential health benefits-Pharmacy/formulary tiers
    Essential health benefits-Clarifications, as needed, of pediatric dental and other provisions
    Establishing rules for interest rate tables referenced in RCW
    Federal financial reform implementation
    Federal health care reform implementation
    Fixing investment statute outdated references
    Health care coverage for dependent and incapacitated children
    Implementation of rules required by new state legislation
    Minimum valuation standards
    NAIC Model Act implementation (dependent on legislation)
    Pharmacy exception (substitution) and appeals process
    Prelicensing insurance education
    Producer commissions for special enrollment periods
    Ride-sharing insurance coverage
    Standards for gold card programs in health insurance coverage
    Summary of health insurance benefits coverage
    Trainee requirements for adjuster licensing
    Use of vehicle history in rating
    Wellness programs (health plans).
    Mike Kreidler
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Effective Date:
3/31/2016