Chapter 48.21 RCW

GROUP AND BLANKET DISABILITY INSURANCE

Sections

HTMLPDF 48.21.010"Group disability insurance" definedIssuance.
HTMLPDF 48.21.015"Group stop loss insurance" defined for the purpose of exemptionScope of application.
HTMLPDF 48.21.020"Employees," "employer" defined.
HTMLPDF 48.21.030Health care groups.
HTMLPDF 48.21.040"Blanket disability insurance" defined.
HTMLPDF 48.21.045Health plan benefits for small employersCoverageExemption from statutory requirementsPremium ratesRequirements for providing coverage for small employersDefinitions.
HTMLPDF 48.21.047Requirements for plans offered to small employersDefinitions.
HTMLPDF 48.21.050Standard provisions required.
HTMLPDF 48.21.060The contractRepresentations.
HTMLPDF 48.21.070Payment of premiums.
HTMLPDF 48.21.075Payment of premiums by employee in event of suspension of compensation due to labor dispute.
HTMLPDF 48.21.080Certificates of coverage.
HTMLPDF 48.21.090Age limitations.
HTMLPDF 48.21.100Examination and autopsy.
HTMLPDF 48.21.110Payment of benefits.
HTMLPDF 48.21.120Readjustment of premiumsDividends.
HTMLPDF 48.21.125When injury caused by intoxication or use of narcotics.
HTMLPDF 48.21.130Podiatric medicine and surgery.
HTMLPDF 48.21.140Optometry.
HTMLPDF 48.21.141Registered nurses or advanced registered nurses.
HTMLPDF 48.21.142Chiropractic.
HTMLPDF 48.21.143Diabetes coverageDefinitions.
HTMLPDF 48.21.144Psychological services.
HTMLPDF 48.21.146Dentistry.
HTMLPDF 48.21.147Dental services that are not subject to contract or provider agreement.
HTMLPDF 48.21.148Denturist services.
HTMLPDF 48.21.150Dependent child coverageContinuation for incapacity.
HTMLPDF 48.21.155Dependent child coverageFrom moment of birthCongenital anomaliesNotification of birth.
HTMLPDF 48.21.157Option to cover dependents under age twenty-six.
HTMLPDF 48.21.160Chemical dependency benefitsLegislative declaration.
HTMLPDF 48.21.180Chemical dependency benefitsContracts issued or renewed after January 1, 1988.
HTMLPDF 48.21.190Chemical dependency benefitsRCW 48.21.160 through 48.21.190, 48.44.240 inapplicable, when.
HTMLPDF 48.21.195"Chemical dependency" defined.
HTMLPDF 48.21.197Chemical dependency benefitsRules.
HTMLPDF 48.21.200Individual or group disability, health care service contract, health maintenance agreementReduction of benefits on basis of other existing coverages.
HTMLPDF 48.21.220Home health care, hospice care, optional coverage requiredStandards, limitations, restrictionsRulesMedicare supplemental contracts excluded.
HTMLPDF 48.21.223Prescribed, self-administered anticancer medication.
HTMLPDF 48.21.225MammogramsInsurance coverage.
HTMLPDF 48.21.227Prostate cancer screening.
HTMLPDF 48.21.230Reconstructive breast surgery.
HTMLPDF 48.21.235Mastectomy, lumpectomy.
HTMLPDF 48.21.241Mental health servicesGroup health plansDefinitionCoverage required, when.
HTMLPDF 48.21.242Mental health treatmentWaiver of preauthorization for persons involuntarily committed.
HTMLPDF 48.21.244Benefits for prenatal diagnosis of congenital disordersContracts entered into or renewed on or after January 1, 1990.
HTMLPDF 48.21.250Continuation option to be offered.
HTMLPDF 48.21.260Conversion policy to be offeredExceptions, conditions.
HTMLPDF 48.21.270Conversion policyRestrictions and requirementsRules.
HTMLPDF 48.21.280Coverage for adopted children.
HTMLPDF 48.21.290Cancellation of rider.
HTMLPDF 48.21.300Phenylketonuria.
HTMLPDF 48.21.310Neurodevelopmental therapiesEmployer-sponsored group contracts.
HTMLPDF 48.21.320Temporomandibular joint disordersInsurance coverage.
HTMLPDF 48.21.325PrescriptionsPreapproval of individual claimsSubsequent rejection prohibitedWritten record required.
HTMLPDF 48.21.330Nonresident pharmacies.
HTMLPDF 48.21.370Fixed payment insuranceStandard disclosure form.
HTMLPDF 48.21.375Fixed payment insuranceBenefit restrictions.
HTMLPDF 48.21.380Noninsurance benefits.
HTMLPDF 48.21.900ConstructionChapter applicable to state registered domestic partnerships2009 c 521.

NOTES:

Irrigation district may contract for and pay premiums on group insurance for employees: RCW 87.03.160.
Minimum standards for disability policies may be promulgated by commissioner: RCW 48.18.120.
Payment to person designated in policy or by assignment discharges insurer: RCW 48.18.370.
Policy dividends are payable to real party in interest: RCW 48.18.340.
Policy forms, execution, filing, etc.: Chapter 48.18 RCW.
Refusal to renew or cancellation of disability insurance: RCW 48.18.298, 48.18.299.