Chapter 284-66 WAC
WASHINGTON MEDICARE SUPPLEMENT INSURANCE REGULATION
Last Update: 2/26/07

WAC SECTIONS

284-66-010 Purpose.
284-66-020 Applicability and scope.
284-66-030 Definitions.
284-66-040 Policy definitions and terms.
284-66-050 Policy provisions.
284-66-060 Minimum benefit standards.
284-66-063 Benefit standards for policies or certificates issued or delivered after June 30, 1992.
284-66-066 Standard medicare supplement benefit plans.
284-66-073 Medicare SELECT policies and certificates.
284-66-080 Outline of coverage required.
284-66-092 Form of "outline of coverage."
284-66-110 Buyer's guide.
284-66-120 Notice regarding policies that are not medicare supplement policies.
284-66-130 Requirements for application forms and replacement of medicare supplement insurance coverage.
284-66-135 Disclosure statements to be used with policies that are not medicare supplement policies.
284-66-142 Form of replacement notice.
284-66-160 Adjustment notice to conform existing medicare supplement policies to changes in medicare.
284-66-170 Prohibition against preexisting conditions, waiting periods, elimination periods, and probationary periods in replacement policies or certificates.
284-66-200 Standards for loss ratios.
284-66-203 Loss ratio and rating standards and refund or credit of premium.
284-66-210 Policy reserves required.
284-66-220 Medicare supplement refund calculation form required.
284-66-232 Form for medicare supplement refund calculation.
284-66-240 Filing requirements and premium adjustments.
284-66-243 Filing and approval of policies and certificates and premium rates.
284-66-247 Interim rate and form filing requirements for standardized plans H, I and J and prestandardized plans that include outpatient prescription drug benefits.
284-66-250 Filing requirements for out-of-state group policies.
284-66-260 Riders and endorsements.
284-66-270 Standards for claims payment: Compliance with Omnibus Budget Reconciliation Act of 1987.
284-66-300 Requirements for advertising.
284-66-310 Attained age rating prohibited.
284-66-320 Reporting of multiple policies.
284-66-323 Form for reporting multiple medicare supplement policies and certificates.
284-66-330 Standards for marketing.
284-66-340 Appropriateness of recommended purchase and excessive insurance.
284-66-350 Permitted compensation arrangements.
284-66-400 Chapter not exclusive.
DISPOSITIONS OF SECTIONS FORMERLY CODIFIED IN THIS CHAPTER
284-66-070 Reserved. [Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130, 48.46.200, 48.66.041, 48.66.050, 48.66.100, 48.66.110, 48.66.120, 48.66.130, 48.66.150 and 48.66.160. 90-07-059 (Order R 90-4), § 284-66-070, filed 3/20/90, effective 4/20/90.]  Repealed by 92-06-021 (Order R 92-1), filed 2/25/92, effective 3/27/92.  Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130 and 48.46.200.
284-66-077 Open enrollment. [Statutory Authority: RCW 48.02.060, 48.66.041 and 48.66.165. 96-09-047 (Matter No. R 96-2), § 284-66-077, filed 4/11/96, effective 5/12/96. Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130 and 48.46.200. 92-06-021 (Order R 92-1), § 284-66-077, filed 2/25/92, effective 3/27/92.]  Repealed by 05-17-019 (Matter No. R 2004-08), filed 8/4/05, effective 9/4/05. Statutory Authority: RCW 48.02.060 and 48.66.165
284-66-090 Form for "outline of coverage." [Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130, 48.46.200, 48.66.041, 48.66.050, 48.66.100, 48.66.110, 48.66.120, 48.66.130, 48.66.150 and 48.66.160. 90-07-059 (Order R 90-4), § 284-66-090, filed 3/20/90, effective 4/20/90.]  Repealed by 92-06-021 (Order R 92-1), filed 2/25/92, effective 3/27/92.  Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130 and 48.46.200.
284-66-100 Form for 1990 adjustment notice to accompany outline of coverage. [Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130, 48.46.200, 48.66.041, 48.66.050, 48.66.100, 48.66.110, 48.66.120, 48.66.130, 48.66.150 and 48.66.160. 90-07-059 (Order R 90-4), § 284-66-100, filed 3/20/90, effective 4/20/90.] Repealed by 92-06-021 (Order R 92-1), filed 2/25/92, effective 3/27/92. Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130 and 48.46.200.
284-66-140 Form for "replacement notice to applicant" for other than direct response insurers. [Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130, 48.46.200, 48.66.041, 48.66.050, 48.66.100, 48.66.110, 48.66.120, 48.66.130, 48.66.150 and 48.66.160. 90-07-059 (Order R 90-4), § 284-66-140, filed 3/20/90, effective 4/20/90.] Repealed by 92-06-021 (Order R 92-1), filed 2/25/92, effective 3/27/92. Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130 and 48.46.200.
284-66-150 Form for "replacement notice to applicant" by direct response insurers. [Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130, 48.46.200, 48.66.041, 48.66.050, 48.66.100, 48.66.110, 48.66.120, 48.66.130, 48.66.150 and 48.66.160. 90-07-059 (Order R 90-4), § 284-66-150, filed 3/20/90, effective 4/20/90.]  Repealed by 92-06-021 (Order R 92-1), filed 2/25/92, effective 3/27/92.  Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130 and 48.46.200.
284-66-180 Continuous renewability required. [Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130, 48.46.200, 48.66.041, 48.66.050, 48.66.100, 48.66.110, 48.66.120, 48.66.130, 48.66.150 and 48.66.160. 90-07-059 (Order R 90-4), § 284-66-180, filed 3/20/90, effective 4/20/90.]  Repealed by 92-06-021 (Order R 92-1), filed 2/25/92, effective 3/27/92.  Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130 and 48.46.200.
284-66-190 Offer of reinstitution of coverage. [Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130, 48.46.200, 48.66.041, 48.66.050, 48.66.100, 48.66.110, 48.66.120, 48.66.130, 48.66.150 and 48.66.160. 90-07-059 (Order R 90-4), § 284-66-190, filed 3/20/90, effective 4/20/90.]  Repealed by 92-06-021 (Order R 92-1), filed 2/25/92, effective 3/27/92.  Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130 and 48.46.200.
284-66-230 Form for reporting medicare supplement loss ratio experience. [Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130, 48.46.200, 48.66.041, 48.66.050, 48.66.100, 48.66.110, 48.66.120, 48.66.130, 48.66.150 and 48.66.160. 90-07-059 (Order R 90-4), § 284-66-230, filed 3/20/90, effective 4/20/90.] Repealed by 92-06-021 (Order 92-1), filed 2/25/92, effective 3/27/92. Statutory Authority: RCW 48.02.060, 48.20.450, 48.20.460, 48.20.470, 48.30.010, 48.44.020, 48.44.050, 48.44.070, 48.46.030, 48.46.130 and 48.46.200.