Washington § 48.43.01211 Health plans—Eligibility—Health status-related factors—Rules.

Washington Statutes

§ 48.43.01211 — Health plans—Eligibility—Health status-related factors—Rules.

Washington § 48.43.01211

Title 48INSURANCE

Ch. 48.43INSURANCE REFORM

This text of Washington § 48.43.01211 (Health plans—Eligibility—Health status-related factors—Rules.) is published on Counsel Stack Legal Research, covering Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Wash. Rev. Code § 48.43.01211 (2026).

Text

(1)A health carrier or health plan may not establish rules for eligibility, including continued eligibility, of any individual to enroll under the terms of the plan or coverage based on any of the following health status-related factors in relation to the individual or a dependent of the individual:

(a)Health status;

(b)Medical condition, including both physical and mental illnesses;

(c)Claims experience;

(d)Receipt of health care;

(e)Medical history;

(f)Genetic information;

(g)Evidence of insurability, including conditions arising out of acts of domestic violence;

(h)Disability; or

(i)Any other health status-related factor determined appropriate by the commissioner.

(2)Unless preempted by federal law, the commissioner shall adopt any rules necessary to implement this

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(1) A health carrier or health plan may not establish rules for eligibility, including continued eligibility, of any individual to enroll under the terms of the plan or coverage based on any of the following health status-related factors in relation to the individual or a dependent of the individual:

(a) Health status;

(b) Medical condition, including both physical and mental illnesses;

(c) Claims experience;

(d) Receipt of health care;

(e) Medical history;

(f) Genetic information;

(g) Evidence of insurability, including conditions arising out of acts of domestic violence;

(h) Disability; or

(i) Any other health status-related factor determined appropriate by the commissioner.

(2) Unless preempted by federal law, the commissioner shall adopt any rules necessary to implement this section, consistent with federal rules and guidance in effect on January 1, 2017, implementing the patient protection and affordable care act.

Effective date — 2019 c 33: See note following RCW 48.43.005 .