Washington § 48.43.525 Prohibition against retrospective denial of health plan coverage—Rules.

Washington Statutes

§ 48.43.525 — Prohibition against retrospective denial of health plan coverage—Rules.

Washington § 48.43.525

Title 48INSURANCE

Ch. 48.43INSURANCE REFORM

This text of Washington § 48.43.525 (Prohibition against retrospective denial of health plan coverage—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 § 48.43.525 (2026).

Text

(1)A health carrier that offers a health plan shall not retrospectively deny coverage for emergency and nonemergency care that had prior authorization under the plan's written policies at the time the care was rendered.

(2)The commissioner shall adopt, in rule, standards for this section after considering relevant standards adopted by national managed care accreditation organizations and state agencies that purchase managed health care services. Application — Short title — Captions not law — Construction — Severability — Application to contracts — Effective dates — 2000 c 5: See notes following RCW 48.43.500 .

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(1) A health carrier that offers a health plan shall not retrospectively deny coverage for emergency and nonemergency care that had prior authorization under the plan's written policies at the time the care was rendered.

(2) The commissioner shall adopt, in rule, standards for this section after considering relevant standards adopted by national managed care accreditation organizations and state agencies that purchase managed health care services.

Application — Short title — Captions not law — Construction — Severability — Application to contracts — Effective dates — 2000 c 5: See notes following RCW 48.43.500 .