Washington Administrative Code
Title 284 - Insurance Commissioner, Office of the
Chapter 284-51 - Standards for coordination of benefits
Section 284-51-190 - Purpose
Universal Citation: WA Admin Code 284-51-190
Current through Register Vol. 24-06, March 15, 2024
(1) The purpose of this chapter is to:
(a) Establish a uniform
order of benefit determination under which plans pay claims;
(b) Reduce duplication of benefits by
permitting a reduction of the benefits to be paid by plans that, under rules
established by this chapter, do not have to pay their benefits first;
and
(c) Provide greater efficiency
in the processing of claims when a person is covered under more than one
plan.
(2) This chapter does not require the use of coordination of benefits provisions in a plan. However, if a plan contains any provision for the reduction of benefits payable because of other insurance, it must be consistent with the requirements of this chapter. A plan of coverage designed to be supplementary over the underlying basic plan of coverage may provide coverage that is excess to the basic plan of coverage.
Statutory Authority: RCW 48.20.60 [48.20.060], 48.21.200,48.44.050 , and 48.46.200. 07-13-008 (Matter No. R 2005-07), § 284-51-190, filed 6/8/07, effective 7/9/07.
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