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Code · Washington · Title 48 — Insurance · Chapter 48.43

RCW 48.43.743

387 words·~2 min read·/wa/title-48/chapter-48-43/48-43-743·

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

(1)Each health carrier offering a dental only plan in Washington shall submit to the commissioner on or before April 1st of each year as part of the additional data statement, or as a supplemental data statement, Washington specific data for the preceding year that is derived from the carrier's annual statement, including the exhibit of premiums, enrollments, and utilization for the company at an aggregate level and the additional data to the annual statement, which must be based on Washington data and may not include data from other states:
(a)The total number of dental members;
(b)The total amount of dental revenue;
(c)The total amount of dental payments;
(d)The dental loss ratio that is computed by dividing the total amount of dental payments by the total amount of dental revenues;
(e)The average amount of premiums per member per month; and
(f)The percentage change in the average premium per member per month, measured from the previous year.
(2)A carrier shall electronically submit the information described in subsection
(1)of this section in a format and according to instructions prescribed by the commissioner.
(3)The commissioner shall make the information reported under this section available to the public on the commissioner's public website on the internet.
(4)For the purposes of licensed disability insurers and health care service contractors, the commissioner shall work collaboratively with insurers to develop an additional or supplemental data statement that utilizes to the maximum extent possible information from the annual statement forms that are currently filed by these entities.
(5)For purposes of this section, "health carrier," in addition to the definition in RCW 48.43.005 , also includes health care service contractors, limited health care service contractors, and disability insurers offering dental only coverage.
(6)Nothing in this section is intended to establish a minimum dental loss ratio.
[ 2025 c 243 s 10 ; 2025 c 219 s 5 ; 2015 c 9 s 2 .]
Notes:
Reviser's note: This section was amended by 2025 c 219 s 5 and by 2025 c 243 s 10, each without reference to the other. Both amendments are incorporated in the publication of this section under RCW 1.12.025 (2). For rule of construction, see RCW 1.12.025 (1).
Effective date — 2015 c 9: See note following RCW 48.43.740 .
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