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OIC 2020 Overview — Presentation to Senate Business, Financial Services & Trade Committee (January 12, 2021)

Summary

OIC 2020 Overview presentation to the Senate Business, Financial Services & Trade Committee, January 12, 2021. The mission statement reads “We protect consumers, the public interest and our state’s economy through fair and efficient regulation of the insurance industry.” The slides on emergency authority state that in 2009 the Legislature granted the Insurance Commissioner authority to take certain actions once the Governor declares an emergency, with an initial duration of 60 days and 30-day extensions. The health insurance emergency orders waive copays/deductibles for COVID-19 testing and prohibit prior authorization for COVID-19 treatment. The property & casualty emergency order numbered 20-03 provided grace periods for nonpayment of premiums.

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Issuer
Congressional materials
Date
2021-01-12

Cite this document

“OIC 2020 Overview — Presentation to Senate Business, Financial Services & Trade Committee (January 12, 2021).” Original at app.leg.wa.gov, dated 2021-01-12. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2021-01-12-2021-01-12-a28147-d224219-noski-myrum-forte-beyer-oic-presentation/, SHA-256 566d857cb7b9a0793be8c6f86034a9be8ddb4086dc04df20031ee87ad5c123aa.

Full text

                                  OIC 2020 Overview
Presentation to Senate Business, Financial Services & Trade Committee
                                                            January 12, 2021
Mission statement

“We protect consumers, the public interest and our
state’s economy through fair and efficient regulation
of the insurance industry.”




                                           January 12, 2021
OIC Primary Activities

•   Monitor insurer solvency
•   Protect and educate insurance consumers
•   Review and approve insurers’ rates and forms
•   License and oversee insurance producers
•   Reduce insurance fraud and unlawful activities
•   Rulemaking




                                            January 12, 2021
          COVID-19 Response
Emergency Orders and other Pandemic Response




                              January 12, 2021
Emergency Authority
• In 2009, the Legislature granted Insurance the
  Commissioner authority to take certain actions
  once the Governor declares an emergency (RCW
  48.02.060)

• Scope of authority:
    •   Reporting requirements for claims
    •   Grace periods and other duties of insureds
    •   Temporarily postpone cancellations/non-renewals
    •   Medical coverage to ensure access to care

• Initial duration: 60 days, with 30-day extensions

                                                  January 12, 2021
Health Insurance Emergency Orders

1. Waives copays/deductibles for COVID-19 testing
2. Prohibits prior authorization for COVID-19 treatment
3. Expands coverage of additional methods for providing
   telehealth services, including telephone
4. Protects consumers from surprise bills from labs

https://www.insurance.wa.gov/coronavirus-and-health-
insurance




                                               January 12, 2021
Property & Casualty Emergency Orders
 Issued two emergency orders related to property &
 casualty insurance

 • In effect from March 25 – May 9

 Emergency Order 20-03

 Provided grace periods for nonpayment of
 premiums and temporarily prohibited cancellation
 for nonpayment of premiums

                                        January 12, 2021
Property & Casualty Emergency Orders
 Emergency Order 20-05

 Addressed the issue of replacement cost coverage
 during the repair process.

 And allowed insureds to fully recover the benefits of
 their coverage if there was a deadline affected by
 the construction industry's shut down.




                                           January 12, 2021
Implementation of new laws
Balance Billing Protection Act
• Prohibits balance (surprise) billing for emergency services,
   and surgical/ancillary services at in-network facilities
• Protections considered among the nation’s strongest
• Approved unanimously by 2019 Legislature
• Currently reviewing federal “No Suprises Act”

(Chap. 427, Laws of 2019/Chap. 48.49 RCW)




                                                    January 12, 2021
Implementation of new laws – required rulemaking


   Health Insurance
   SHB 2338: Protecting consumers from discrimination in health care
   ESHB 2642: Access to substance use disorder treatment
   HB 1879: Prescription drug utilization management
   HB 1099: Network access and notice requirements
   SB 5899: Confidential communications
   SB 5601: Health care benefit managers
   2SHB 1065: Implementation of the Balance Billing Protection Act


   Property and Casualty Insurance
   HB 2322 (2018): Risk mitigation



                                                                  January 12, 2021
Disaster Resiliency Work Group
• Created through SSB 5106 (2019), to make
  recommendations on disaster resiliency.

• Over 30 public and private members.

Key recommendations:
•   Create resiliency program in Governor’s Office.
•   Include volunteer advisory board.
•   Initial funding of $650,000.
•   Coordinate statewide efforts.


                                            January 12, 2021
Legislative Priorities for 2021
• Prohibiting the use of credit scores to determine
  rates for personal lines of insurance.

• Concerning reinsurance agreements.

• Concerning insurance adjusters.

• Captive Insurance study.




                                             January 12, 2021
Questions?
Jon Noski
Legislative Liaison
JonN@oic.wa.gov, (360) 972-4485

Connect with us!
• Facebook: https://www.facebook.com/WSOIC
• Twitter: https://twitter.com/WA_OIC
• www.insurance.wa.gov


                                       January 12, 2021


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