ࡱ> sur`  bjbj I05       & 8"& e22J^(1111111$3h5^ 2 III 2  42{{{I  >1{I1{{+  Z- > @>j,8 14520e2,j]6q]6Df-f-]6 z-{7 2 2^e2IIII& & & dD& & & & & &          WASHINGTON ASSOCIATION OF HEALTH UNDERWRITERS LEGISLATIVE UPDATE January 22, 2007 House Health Care Committee Chair Circulates Draft Legislation to Overhaul Washingtons Health Care Insurance Market Representative Eileen Cody, Chair of the House Health Care & Wellness Committee, has released draft legislation aimed at overhauling the health insurance market in Washington State. In many respects, the proposal appears to be modeled after legislation enacted in Massachusetts last year. It relies heavily on a new entityThe Washington State Health Insurance Connectorto provide a single point of access for all individuals, small groups and association groups to buy health insurance coverage. No markets for individuals, small groups or associations would be available outside of The Connector. The Connector would design and offer four or five standard benefit packages, and would be administered by the Washington State Health Care Authoritythe state agency that currently handles public employee benefits and the Washington Basic Health Plan. Coverage would appear to be offered to individuals on a guaranteed issue basis, with no health screening or use of the current health status questionnaire. The Connector would be funded with a surcharge imposed on all health plan premiums to cover its administrative and operational expenses. The program would also impose a new reinsurance program. Under the program, insurers would participate in reinsurance for all claims between $30,000 and $100,000 in a calendar year. The source of funding for the reinsurance program is unclear. The proposal contemplates the payment of Broker Commissions for services associated with enrolling business through The Connector, but it is unclear what level of commissions are anticipated or what professional services would be required of health insurance professionals. The draft bill is being circulated as a work in progressmeaning that much of the detail remains to be finalized. What is clear, however, is that this proposal would call for the most sweeping changes in health care in Washington State since 1993. The bill will likely be introduced within the next few days. OIC to Introduce Producer Licensing Bill this Week The OIC has indicated that it will introduce legislation this week to reform and modernize agent, broker, and adjuster licensing and administration. The proposal is intended to simplify and streamline the licensing process in an effort to provide reciprocity and uniformity with other states insurance licensing laws. Most segments of the insurance industryincluding most producer groupshave expressed support for the concepts behind the measure. One producer association, however, continues to express concern about the disclosure requirements in the billprovisions that have been in place with respect to brokers for over a decade. Hearings are likely within the next two weeks or so. OIC Releases Redrafted Plan for Market Analysis On Friday, January 19 the OIC released a redrafted version of its Market Analysis proposal. The proposal is intended to provide the OIC with the information and methods necessary to monitor the states insurance marketplace, identify trends, changes and emerging issues to target insurers for regulatory intervention and to allocate resources where they can be most effective to protect consumers. Insurance Commissioner Mike Kreidler testified that the plan is intended to modernize the current process for market conduct examinations. On Tuesday, January 9, the Senate Financial Institutions and Insurance Committee held a work session to consider the OICs Market Analysis proposal. Insurance Commissioner Mike Kreidler testified that the plan is intended to modernize the current process for market conduct examinations. The hearing proved to be a rocky start for the proposal. Committee Chair Jean Berkey (D, 38th Legislative District) raised questions about the overlap between the existing market conduct provisions and the new market analysis plan. The national insurance trade associations expressed concern that the current OIC draft proposal does not provide sufficient opportunity for insurers to verify the accuracy of the data used in the market analysis program. Concerns were also raised about the overlap of existing market conduct examination provisions and the new market analysis proposal; the lack of controls on fees charged by independent examiners under contracts with the OIC; and the lack of alternative dispute resolution provisions to address concerns that arise during the investigation or examination process. Insurers also stressed the importance of strong confidentiality language. According to the OIC the redrafted proposal addresses the overlap between existing market conduct provisions and the new market analysis plan. Other issues continue to be negotiated. Plaintiff Lawyers Prepare to Introduce Controversial Insurance Fair Conduct Bill The Washington State Trial Lawyers Association is preparing to introduce a controversial "Insurance Fair Conduct" bill. WSTLA lobbyists are now gathering signatures on the measure, and it will soon be introduced in the House. It appears that this is a variation on the "third party bad faith" legislation that was overturned by voters in California. WSTLAs bill, however, would appear to apply to first party claimants tooa particular concern for health and disability insurers. It is likely that proponents are circulating a Senate bill as well. If you have questions or comments about this report, please contact one of the following members of WAHUs legislative committee: Cathy Backamus ( HYPERLINK "mailto:ceb@bratrud.com)-" ceb@bratrud.com)- Tri-County Chapter Legislative Chair Bob Harley ( HYPERLINK "mailto:rharley@fidelityins.com)-" rharley@fidelityins.com)- Spokane Chapter Legislative Chair Mark Rose ( HYPERLINK "mailto:mrose@baldwinrgi.com" mrose@baldwinrgi.com) Northwest Washington Legislative Chair Josh Nace ( HYPERLINK "mailto:jnace@dentalhealthservices.com" jnace@dentalhealthservices.com State Legislative Chair Greg Seifert ( HYPERLINK "mailto:greg.seifert@biggsinsurance.com)-" greg.seifert@biggsinsurance.com)- Federal Legislative Chair     PAGE 1 -  PAGE 2 - MOVWXQS/./0@óviviv_RFh"uhE6CJaJh"uh"u@CJaJhE@CJaJh"uhE@CJaJh"u@CJaJh"uh5@CJaJh$h$CJaJh$h$@CJH*aJh$h$@CJaJh$h$5>*@CJaJh$hE@CJaJ h]Z@ h$5@h$hE5@ hE@jhEhE@U hp@2EVWX ]^ $ a$gd$ $ a$gd$ gdE $ a$gdE  tu-.//0 gd5 $ a$gd$ $ a$gd$@Aghiz{&'PQRfg  R 㤵n㵤Z&j(Vh"uh"u6CJUaJ&j9Uh"uhE6CJUaJh"uh"u0J6CJaJ&j6Th"uh"u6CJUaJ jh"uh"u6CJUaJh"uh"u6CJaJh"uhE0J6CJaJ&jSSh"uhE6CJUaJh"uhE6CJaJ jh"uhE6CJUaJ#R S T u v wh t0JmHnHu h 0Jjh 0JU h CJh mHnHujh Uh h`jh`UhEhE6h"uh"u6CJaJh"uh"u0J6CJaJ jh"uh"u6CJUaJ&j?Wh"uh"u6CJUaJ" gd5  $ !H$a$&`#$G 0 00.PP&P1:pE/ =!"#$% SSDd6J  C &Alogo 1bRe,.hia![RDY nRe,.hia![PNG  IHDR$  sRGBgAMA a cHRMz&u0`:pQ< pHYsnu>tIME  (AtEXtSoftwareAdobe Photoshop 7.0lQIDATx^}u$89pP2rsD FtT}_sϟ *?߷yvww=@l|}[%}ހ|~5[g)sTKyK?B&k}|o皾80ϯ;qwp@2x[ @B\Y7'7M$rQe>o›ę|#(p!BܺnOwp9&9# 珔b٥ =TZs sqT?19F.a@E{+eQ wyeBu7YqJ{E@A@~/~wBi@st$tH.G\kdUz =19;ļQ2M#Ǐ1%5^-Z^bPGl`X ӌBxirzkڟ/%63z&v-\˸ˆư<<55?Oj9^?`p=蕿n!iXjƵ5s lmTWb:8Ү|hΒ7Y=[LMc$TpO`eCcmǦƿND }=&אI4d1V?+ uA@Qs07y ľ v2'N]]b#M[G2h, 2e)c9?Gb;p]8 9ռ|x6\!4~ùQC.mKe|f«AD-3tTHg|'By q 1Z l02YGg \/C_jT#-rfI4QNC_6}8}>K}4fpq4D֪nA e2tHxKW^B<CbxURb#=4߃_1'.5`'AWlA -YGdL`$9t d:is7 ͦ(*B1ЀpK4Ep &z'!eiSA`g 6郫=(]FpqQɴ| wSE!2$jZTz$6ͽIzfA;pQD/h!đuc />7Y j@vMhl]B*ãHC-S2Jśy~~nذnWFhLү=# sH Ht1ɳpF7My?VAifp>cZ"~B #6pjIY! hJD$b.I*rDV8NJyWkt8v]"sYm&N}5X}Js@~sD{ Ns&h N{]I"pman訕_*z/dV&煛 !߻EODl^X`w͸@?4P{aS$1̴0`yg Ŵrm\y-f!( ,ĦCz}$M8k0u!$ y?C] ׳3lMjE]z)Fc`= aDl-~O7g%ݠ\RԆ'/9KlwŔY\jlJ$ȅ{ _}Q\yr!ռ&xy=⃈r F1e5,KO&&6@`&'Ay諵"1M7P,8Du%1{q4PZ 7cw@3aB+4͟^:IlQ}l.cV߱ wJUt>Р[EsN.Zi4qZlUI4߯&6~ކ L dKT(ugRb 9G'8xO8L:xAD4#,&cU^\JlȀ2Q` )Z{OB̈U:z&(#-7 ._*`Ba/( dŠBF=x N#6nim2u $1Cצ/Wsd{SL,n`gmjf^J8&#ę{eE&"ެIԆqjZ{MlI6d^֎-7Kʼ|J30jzH 6Gz X|0I K:Ϻ[szq4 c_yBR=qvWՐk{5bT#u+JhӈۺʍZRlEFJTcM,c\КpF H%qnr:I6{">dn ͞#z9 7_YsxZm1~~a] h1l)KlM"b*cԆD#;Ӻʹ-ް ҩca6qB!'w"~3&[C^UF}!a, L m^SƳ,bf…{.Lp78v!?2<R@P+"dfޮE& j6Þ)LElm\oY˒˜ZB%y8 rz!K@I66e1|6C#d4~I(iaN!62ni'LCƮ)l2 N:vhU䂀8;c/r.r~C`}xL'6a.:ij26%AA|qk۳dq~?>{/ 'oX,3rgD)Ml#RV7/+*h=^P\{PC8jBoV#dظwr̋0—a7>O`bךy+(Cu1n,LyG._[쌒}IZSg9z{ v$6 omCN\b & ]2Z֖>diT'[E)iKƑĶe?'NˬKl&*9wh<\i=߷by/Κ^Q QFlR'ëȓfOl5F|]<46Uwml!ɤInvf7Wmͷv H9ִ_L *r%uyMfXfZZ&qpK^q2q̨=4;AQE69W¦%ZA,`ebF'S5*1V)QV&~BgdF qY++dq֟Tl;2ykk7QA^_9$YTx!Þxݻ,;d6}Ko{';hȫmFbpLYTt23(-6-EN$-nKlyFl!FyJQ[<:t<&O㔖n_Mێjc>>:nzMM'}vp^Z#El|.b'36}fwӞD19_?޾K0xl /3&0 nlGcfXSh0OlMA-¨w>t=~SA┸1_E>ҕ7 3]%A nbj8!o`ٗ3Ol$tӪ~Kk?7&aOZ4AHoec ܚ9ni0rbC^H=nIb㌋'*ôHWzGtMp:c-0ٱgC`4g$܇hUXrBF˹=U> lY"NE|[G92%AtTD℄6M0{:&2ԌK.%G6kt gkؚz$%3YHsy9f|]6tqvAdZVxF!*7j.=[@Pޥ0IJD8fdbiD[v'Sm%)?Xv]O˧Z @`ȰhK*fLI[--مcabqjvjx!A1`꽅40k6:+58pkNIƦ,D軛~‹[Ţy(ą>Ll,a<(>d_!8hy (bQBLdr~fیQxkҁͰrs;;os#6HXxݥ15Hٻ,9vN_58 MKfޯӷ9}ȉ^\@ _hm>. 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