Full text of Washington Revised Code of Washington § 48.30.360 — Performance standards — Premiums — Application — Rules., with citation guidance and answers to common questions.
§ 48.30.360. Performance standards — Premiums — Application — Rules.
(1) For purposes of this section, "performance standard" means a contractual provision in a group insurance contract that establishes a specific standard for the insurer's or health carrier's performance of an obligation in the contract, and under which the insurer or health carrier is required to remit a penalty payment, based on a percentage of the premium or a set dollar amount, to the group policyholder for the next policy term if the insurer or health carrier fails to comply with the standard. Group policyholders and insurers or health carriers may calculate the amount of the penalty based on a percentage of the overall premium owed to the insurer or health carrier by the policyholder.
(2) Remittance of a performance payment to the group policyholder in compliance with this section does not constitute a premium under RCW
48.18.170 and
48.43.005. Nothing in this section prevents the health care authority from including performance standards in contracts.
(3) If a group insurance contract includes any performance standards, the insurer or health carrier must describe the performance standards in the group insurance contract and file the contract with the commissioner.
(4) Remittance of a performance payment to the group policyholder in compliance with this section must not be considered a return premium for purposes of RCW
48.14.020 and
48.14.0201.
(5) This section does not apply to small groups as defined in RCW
48.43.005.
(6) The commissioner may adopt rules to implement this section.
(7) For the purposes of this section, "health carrier" has the meaning provided in RCW
48.43.005.
Notes
Intent—2022 c 13: "The legislature intends to align the insurance code and performance-based contracting to ensure the continued practice of using performance standards and performance guarantees in group insurance contracts, including those entered into by the health care authority." [
2022 c 13 s 1.]
Frequently Asked Questions About Washington § 48.30.360
What does Revised Code of Washington § 48.30.360 cover?
Section 48.30.360 ("Performance standards — Premiums — Application — Rules.") is part of the Revised Code of Washington, the codified statutory law of Washington. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Washington § 48.30.360?
A common citation format is "Revised Code of Washington § 48.30.360" (Washington). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Washington law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Washington official source linked on this page or consult a licensed Washington attorney.
How does Washington § 48.30.360 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Washington can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Washington.
