№ lp_2_1_16169
Regulatory compliance checklist outlining statutory and benchmark-based requirements for pediatric oral essential health benefits embedded in Washington State small group health plans for 2025.
Year: 2025
Jurisdiction: Washington State
Subject: Pediatric Oral Services Essential Health Benefits
Document Type: Regulatory compliance checklist
Applicable To: HCSC, HMO, Disability Issuers
Line of Business: Small Group Health Plans
Effective Period: Plan years beginning on or after January 1, 2017
Regulatory References: RCW 48.44.040; RCW 48.44.309; RCW 48.46.060; RCW 48.46.010; RCW 48.18.100; RCW 48.43.715; WAC 284-43-5400; WAC 284-43-5602; WAC 284-43-5622; WAC 284-43-5642; WAC 284-43-5702; 42 USC 18022; 42 USC §300gg-11; 42 USC §300gg-21
Benchmark Plan: Regence BlueShield Regence Direct Gold small group plan (policy form WW0114CCONMSD; certificate form WW0114BPPO1SD; SERFF filing RGWA-128968362)
Coverage Scope: Pediatric enrollees under age nineteen
Network Types: Single or Tiered
Required Submission Information: Issuer; SERFF Tracker ID; Network Name; Sub-networks; Provider Network Type; Effective Date; Network Line of Business
Price: 8 / 10 USD
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