Washington Code 48.84.020 – Definitions
Current as of: 2023 | Check for updates
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Unless the context requires otherwise, the definitions in this section apply throughout this chapter.
Terms Used In Washington Code 48.84.020
- Contract: A legal written agreement that becomes binding when signed.
- person: may be construed to include the United States, this state, or any state or territory, or any public or private corporation or limited liability company, as well as an individual. See Washington Code 1.16.080
(1) “Long-term care insurance” or “long-term care benefit contract” means any insurance policy or benefit contract primarily advertised, marketed, offered, or designed to provide coverage or services for either institutional or community-based convalescent, custodial, chronic, or terminally ill care. Such terms do not include and this chapter shall not apply to policies or contracts governed by chapter 48.66 RCW and continuing care retirement communities.
(2) “Loss ratio” means the incurred claims plus or minus the increase or decrease in reserves as a percentage of the earned premiums, or the projected incurred claims plus or minus the increase or decrease in projected reserves as a percentage of projected earned premiums, as defined by the commissioner.
(3) “Preexisting condition” means a covered person‘s medical condition that caused that person to have received medical advice or treatment during the specified time period before the effective date of coverage.
(4) “Medicare” means Title XVIII of the United States social security act, or its successor program.
(5) “Medicaid” means Title XIX of the United States social security act, or its successor program.
(6) “Nursing home” means a nursing home as defined in RCW 18.51.010.
[ 1986 c 170 § 2.]