Any medicare eligible person who is rejected for medical reasons, is required to accept restrictive riders, an up-rated premium, or preexisting conditions limitations, the effect of which is to substantially reduce coverage from that received by a person considered a standard risk by at least one member as defined in RCW 48.41.030(14) shall be provided written notice from the issuer of medicare supplement coverage to whom application was made of the decision not to accept the person’s application for enrollment, or to require such restrictions. The notice shall further state that the person is eligible for medicare part C coverage offered in the person’s geographic area or coverage provided by the Washington state health insurance pool for Washington residents, and shall include information about medicare part C plans offered in the person’s geographic area, about the Washington state health insurance pool, and about available resources to assist the person in choosing appropriate coverage.

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Terms Used In Washington Code 48.66.057

  • 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