Section 284-50-365 - Specified disease and specified accident coverage(1) "Specified disease coverage" is a policy which meets one of the following definitions: (a) A policy which provides coverage for each person insured under the policy for a specifically named disease (or diseases) with a deductible amount not in excess of $250 and an overall aggregate benefit limit of no less than $5,000 and a benefit period of not less than two years for at least the following incurred expenses: (i) Hospital room and board and any other hospital furnished medical services or supplies;(ii) Treatment by a legally qualified physician or surgeon;(iii) Private duty services of a registered nurse (R.N.);(iv) X-ray, radium and other therapy procedures used in diagnosis and treatment;(v) Professional ambulance for local service to or from a local hospital;(vi) Blood transfusions, including expense incurred for blood donors;(vii) Drugs and medicines prescribed by a physician;(viii) The rental of an iron lung or similar mechanical apparatus;(ix) Braces, crutches and wheel chairs as are deemed necessary by the attending physician for the treatment of the disease;(x) Emergency transportation if in the opinion of the attending physician it is necessary to transport the insured to another locality for treatment of the disease; and(xi) May include coverage of any other expenses necessarily incurred in the treatment of the disease.(b) A policy which provides coverage for each person insured under the policy for a specifically named disease (or diseases) with no deductible amount, and an overall aggregate benefit limit of not less than $25,000 payable at the rate of not less than $50 a day while confined in a hospital and a benefit period of not less than 500 days.(2) "Specified accident coverage" is an accident insurance policy which provides coverage for a specifically identified kind of accident (or accidents) for each person insured under the policy for accidental death or accidental death and dismemberment combined, with a benefit amount not less than $1,000 for accidental death; $1,000 for double dismemberment and $500 for single dismemberment.Wash. Admin. Code § 284-50-365
Order R-76-4, § 284-50-365, filed 10/29/76, effective 3/1/77.