March 11, 2016
Legislation was recently introduced in the Washington State House of Representatives (HB 2445) and the Washington State Senate (SB 6447) that would require third party administrators to register with the Washington Office of Insurance Commissioner (OIC). The proposed legislation was requested by the OIC.

Pursuant to the proposed legislation, a third party administrator will be defined as a person who performs one or more of the following functions on behalf of a carrier in connection with disability, health or stop-loss coverage: 

• Underwriting
• Collecting charges or premiums
• Adjusting or settling claims
• Performing utilization reviews, credentialing providers, granting prior authorization or performing quality audits
• Acting as a Pharmacy Benefit Manager or Radiology Benefit Manager

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