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Short-term health insurance in Washington State

New regulations limit short-term plans to three months and prevent renewals. No insurers are offering short-term plans as of early 2019.

Buying short-term health plans in Washington State

Duration limits for short-term plans in Washington State

Washington insurance regulators implemented new rules for short-term health insurance plans, which took effect in January 2019. The new rules limit the plans to no more than three months in duration and prohibit renewals. Previously, the duration of short-term plans in Washington State was not restricted beyond federal regulations, although such plans had to officially be determined to be short-term limited-duration plans by the Insurance Commissioner and approved prior to being offered for sale. [See RCW 48.43.005 (26)(l).]

Until October 2, 2018, federal regulations limited short-term health plans to no more than three months and renewals were prohibited. But the Trump Administration’s new rules for short-term plans (effective October 2, 2018) allow them to have initial terms of up to 364 days, and total duration (including renewals) of up to 36 months.

Although the federal rules changed on October 2, 2018, and Washington’s new rules didn’t take effect until January 2019, the Office of the Insurance Commissioner confirmed that LifeMap, the only insurer selling short-term plans in Washington in 2018, did not submit filings for any longer-term short-term plans to be sold in the final quarter of 2018. So although longer short-term plans were allowed under federal rules in late 2018 and were not banned under state rules until 2019, the only plans available in Washington in 2018 were limited to three months in duration.

As of early 2019, no insurers are selling short-term plans in Washington

LifeMap was the only insurer selling short-term plans in Washington in 2018, and they suspended sales as of mid-November, with the suspension scheduled to last “until [they] can bring the product into compliance with the updated regulations.”

The Washington Office of the Insurance Commissioner confirmed that as of early 2019, there are no short-term health insurance plans for sale in Washington state. If and when LifeMap redesigns their plans to be compliant with the state’s new rules, they may start to offer short-term plans again. And other insurers might opt to start selling plans under the state’s new rules. But as of January 2019, state regulators had no time frame in terms of when that might happen.

New regulations limit short-term plans

The new federal regulations are clear in noting that states may impose tighter regulations. And Washington’s insurance commissioner, Mike Kriedler, who has called short-term plans “a poor solution for consumers,” announced in March 2018 that his office would begin the process of rule-making to define short-term plans at the state level.

An outline of the proposed regulations was published in June 2018. The official draft regulation notice was published on August 21, 2018, and public comments were accepted until September 24, 2018.

The rule was officially adopted in October 2018. It was adopted as proposed, except the rule requiring 20 days notice before a rescission or cancellation was adjusted for circumstances in which there are fewer than 20 days remaining in the plan’s duration.

The new regulations, which take effect in January 2019, include the following provisions:

  • Short-term plans are limited to three months in duration with no renewals allowed.
  • Insurers are prevented from selling short-term plans to an applicant who had already had three months of short-term coverage in the prior 12 months.
  • Short-term plans are required to cover a list of basic inpatient, outpatient, and surgical services.
  • Short-term plans must continue coverage (with no additional premiums) if the insured is hospitalized on the date that the short-term plan would otherwise have ended. The extension of coverage would last until the patient is discharged from the hospital.
  • The lookback period for pre-existing conditions is limited to no more than 24 months (ie, a pre-existing condition that hadn’t had symptoms or treatment for more than 24 months would not be excluded on the short-term plan).
  • A short-term insurer must offer at least one plan with a per-person deductible of $2,000 or lower.
  • The sale of short-term plans is banned during open enrollment, if the short-term coverage is to take effect in the coming year. So short-term plans can’t be sold in direct competition with ACA-compliant plans during open enrollment. State regulators noted that this is to help avoid confusion for consumers, since short-term plans purchased during open enrollment would take effect before the start of the new year, whereas ACA-compliant plans sold during open enrollment would take effect January 1 of the coming year (open enrollment for ACA-compliant plans in the individual market runs from November 1 to December 15).

Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. She has written dozens of opinions and educational pieces about the Affordable Care Act for Her state health exchange updates are regularly cited by media who cover health reform and by other health insurance experts.