# WA OIC Emergency Order No. 26-02: Ordering one-time refill of prescription medications prior to waiting periods, providing a minimum 60-day grace period for payment of premiums, prohibiting cancellations

> Washington · Agency guidance · In force

URL: https://www.frixlaw.com/law-library/statutes/WA_OIC_EO_26_02

## Section

- **Citation:** WA OIC Emergency Order No. 26-02
- **Heading:** Ordering one-time refill of prescription medications prior to waiting periods, providing a minimum 60-day grace period for payment of premiums, prohibiting cancellations
- **Jurisdiction:** Washington
- **Kind:** Agency guidance
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Washington OIC Technical Assistance Advisories and Emergency Orders / Ordering one-time refill of prescription medications prior to waiting periods, providing a minimum 60-day grace period for payment of premiums, prohibiting cancellations

## Text

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DATE: August 07, 2026
TIME: 12:33 PrA
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PATTY KUDERER
Phone: 360-725-7000
STATE OF WASHINGTON
STATE INSURANCE COMMISSIONER
www.insurance.wa.gov
OFFICE OF
INSURANCE COMMISSIONER
Emergency Order No. 26-02
To:
All health carriers authorized or admitted to offer fully insured health plans
in Washington state that are regulated by the Insurance Commissioner
From:
Patty Kuderer, Insurance Commissioner
Subject:
Ordering one-time refill of prescription medications prior to waiting
periods, providing a minimum 60-day grace period for payment of
premiums, prohibiting cancellations.
Pursuant to RCW 48.02.060(4), the Insurance Commissioner of the state of Washington
(“Insurance Commissioner”) orders all health carriers authorized or admitted to offer fully
insured health plans in Washington State that are regulated by the Insurance Commissioner
(hereafter “Regulated Entities”), between August 7, 2026, through September 30, 2026, as
follows:
A. All Regulated Entities shall allow enrollees to obtain a one-time refill of their
covered prescription medications prior to the expiration of the waiting period
between refills so that enrollees can maintain an adequate supply of necessary
medication. Carriers may take into consideration patient safety risks associated
with early refills for certain drug classes, such as opioids, benzodiazepines and
stimulants.
B. Allow a grace period for payment of premiums no less than sixty (60) days for
individual and group health plans, other than qualified health plans purchased by
individuals receiving an advanced premium tax credit through the Health Benefit
Exchange
to consideration patient safety risks associated
with early refills for certain drug classes, such as opioids, benzodiazepines and
stimulants.
B. Allow a grace period for payment of premiums no less than sixty (60) days for
individual and group health plans, other than qualified health plans purchased by
individuals receiving an advanced premium tax credit through the Health Benefit
Exchange. Regulated Entities must pay all claims for services that are rendered to
enrollees during the first thirty days of the grace period, that are covered under the
terms of the health plan and current law then in effect, including any emergency
orders issued by any branch or instrumentality of the state of Washington or the
federal government. Regulated Entities may delay adjudicating claims for services
rendered to enrollees during the remainder of the grace period. Any communication
from Regulated Entities addressed to enrollees or the plan sponsor during the grace
period must clearly state the enrollee or plan sponsor’s obligation to pay back
premiums or potentially result in the enrollee being subject to billing from health
care providers for unpaid claims for services rendered to enrollees after the first
thirty days of the grace period, and must clearly state the Regulated Entity’s
obligations during the grace period, in light of the state of emergency and
emergency orders issued by the Governor or the Office of the Insurance
Commissioner.
o
Mailing Address: PO Box 40255 Olympia, WA 98504-0255
Street Address: 5000 Capitol Blvd Tumwater, WA 98501
ervices rendered to enrollees after the first
thirty days of the grace period, and must clearly state the Regulated Entity’s
obligations during the grace period, in light of the state of emergency and
emergency orders issued by the Governor or the Office of the Insurance
Commissioner.
o
Mailing Address: PO Box 40255 Olympia, WA 98504-0255
Street Address: 5000 Capitol Blvd Tumwater, WA 98501

OFFICE OF THE INSURANCE COMMISSIONER
Emergency Order No. 26-02 Re: 2026 Wildfires
Page 2
C. No regulated entity shall cancel a health plan issued for nonpayment of premium,
unless specifically directed to do so by the insured.
Basis
1. On August 1, 2026, the Governor issued Proclamation 26-03 declaring an
emergency related to the multiple ongoing wildfires in Western, Central, and
Eastern Washington as well as the dry weather conditions that have persisted in
the state since 2023. The proclamation provides in pertinent part as follows:
I, Bob Ferguson, Governor of the state of Washington, as a result of the above-
noted situation and under Chapters 38.52 and 43.06 RCW, do hereby proclaim that
a State of Emergency exists throughout the state of Washington, and direct the
plans and procedures in the Washington State Comprehensive Emergency
Management Plan be implemented. State agencies and departments are directed
to utilize state resources in accordance with the Washington State Comprehensive
Emergency Management Plan and to do everything reasonably possible to assist
affected political subdivisions to respond to and recover from the dangerous
wildfire conditions.
2
d procedures in the Washington State Comprehensive Emergency
Management Plan be implemented. State agencies and departments are directed
to utilize state resources in accordance with the Washington State Comprehensive
Emergency Management Plan and to do everything reasonably possible to assist
affected political subdivisions to respond to and recover from the dangerous
wildfire conditions.
2. Wildfires have already caused significant damage to lands, infrastructure, and
homes, and the threat to life and property from wildfire remains significant and
may cause more extensive damage to homes, businesses, public facilities, natural
resources, agricultural lands, infrastructure, and utilities, which is a public disaster
that affects life, health, property, and/or the public peace.
3. Wildfires have resulted in overwhelmed and strained health systems, hospitals
and long-term care facilities. Several medical facilities in the area have been
evacuated and/or closed, while major remaining hospitals are facing severe
staffing and operational strain. Area residents have reduced access to necessary
medications, medical care and life-sustaining services. As a result of
displacements, many area residents cannot access usual sources of care and are
seeking care outside their network and region.
4. RCW 48.02.060(4)(b) & (c) provides in pertinent part that, when the Governor
proclaims a state of emergency under RCW 43.06.010(12), the Insurance
Commissioner may issue an order that addresses any or all of the following matters
related to insurance policies issued in this state: (b) grace periods for payment of
insurance premiums and performance of other duties by insureds; and (c)
temporary postponement of cancellations or nonrenewals; and (d) medical
coverage to ensure access to care.
5
rgency under RCW 43.06.010(12), the Insurance
Commissioner may issue an order that addresses any or all of the following matters
related to insurance policies issued in this state: (b) grace periods for payment of
insurance premiums and performance of other duties by insureds; and (c)
temporary postponement of cancellations or nonrenewals; and (d) medical
coverage to ensure access to care.
5. RCW 48.02.060(5) provides that an order by the Insurance Commissioner under
subsection (4) of this section may remain effective for not more than sixty (60) days
unless the Insurance Commissioner extends the termination date for the order for
an additional period of not more than thirty (30) days. The Insurance
Commissioner may extend the order if, in the Insurance Commissioner’s judgment,
the circumstances warrant an extension. An order of the Insurance Commissioner

OFFICE OF THE INSURANCE COMMISSIONER
Emergency Order No. 26-02 Re: 2026 Wildfires
Page 3
under subsection (4) of this section is not effective after the related state of
emergency is terminated by proclamation of the Governor under RCW 43.06.210.
The order must specify, by line of insurance:
(a) the geographic areas in which the order applies, which must be within
but may be less extensive than the geographic area specified in the Governor’s
proclamation of a state of emergency and must be specific according to an
appropriate means of delineation, such as the United States postal service zip
codes or other appropriate means; and
10.
The order must specify, by line of insurance:
(a) the geographic areas in which the order applies, which must be within
but may be less extensive than the geographic area specified in the Governor’s
proclamation of a state of emergency and must be specific according to an
appropriate means of delineation, such as the United States postal service zip
codes or other appropriate means; and
(b) the date on which the order becomes effective and the date on which the
order terminates.
6. Emergency action by the Insurance Commissioner is necessary to protect the
property, safety and welfare of Washington citizens affected by the 2026
Wildfires in the state of Washington.
Order
Now, therefore, the Insurance Commissioner hereby activates the provisions of RCW
48.02.060(4)(b) & (c) in order to protect the property, safety and welfare of Washington
citizens affected by the 2026 wildfires in the state of Washington, as set forth above.
This Emergency Order shall remain in effect until September 30, 2026, subject to the further
order of the Insurance Commissioner extending its effect.
The geographical extent of this Emergency Order is all zip codes, and adjacent zip codes of
the state of Washington where (1) wildfires have burned homes and other structures and/or
(2) official evacuation orders are issued.
This Emergency Order does not apply to Medicaid, Medicare, Public Employees Benefits
Board/School Employees Benefits Board, as well as plans governed by the Employee
Retirement Income Security Act of 1974 (i.e., self-funded plans and Taft-Hartley plans).
This Emergency Order is effective immediately and is entered at Olympia, Washington, this
7th day of August, 2026.
Patty Kuderer
Insurance Commissioner

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/WA_OIC_EO_26_02. Check the current official text before relying on it. Not legal advice.
