The Washington state Office of the Insurance Commissioner (OIC) is dedicated to working with tribal entities and their leadership.
Three primary documents which define and guide in our relationship with tribal leadership, as well as a Memorandum of Agreement with some tribes.
The 1989 Centennial Accord
This relationship is established to enhance and improve communication and to facilitate issue resolution. The accord also commits the parties to tasks that will translate to “more efficient, improved and beneficial services to Indian and non-Indian people” and encourages and provides for agreements “to address or resolve specific issues.”
Government-to-government relationship with Indian tribes
Chapter 43.376 RCW requires us to:
- Make reasonable efforts to collaborate with tribes in development of policies, agreements, and program implementation that directly affect tribes, including requirements to offer consultation with tribes on certain actions.
- Designate a tribal liaison who reports directly to the Commissioner as head of our agency.
- Ensure liaisons and executive staff receive training according to this chapter.
- Submit an annual report to the governor on implementation of this chapter and activities of the OIC involving tribes.
Policy 5, OIC Tribal consultation and collaborative process
This policy, established based on the Centennial Accord and Chapter 43.376 RCW, provides general requirements and specific procedures for engaging with tribal leadership. It also provides a sample consultation letter, tribal party response form, and a list of Indian tribes, Urban Indian Health Programs, and Organizations for Consultation.
Requirements for health insurance issuers
In Washington state, health insurance issuers must comply with all state and federal laws governing their business practices and the health benefits they offer. These regulations ensure that Native American enrollees and healthcare providers are protected. They encompass guidelines for all insurance companies and include specific rules for certain health plans. However, these requirements do not extend to Medicaid or Medicare-managed care organizations.
Contact information for agency Tribal Liaison
Todd Dixon, Deputy Commissioner for Consumer Protection
- Call: 360-725-7262
- Email: OIC Tribal Liaison