There is a newer version of the West Virginia Code
2010 West Virginia Code
CHAPTER 33. INSURANCE
ARTICLE 25A. HEALTH MAINTENANCE ORGANIZATION ACT.
- §33-25A-1. Short title and purpose.
- §33-25A-2. Definitions.
- §33-25A-3. Application for certificate of authority.
- §33-25A-3a. Conditions precedent to issuance or maintenance of a certificate of authority; renewal of certificate of authority; effect of bankruptcy proceedings.
- §33-25A-4. Issuance of certificate of authority.
- §33-25A-5. Powers of health maintenance organizations.
- §33-25A-6. Governing body.
- §33-25A-7. Fiduciary responsibilities of officers; fidelity bond; approval of contracts by commissioner.
- §33-25A-7a. Provider contracts.
- §33-25A-8. Evidence of coverage; charges for health care services; review of enrollee records; cancellation of contract by enrollee.
- §33-25A-8a. Third party reimbursement for mammography, pap smear or human papilloma virus testing.
- §33-25A-8b. Third party reimbursement for rehabilitation services.
- §33-25A-8c. Third party payment for child immunization services.
- §33-25A-8d. Coverage of emergency services.
- §33-25A-8e. Third party reimbursement for colorectal cancer examination and laboratory testing.
- §33-25A-8f. Required coverage for reconstruction surgery following mastectomies.
- §33-25A-8g. Required use of mail-order pharmacy prohibited.
- §33-25A-8h. Third-party reimbursement for kidney disease screening.
- §33-25A-8i. Third-party reimbursement for dental anesthesia services.
- §33-25A-9. Annual report.
- §33-25A-10. Information to enrollees.
- §33-25A-11. Open enrollment period.
- §33-25A-12. Grievance procedure.
- §33-25A-13. Investments.
- §33-25A-14. Prohibited advertising practices.
- §33-25A-14a. Other prohibited practices.
- §33-25A-15. Agent licensing and appointment required; regulation of marketing.
- §33-25A-16. Powers of insurers and hospital and medical service corporations.
- §33-25A-17. Examinations.
- §33-25A-17a. Quality assurance.
- §33-25A-18. Suspension or revocation of certificate of authority.
- §33-25A-19. Rehabilitation, liquidation or conservation of health maintenance organization.
- §33-25A-20. Regulations.
- §33-25A-21. Administrative procedures.
- §33-25A-22. Fees.
- §33-25A-23. Penalties and enforcement
- §33-25A-23a. Civil penalty imposed by commissioner.
- §33-25A-24. Scope of provisions; applicability of other laws.
- §33-25A-24a.
- §33-25A-24b.
- §33-25A-25. Filings and reports as public documents.
- §33-25A-26. Confidentiality of medical information.
- §33-25A-27. Authority to contract with health maintenance organizations under medicaid.
- §33-25A-28. Required health maintenance organization option.
- §33-25A-29.
- §33-25A-30.
- §33-25A-31. Policies discriminating among health care providers.
- §33-25A-32. Authority of commissioner to promulgate rules and regulations regarding affiliate and subsidiary operating results.
- §33-25A-33. Guaranty fund.
- §33-25A-34. Ambulance services.
- §33-25A-35. Rural health maintenance organizations.
Disclaimer: These codes may not be the most recent version. West Virginia may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.