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2017 West Virginia Code
CHAPTER 5. GENERAL POWERS AND AUTHORITY OF THE GOVERNOR, SECRETARY OF STATE AND ATTORNEY GENERAL; BOARD OF PUBLIC WORKS; MISCELLANEOUS AGENCIES, COMMISSIONS, OFFICES, PROGRAMS, ETC.
ARTICLE 16. WEST VIRGINIA PUBLIC EMPLOYEES INSURANCE ACT.
- §5-16-1. Short title; legislative intent.
- §5-16-2. Definitions.
- §5-16-3. Composition of Public Employees Insurance Agency; appointment, qualification, compensation and duties of director of agency; employees; civil service coverage.
- §5-16-4. Public Employees Insurance Agency Finance Board continued; qualifications, terms and removal of members; quorum; compensation and expenses; termination date.
- §5-16-4A.
- §5-16-5. Purpose, powers and duties of the finance board; initial financial plan; financial plan for following year; and annual financial plans.
- §5-16-5A. Retiree premium subsidy from Retiree Health Benefit Trust for hires prior to July 1, 2010.
- §5-16-5B. Creation of trust for retirees hired on or after July 1, 2010.
- §5-16-6.
- §5-16-7. Authorization to establish group hospital and surgical insurance plan, group major medical insurance plan, group prescription drug plan and group life and accidental death insurance plan; rules for administration of plans; mandated benefits; what plans may provide; optional plans; separate rating for claims experience purposes.
- §5-16-7A. Additional mandated benefits; third party reimbursement for colorectal cancer examination and laboratory testing.
- §5-16-7B.
- §5-16-7C. Required coverage for reconstruction surgery following mastectomies.
- §5-16-7D. Coverage for patient cost of clinical trials.
- §5-16-7E. Definitions.
- §5-16-8. Conditions of insurance program.
- §5-16-8A. Air-ambulance fees.
- §5-16-9. Authorization to execute contracts for group hospital and surgical insurance, group major medical insurance, group prescription drug insurance, group life and accidental death insurance and other accidental death insurance; mandated benefits; limitations; awarding of contracts; reinsurance; certificates for covered employees; discontinuance of contracts.
- §5-16-10. Contract provisions for group hospital and surgical, group major medical, group prescription drug and group life and accidental death insurance for retired employees, their spouses and dependents.
- §5-16-11. To whom benefits paid.
- §5-16-12. Misrepresentation by employer, employee or provider; penalty.
- §5-16-12A. Inspections; violations and penalties.
- §5-16-12B. Privileges and immunity.
- §5-16-13. Payment of costs by employer and employee; spouse and dependent coverage; involuntary employee termination coverage; conversion of annual leave and sick leave authorized for health or retirement benefits; authorization for retiree participation; continuation of health insurance for surviving dependents of deceased employees; requirement of new health plan, limiting employer contribution.
- §5-16-14. Program qualifying for favorable federal income tax treatment.
- §5-16-15. Optional dental, optical, disability and prepaid retirement plan and audiology and hearing-aid service plan.
- §5-16-16. Preferred provider plan.
- §5-16-17. Preexisting conditions not covered; defined.
- §5-16-18. Payment of costs by employer; schedule of insurance; special funds created; duties of Treasurer with respect thereto.
- §5-16-19. Authorization to take advantage of acts of congress, accept gifts, grants and matching funds.
- §5-16-20. Expense fund.
- §5-16-21. No member or employee of public employees insurance agency shall gain directly or indirectly from any contract or contracts provided for hereunder; criminal penalties.
- §5-16-22. Permissive participation; exemptions.
- §5-16-23. Members of Legislature may be covered, if cost of the entire coverage is paid by such members.
- §5-16-24. Rules for administration of article; eligibility of certain retired employees and dependents of deceased members for coverage; employees on medical leave of absence entitled to coverage; life insurance.
- §5-16-24A. Paper transactions.
- §5-16-25. Reserve fund.
- §5-16-26. Quarterly report.
- §5-16-27.
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