No payments shall be made by a nonstock corporation to a person included in a subscription contract unless the payment is for breach of contract or for contractually included costs incurred by that person or for services received by that person and rendered by a nonparticipating hospital or nonparticipating health care provider.
In no case shall that person be denied the right to assign his rights to benefits, except that denial may be made where the benefit is eighty percent of covered charges or greater.
Code 1950, § 32-195.8; 1956, c. 268, § 38.1-818; 1960, c. 357; 1973, c. 28; 1975, c. 281; 1976, c. 355; 1977, cc. 606, 607; 1978, c. 496; 1979, cc. 47, 97, 721, 726; 1980, cc. 682, 719; 1981, c. 575; 1982, c. 577; 1983, c. 457; 1984, c. 718; 1986, c. 562.
Structure Code of Virginia
Chapter 42 - Health Services Plans
§ 38.2-4200. Applicability of chapter
§ 38.2-4202. Hospital services plans
§ 38.2-4203. Medical or surgical services plans
§ 38.2-4204. Merger of nonstock corporations
§ 38.2-4205. Dental and optometric services
§ 38.2-4206. Nonstock corporation required
§ 38.2-4207. Existing foreign nonstock corporation
§ 38.2-4208. Nonstock corporation not required to act as agent
§ 38.2-4209. Preferred provider subscription contracts
§ 38.2-4209.1. Pharmacies; freedom of choice
§ 38.2-4210. Liability of participants
§ 38.2-4211. Change of participants
§ 38.2-4212. Board of directors of nonstock corporation operating plan
§ 38.2-4213. Liability of participating providers upon merger of nonstock corporation
§ 38.2-4214. (Contingent expiration date - see notes) Application of certain provisions of law
§ 38.2-4214. (Contingent effective date - see notes) Application of certain provisions of law
§ 38.2-4214.1. Rehabilitation, liquidation, conservation
§ 38.2-4215. Payments by nonstock corporation
§ 38.2-4218. Subscriber to have free choice of medical practitioners available
§ 38.2-4219. Subscriber to be advised in writing as to benefits and limitations thereon
§ 38.2-4220. Interplan arrangements
§ 38.2-4221. Services of certain practitioners other than physicians to be covered
§ 38.2-4222. Licensing of nonstock corporations
§ 38.2-4223. Renewal of license
§ 38.2-4224. Licensing of agents
§ 38.2-4227. Misleading applications or contracts
§ 38.2-4228. Controversies involving subscription contracts
§ 38.2-4229.1. Conversion to domestic mutual insurer
§ 38.2-4229.2. Hearings and investigations on effect of other state's law
§ 38.2-4231. Registration of nonstock corporations that are members of holding company system
§ 38.2-4233. Commission approval required for certain transactions
§ 38.2-4235. Confidential treatment of information and documents