Code of Virginia
Chapter 43 - Health Maintenance Organizations
§ 38.2-4306.1. Interest on claim proceeds

A. If an action to recover the claim proceeds due under a health care plan results in a judgment against a health maintenance organization, interest on the judgment at the legal rate of interest shall be paid from the date of presentation to the health maintenance organization of proof of loss to the date judgment is entered.
B. If no action is brought, interest upon the claim proceeds paid to the subscriber, claimant, or assignee entitled thereto shall be computed daily at the legal rate of interest from the date of thirty calendar days from the health maintenance organization's receipt of proof of loss to the date of claim payment.
C. This section shall not apply to individual contracts issued prior to July 1, 1990, but shall apply to any renewals or reissues of group contracts occurring after that date.
D. This section shall not apply to claims for which payment has been or will be made directly to health care providers pursuant to a negotiated reimbursement arrangement requiring uniform or periodic interim payments to be applied against the health maintenance organization's obligation on such claims.
E. For purposes of this section, "proof of loss" means all necessary documentation reasonably required by the health maintenance organization to make a determination of benefit coverage.
1992, c. 23; 1996, c. 75.

Structure Code of Virginia

Code of Virginia

Title 38.2 - Insurance

Chapter 43 - Health Maintenance Organizations

§ 38.2-4300. Definitions

§ 38.2-4301. Establishment of health maintenance organizations

§ 38.2-4302. Issuance of license; fee; minimum net worth; impairment

§ 38.2-4303. Powers

§ 38.2-4304. Governing body

§ 38.2-4305. Fiduciary responsibilities

§ 38.2-4306. Evidence of coverage and charges for health care services

§ 38.2-4306.1. Interest on claim proceeds

§ 38.2-4307. Annual statement

§ 38.2-4307.1. Additional reports

§ 38.2-4308. Repealed

§ 38.2-4309. Investments

§ 38.2-4310. Protection against insolvency

§ 38.2-4310.1. Deposits

§ 38.2-4311. Repealed

§ 38.2-4312. Prohibited practices

§ 38.2-4312.1. Pharmacies; freedom of choice

§ 38.2-4312.2. Repealed

§ 38.2-4312.3. Patient access to emergency services

§ 38.2-4313. Licensing of agents

§ 38.2-4314. Powers of insurers and health services plans

§ 38.2-4315. Examinations

§ 38.2-4316. Suspension or revocation of license

§ 38.2-4317. Repealed

§ 38.2-4318. License renewals

§ 38.2-4319. (Contingent expiration date - see notes) Statutory construction and relationship to other laws

§ 38.2-4319. (Contingent effective date - see notes) Statutory construction and relationship to other laws

§ 38.2-4320. Authority of Commonwealth to contract with health maintenance organizations

§ 38.2-4320.1. Explanation of benefits for health maintenance organization enrollees who are recipients of medical assistance services or covered by the Family Access to Medical Insurance Security (FAMIS) Plan

§ 38.2-4321. Health maintenance organization affected by chapter

§ 38.2-4322. Affiliation period

§ 38.2-4323. Alternative methods