If the group insurance policy from which conversion is made insures the employee or member for continuum of care services pursuant to article five-d, chapter sixteen of this code, the employee or member shall be entitled to obtain a converted policy providing benefits for continuum of care services to the same extent such benefits are provided in the group insurance policy: Provided, That any insurance carrier required to provide supplemental insurance coverage for continuum of care services hereunder shall not be required to expend funds for underwriting such supplemental coverage until the continuum of care board, in cooperation with the West Virginia state Insurance Commissioner, shall have completed a written master plan related to insurance coverage as set forth in section five, article five-d, chapter sixteen of the Code of West Virginia, 1931, as amended, including, but not limited to, the specific standards and coverages to be provided in such supplemental coverage: Provided, however, That a public hearing shall be held pursuant to the provisions of chapter twenty-nine-a of this code applicable to such proceedings prior to the considerations of the aforesaid plan by said board. The rates for continuum of care coverage shall accurately reflect the cost of such coverage and shall not be subsidized by the rate structure for any other coverage.
Structure West Virginia Code
Article 16A. Group Health Insurance Conversion
§33-16A-1. Right of Insured to Convert From Group Coverage
§33-16A-2. Issuance of Converted Policy
§33-16A-3. Effective Date of Policy
§33-16A-4. Coverage of Dependents
§33-16A-5. Persons for Whom Coverage Not Required
§33-16A-6. Inquiries by Insurer
§33-16A-8. Preexisting Conditions; Reduction of Benefits
§33-16A-9. Alternate Plans of Conversion Coverage
§33-16A-10. Additional Coverage
§33-16A-10a. Continuum of Care Services
§33-16A-11. Combined Policy Coverage
§33-16A-12. Coverage Following Retirement