Any hospital service corporation, medical service corporation or health service corporation which, on or after July 1, 1986, delivers or issues for delivery in this state any subscriber contract under the provisions of this article, shall make available for purchase, at a reasonable rate, supplemental insurance coverage for continuum of care services pursuant to article five-d, chapter sixteen of this code: 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
§33-24-1. Declaration of Policy
§33-24-4. Exemptions; Applicability of Insurance Laws
§33-24-4a. Coverage for Patient Cost of Clinical Trials
§33-24-4b. Applicability of Insurance Fraud Prevention Act
§33-24-5. Licenses; Name of Corporation
§33-24-6. Commissioner to Enforce Article; Approval of Contracts, Forms, Rates and Fees
§33-24-7a. Contracts to Cover Nursing Service
§33-24-7b. Third Party Reimbursement for Mammography, Pap Smear or Human Papilloma Virus Testing
§33-24-7c. Third Party Reimbursement for Rehabilitation Services
§33-24-7e. Coverage of Emergency Services
§33-24-7f. Third Party Reimbursement for Colorectal Cancer Examination and Laboratory Testing
§33-24-7g. Required Coverage for Reconstruction Surgery Following Mastectomies
§33-24-7h. Required Use of Mail-Order Pharmacy Prohibited
§33-24-7i. Third-Party Reimbursement for Kidney Disease Screening
§33-24-7j. Required Coverage for Dental Anesthesia Services
§33-24-7k. Coverage for Diagnosis and Treatment of Autism Spectrum Disorders
§33-24-7m. Deductibles, Copayments and Coinsurance for Anti-Cancer Medications
§33-24-7n. Eye Drop Prescription Refills
§33-24-7o. Deductibles, Copayments and Coinsurance for Abuse-Deterrent Opioid Analgesic Drugs
§33-24-7q. Coverage for Amino Acid-Based Formulas
§33-24-7r. Substance Use Disorder
§33-24-7s. Prior Authorization
§33-24-7t. Fairness in Cost-Sharing Calculation
§33-24-7u. Mental Health Parity
§33-24-7v. Incorporation of the Health Benefit Plan Network Access and Adequacy Act
§33-24-7w. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs
§33-24-9. Payroll Deduction for Governmental Employees
§33-24-10. Investments; Bonds of Corporate Officers and Employees, Minimum Statutory Surplus
§33-24-11. Reciprocity With Other Service Plans; Payment Authorized
§33-24-12. Creation of Subsidiary Corporation or Corporations
§33-24-13. Continuum of Care Services
§33-24-14. Delinquency Proceedings
§33-24-43. Policies Discriminating Among Health Care Providers
§33-24-45. Assignment of Certain Benefits in Dental Care Insurance Coverage