West Virginia Code
Article 24. Hospital Service Corporations, Medical Service Corporations, Dental Service Corporations and Health Service Corporations
§33-24-4b. Applicability of Insurance Fraud Prevention Act

Notwithstanding any provision of this code to the contrary, article forty-one of this chapter is applicable to hospital service corporations, medical service corporations, dental service corporations and health service corporations.

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Structure West Virginia Code

West Virginia Code

Chapter 33. Insurance

Article 24. Hospital Service Corporations, Medical Service Corporations, Dental Service Corporations and Health Service Corporations

§33-24-1. Declaration of Policy

§33-24-2. Definitions

§33-24-3. Corporations Affected by Article; Eligibility of Hospitals, Physicians, Dentists, Chiropodists-Podiatrists and Chiropractors

§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

§33-24-6a. Loss Ratio

§33-24-7. Required Provisions in Contracts Made by Corporations With Hospitals, Physicians, Dentists and Other Health Agencies

§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

§33-24-7d. Required Provisions in Contracts Which Include Child Immunization Services in the Terms of the Contract

§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

§33-24-7l. Maternity Coverage

§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

§33-24-7p. Step Therapy

§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

§33-24-8. Contract or Certificate to Be Furnished to Policyholders and Subscribers; Payment for Health Care Rendered Needy Persons

§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

§33-24-44. Authority of Commissioner to Promulgate Rules and Regulations Regarding Affiliate and Subsidiary Operating Results

§33-24-45. Assignment of Certain Benefits in Dental Care Insurance Coverage