West Virginia Code
Article 25. Health Care Corporations
§33-25-10a. Loss Ratio

If a corporation considers a loss ratio at the time of renewal of a policy, plan, or contract, the corporation shall, upon request of a subscriber, provide the loss ratio and the components of the loss ratio calculation to the subscriber no more than 90 days but no less than 60 days before the renewal date of the policy, plan, or contract. For purposes of this section, "loss ratio" means the total losses paid out in medical claims divided by the total earned premiums.
Medical claims do not include dental only or vision only coverage.

Structure West Virginia Code

West Virginia Code

Chapter 33. Insurance

Article 25. Health Care Corporations

§33-25-1. Declaration of Policy

§33-25-2. Definitions

§33-25-3. Incorporation; Purposes; Name; Limitations

§33-25-4. Board of Directors

§33-25-5. Exemption From Taxes

§33-25-6. Supervision and Regulation by Insurance Commissioner; Exemption From Insurance Laws

§33-25-6a. Applicability of Insurance Fraud Prevention Act

§33-25-7. Licenses

§33-25-8. Commissioner to Enforce Article; Approval of Contracts, Forms and Rates; Reserve Fund; Membership Fee

§33-25-8a. Third Party Reimbursement for Mammography or Pap Smear or Human Papilloma Virus Testing

§33-25-8b. Third Party Reimbursement for Rehabilitation Services

§33-25-8c. Third Party Payment for Child Immunization Services

§33-25-8d. Coverage of Emergency Services

§33-25-8e. Third Party Reimbursement for Colorectal Cancer Examination and Laboratory Testing

§33-25-8f. Required Use of Mail-Order Pharmacy Prohibited

§33-25-8g. Third-Party Reimbursement for Kidney Disease Screening

§33-25-8h. Required Coverage for Dental Anesthesia Services

§33-25-8i. Maternity Coverage

§33-25-8j. Deductibles, Copayments and Coinsurance for Anti-Cancer Medications

§33-25-8k. Eye Drop Prescription Refills

§33-25-8l. Deductibles, Copayments and Coinsurance for Abuse-Deterrent Opioid Analgesic Drugs

§33-25-8m. Step Therapy

§33-25-8n. Coverage for Amino Acid-Based Formulas

§33-25-8o. Substance Use Disorder

§33-25-8p. Prior Authorization

§33-25-8q. Fairness in Cost-Sharing Calculation

§33-25-8r. Mental Health Parity

§33-25-8s. Incorporation of the Health Benefit Plan Network Access and Adequacy Act

§33-25-8t. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs

§33-25-9. Annual Report

§33-25-10. Examination of Corporation; Report of Examination; Objections to Report; Access to Books, Records, etc.; Removal of Records, etc., From State

§33-25-10a. Loss Ratio

§33-25-11. Rules and Regulations

§33-25-12. Required Provisions in Contracts Made by Corporation With Physicians, Dentists, etc., Hospitals and Other Health Agencies

§33-25-13. Contracts to Be Furnished to Subscribers; Payments for Subscribers by Others; Wage Deductions

§33-25-14. Advancement of Money to Corporation

§33-25-16. Disposition of Fees and Charges

§33-25-17. Bonds of Corporation Officers and Employees

§33-25-18. Annual Audited Financial Report

§33-25-19. Administrative Supervision

§33-25-20. Policies Discriminating Among Health Care Providers

§33-25-21. Authority of Commissioner to Promulgate Rules and Regulations Regarding Affiliate and Subsidiary Operating Results

§33-25-22. Assignment of Certain Benefits in Dental Care Insurance Coverage