West Virginia Code
Article 25. Health Care Corporations
§33-25-6. Supervision and Regulation by Insurance Commissioner; Exemption From Insurance Laws

(a) Corporations organized under this article are subject to supervision and regulation of the Insurance Commissioner. The corporations organized under this article, to the same extent these provisions are applicable to insurers transacting similar kinds of insurance and not inconsistent with the provisions of this article, shall be governed by and be subject to the provisions as herein below indicated of the following articles of this chapter: 33-4-1 et seq. of this code (general provisions), except that 33-4-16 of this code shall not be applicable thereto; 33-6C-1 et seq. of this code (guaranteed loss ratio); 33-7-1 et seq. of this code (assets and liabilities); 33-8-1 et seq. of this code (investments); 33-10-1 et seq. of this code (rehabilitation and liquidation); 33-15-2a of this code (definitions); 33-15-2b of this code (guaranteed issue); 33-15-2d of this code (exception to guaranteed renewability); 33-15-2e of this code (discontinuation of coverage); 33-15-2f of this code (certification of creditable coverage); 33-15-2g of this code (applicability); 33-15-4e of this code (benefits for mothers and newborns); 33-15-14 of this code (individual accident and sickness insurance); 33-15-16 of this code (coverage of children); 33-15-18 of this code (equal treatment of state agency); 33-15-19 of this code (coordination of benefits with Medicaid); 33-15C-1 of this code (diabetes insurance); 33-16-3 of this code (required policy provisions); 33-16-3a of this code (mental health); 33-16-3j of this code (benefits for mothers and newborns); 33-16-3k of this code (preexisting condition exclusions); 33-16-3l of this code (guaranteed renewability); 33-16-3m of this code (creditable coverage); 33-16-3n of this code (eligibility for enrollment); 33-16-11 of this code (coverage of children); 33-16-13 of this code (equal treatment of state agency); 33-16-14 of this code (coordination of benefits with Medicaid); 33-16-16 of this code (diabetes insurance); 33-16A-1 et seq. of this code (group health insurance conversion); 33-16C-1 et seq. of this code (small employer group policies); 33-16D-1 et seq. of this code (marketing and rate practices for small employers); 33-25F-1 et seq. of this code (coverage for patient cost of clinical trials); 33-26A-1 et seq. of this code (West Virginia Life and Health Insurance Guaranty Association Act); 33-27-1 et seq. of this code (insurance holding company systems); 33-33-1 et seq. of this code (annual audited financial report); 33-34A-1 et seq. of this code (standards and commissioners authority for companies considered to be in hazardous financial condition); 33-35-1 et seq. of this code (criminal sanctions for failure to report impairment); 33-37-1 et seq. of this code (managing general agents); 33-40A-1 et seq. of this code (risk-based capital for health organizations); and 33-41-1 et seq. of this code (privileges and immunity); and no other provision of this chapter may apply to these corporations unless specifically made applicable by the provisions of this article.
(b) Every corporation subject to this article shall comply with mental health parity requirements in this chapter.

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