West Virginia Code
Article 25. Health Care Corporations
§33-25-8s. Incorporation of the Health Benefit Plan Network Access and Adequacy Act

The provisions of the Health Benefit Plan Network Access and Adequacy Act codified at 33-55-1 et seq. of this code are made applicable to the provisions of this article.

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