West Virginia Code
Article 25D. Prepaid Limited Health Service Organization Act
§33-25D-22. Rules

The commissioner may propose rules for legislative approval in accordance with the provisions of article three, chapter twenty-nine-a of this code:
(1) To effectuate the purposes of this article and to prevent circumvention and evasion thereof; and
(2) To define the commissioner's authority to consider the operating results of a prepaid limited health service organization's affiliates and subsidiaries in the rate making and solvency determination of that prepaid limited health service organization.

Structure West Virginia Code

West Virginia Code

Chapter 33. Insurance

Article 25D. Prepaid Limited Health Service Organization Act

§33-25D-1. Short Title

§33-25D-2. Definitions

§33-25D-3. Application for Certificate of Authority; Addition of Services

§33-25D-4. Conditions Precedent to Issuance or Maintenance of a Certificate of Authority; Renewal of Certificate of Authority; Effect of Bankruptcy Proceedings

§33-25D-5. Issuance of Certificate of Authority

§33-25D-6. Minimum Capital

§33-25D-7. Powers of Organization

§33-25D-8. Governing Body; Enrollee Participation

§33-25D-9. Fiduciary Responsibilities of Managers; Fidelity Bond

§33-25D-10. Provider Contracts

§33-25D-11. Evidence of Coverage; Review of Enrollee Records; Charges for Limited Health Services; Cancellation of Contract by Enrollee

§33-25D-12. Annual and Quarterly Reports

§33-25D-13. Annual Report to Enrollees

§33-25D-14. Grievance Procedure

§33-25D-15. Prohibited Practices

§33-25D-16. Agent Licensing and Appointment Required; Regulation of Marketing

§33-25D-17. Powers of Insurers, Hospital Service Corporations, Medical Service Corporations, Dental Service Corporations, Health Service Corporations and Health Maintenance Organizations

§33-25D-18. Examinations

§33-25D-19. Quality Assurance

§33-25D-20. Suspension or Revocation of Certificate of Authority

§33-25D-21. Rehabilitation, Liquidation or Conservation of Prepaid Limited Health Service Organization

§33-25D-22. Rules

§33-25D-23. Administrative Procedures

§33-25D-24. Fees

§33-25D-25. Penalties and Enforcement

§33-25D-26. Scope of Provisions; Applicability of Other Laws

§33-25D-27. Filings and Reports as Public Documents

§33-25D-28. Confidentiality of Medical Information

§33-25D-29. Authority to Contract With Prepaid Limited Health Service Organizations Under Medicaid

§33-25D-30. Authority of Commissioner to Propose Rules Regarding Affiliate and Subsidiary Operating Results