West Virginia Code
Article 25D. Prepaid Limited Health Service Organization Act
§33-25D-6. Minimum Capital

(a) Each prepaid limited health service organization shall have and maintain fully paid-in capital stock, if a for-profit stock corporation, or statutory surplus funds, if a nonprofit corporation, totaling at least:
(1) The greater of $250,000 or ten percent of its expenses for the previous twelve-month period as reported in its most recent financial statement filed pursuant to subsection (a), section twelve of this article, with respect to each limited health service for which the organization will not offer inpatient services up to a maximum total for all limited health services of the required capital and surplus for an insurer under article three, section five-b of this chapter; and
(2) The greater of $1 million or ten percent of its expenses for the previous twelve-month period as reported in its most recent financial statement filed pursuant to subsection (a), section twelve of this article, with respect to each limited health service for which the organization will offer inpatient services up to a maximum total for all limited health services of the required capital and surplus for an insurer under article three, section five-b of this chapter.
(b) For purposes of this section, "expenses" means those costs set forth by the national association of Insurance Commissioners (NAIC) in the statement of revenues, expenses and net worth contained in the annual statement instruction--limited health service organization and the official NAIC annual statement blanks--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