(a) Upon obtaining a certificate of authority as required under this article, a prepaid limited health service organization may enter into limited health service contracts in this state and engage in any activities, consistent with the purposes and provisions of this article, which are necessary to the performance of its obligations under such contracts, subject to the limitations provided for in this article: Provided, That nothing in this article authorizes any prepaid limited health service organization to transact any insurance other than that for which the organization is granted a certificate of authority under this article.
(b) The commissioner may propose rules for legislative approval in accordance with the provisions of article three, chapter twenty-nine-a of this code, limiting or regulating the powers of prepaid limited health service organizations which he or she finds to be in the public interest.
Structure West Virginia Code
Article 25D. Prepaid Limited Health Service Organization Act
§33-25D-3. Application for Certificate of Authority; Addition of Services
§33-25D-5. Issuance of Certificate of Authority
§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-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-20. Suspension or Revocation of Certificate of Authority
§33-25D-23. Administrative Procedures
§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