(a) Any person who makes a report or furnishes information, written or oral, concerning suspected, anticipated or fraudulent activity to secure benefits payable under this article, or to secure greater benefits than those to which the person or provider is entitled, is entitled to those privileges and immunities existing under common or statutory law, as well as the immunity established in this section.
(b) In the absence of fraud, malice or bad faith, no person or agent, employee or designee of that person shall be subject to civil liability of any nature arising out of that person's provision of information related to suspected, anticipated or fraudulent activity in the securing of benefits payable or securing greater benefits than those to which the person or provider is entitled.
(c) Nothing in this section shall be construed to limit, abrogate or modify existing statutes or case law applicable to the duties or liabilities of persons acting in a manner that is itself fraudulent, with malice or in bad faith.
Structure West Virginia Code
Article 16. West Virginia Public Employees Insurance Act
§5-16-1. Short Title; Legislative Intent
§5-16-5a. Retiree Premium Subsidy From Retiree Health Benefit Trust for Hires Prior to July 1, 2010
§5-16-5b. Creation of Trust for Retirees Hired on or After July 1, 2010
§5-16-7b. Coverage for Telehealth Services
§5-16-7c. Required Coverage for Reconstruction Surgery Following Mastectomies
§5-16-7d. Coverage for Patient Cost of Clinical Trials
§5-16-7g. Coverage for Prescription Insulin Drugs
§5-16-8. Conditions of Insurance Program
§5-16-11. To Whom Benefits Paid
§5-16-12. Misrepresentation by Employer, Employee or Provider; Penalty
§5-16-12a. Inspections; Violations and Penalties
§5-16-12b. Privileges and Immunity
§5-16-14. Program Qualifying for Favorable Federal Income Tax Treatment
§5-16-16. Preferred Provider Plan
§5-16-17. Preexisting Conditions Not Covered; Defined
§5-16-22. Permissive Participation; Exemptions
§5-16-28. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs