Article

Prepaid Limited Health Service Organization Act

W. Va. Code § 33-25D-1— Short title
W. Va. Code § 33-25D-2— Definitions
W. Va. Code § 33-25D-3— Application for certificate of authority; addition of services
W. Va. Code § 33-25D-4— Conditions precedent to issuance or maintenance of a certificate of authority; renewal of certificate of authority; effect of bankruptcy proceedings
W. Va. Code § 33-25D-5— Issuance of certificate of authority
W. Va. Code § 33-25D-6— Minimum capital
W. Va. Code § 33-25D-7— Powers of organization
W. Va. Code § 33-25D-8— Governing body; enrollee participation
W. Va. Code § 33-25D-9— Fiduciary responsibilities of managers; fidelity bond
W. Va. Code § 33-25D-10— Provider contracts
W. Va. Code § 33-25D-11— Evidence of coverage; review of enrollee records; charges for limited health services; cancellation of contract by enrollee
W. Va. Code § 33-25D-12— Annual and quarterly reports
W. Va. Code § 33-25D-13— Annual report to enrollees
W. Va. Code § 33-25D-14— Grievance procedure
W. Va. Code § 33-25D-15— Prohibited practices
W. Va. Code § 33-25D-16— Agent licensing and appointment required; regulation of marketing
W. Va. Code § 33-25D-17— Powers of insurers, hospital service corporations, medical service corporations, dental service corporations, health service corporations and health maintenance organizations
W. Va. Code § 33-25D-18— Examinations
W. Va. Code § 33-25D-19— Quality assurance
W. Va. Code § 33-25D-20— Suspension or revocation of certificate of authority
W. Va. Code § 33-25D-21— Rehabilitation, liquidation or conservation of prepaid limited health service organization
W. Va. Code § 33-25D-22— Rules
W. Va. Code § 33-25D-23— Administrative procedures
W. Va. Code § 33-25D-24— Fees
W. Va. Code § 33-25D-25— Penalties and enforcement
W. Va. Code § 33-25D-26— Scope of provisions; applicability of other laws
W. Va. Code § 33-25D-27— Filings and reports as public documents
W. Va. Code § 33-25D-28— Confidentiality of medical information
W. Va. Code § 33-25D-29— Authority to contract with prepaid limited health service organizations under Medicaid
W. Va. Code § 33-25D-30— Authority of commissioner to propose rules regarding affiliate and subsidiary operating results