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West Virginia Code 33-15E-8 - Charges and fees; refund requirements; bundling of services

West Virginia Code > Chapter 33 > Article 15E > § 33-15E-8 - Charges and fees; refund requirements; bundling of services


Current as of: 2010

(a) A discount medical plan organization may charge a periodic charge as well as a reasonable one-time processing fee for a discount medical plan.

(b)(1) All discount medical plan certificates or other document demonstrating membership in the plan issued to persons in this state shall have a notice, prominently printed on the first page of the document or in a similarly conspicuous manner, stating that the member has the right to cancel his or her membership for any reason within thirty days of its receipt. If a member cancels his or her membership in the discount medical plan organization within the first thirty days after the date of receipt of the written document demonstrating membership, the member shall, upon return of the discount medical plan card to the discount medical plan organization, receive a reimbursement of all periodic charges and the amount of any one-time processing fee that exceeds thirty dollars. Notice of cancellation is deemed given when delivered by hand or deposited in a mailbox, properly addressed and postage prepaid to the mailing address of the discount medical plan organization or e-mailed to the e-mail address of the discount medical plan organization.

(2) If the discount medical plan organization cancels a membership for any reason other than nonpayment of charges by the member, the discount medical plan organization shall make a pro rata reimbursement of all periodic charges to the member.

(c) When a marketer or discount medical plan organization sells a discount medical plan in conjunction with any other products, the marketer or discount medical plan organization shall:

(1) Provide the charges for each discount medical plan in writing to the member; or

(2) Reimburse the member for all periodic charges for the discount medical plan and all periodic charges for any other product if the member cancels his or her membership in accordance with subdivision (1), subsection (b) of this section.

(d) A health carrier that provides a discount medical plan product that is incidental to the insured product is not subject to this section.

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West Virginia Laws: Health Insurance

West Virginia Code > Chapter 16 > Article 29F - Uninsured And Underinsured Pilot Programs
West Virginia Code > Chapter 33 > Article 15 - Accident And Sickness Insurance
West Virginia Code > Chapter 33 > Article 15B - Uniform Health Care Administration Act
West Virginia Code > Chapter 33 > Article 15C - Diabetes Insurance
West Virginia Code > Chapter 33 > Article 15E - Discount Medical Plan Organizations And Discount Prescription Drug Plan Organizations Act
West Virginia Code > Chapter 33 > Article 16 - Group Accident And Sickness Insurance
West Virginia Code > Chapter 33 > Article 16A - Group Health Insurance Conversion
West Virginia Code > Chapter 33 > Article 16B - Accident And Sickness Rates
West Virginia Code > Chapter 33 > Article 16D - Marketing And Rate Practices For Small Employer Accident And Sickness Insurance Policies
West Virginia Code > Chapter 33 > Article 16F - Group Limited Health Benefits Plans
West Virginia Code > Chapter 33 > Article 25D - Prepaid Limited Health Service Organization Act
West Virginia Code > Chapter 33 > Article 25E - Patients' Eye Care Act
West Virginia Code > Chapter 33 > Article 25F - Coverage For Patient Cost Of Clinical Trials
West Virginia Code > Chapter 33 > Article 28 - Individual Accident And Sickness Insurance Minimum Standards
West Virginia Code > Chapter 33 > Article 48 - Model Health Plan For Uninsurable Individuals Act

U.S. Code Provisions: Health Insurance

U.S. Code Title 26 > Subtitle D > Chapter 47 - Certain Group Health Plans
U.S. Code > Title 26 > Subtitle K - Group Health Plan Requirements

Federal Regulations: Health Insurance

U.S. Code Title 26 > Subtitle D > Chapter 47 - Certain Group Health Plans
U.S. Code > Title 26 > Subtitle K - Group Health Plan Requirements
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