33-15-1 Scope of article
33-15-1a Premium rate increase requests; loss ratio requirement
33-15-1b Rates, individual major medical policies
33-15-2 Scope and format of policy
33-15-2a Definitions
33-15-2b Guaranteed issue; limitation of coverage; election; denial of coverage; network plans
33-15-2c Feasibility study for alternatives to guaranteed issue
33-15-2d Exceptions to guaranteed renewability
33-15-2e Discontinuation of particular type of coverage; uniform termination of all coverage; uniform modification of coverage
33-15-2f Certification of creditable coverage
33-15-2g Applicability
33-15-3 Age limit
33-15-4 Required policy provisions
33-15-4a Required policy provisions — Mental illness
33-15-4b Policies to cover nursing services; definition
33-15-4c Third party reimbursement for mammography, pap smear or human papilloma virus testing
33-15-4d Third party reimbursement for rehabilitation services
33-15-4e Benefits for mothers and newborns
33-15-4f Third party reimbursement for colorectal cancer examination and laboratory testing
33-15-4g Required coverage for reconstruction surgery following mastectomies
33-15-4h Coverage for patient cost of clinical trials
33-15-4i Third-party reimbursement for kidney disease screening
33-15-4k Maternity coverage
33-15-4l Deductibles, copayments and coinsurance for anti-cancer medications
33-15-5 Optional policy provisions
33-15-6 Inapplicable or inconsistent provisions
33-15-7 Order of certain provisions
33-15-8 Third party ownership of policy covering insured
33-15-9 Requirements of other jurisdictions
33-15-10 Franchise insurance
33-15-11 Hospital indemnity policies not to exclude coverage for confinement in government hospital
33-15-12 Continuum of care services
33-15-13 Policies not to terminate coverage because of diagnosis or treatment of acquired immune deficiency syndrome
33-15-14 Policies discriminating among health care providers
33-15-16 Policies not to exclude insured’s children from coverage; required services; coordination with other insurance
33-15-17 Child immunization services coverage
33-15-18 Equal treatment of state agency
33-15-19 Coordination of benefits with medicaid
33-15-20 Individual medical savings accounts; definitions; ownership; trustees; regulations
33-15-21 Coverage of emergency services

Terms Used In West Virginia Code > Chapter 33 > Article 15

  • amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • bankruptcy: Refers to statutes and judicial proceedings involving persons or businesses that cannot pay their debts and seek the assistance of the court in getting a fresh start. Under the protection of the bankruptcy court, debtors may discharge their debts, perhaps by paying a portion of each debt. Bankruptcy judges preside over these proceedings.
  • beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • continuance: Putting off of a hearing ot trial until a later time.
  • contract: A legal written agreement that becomes binding when signed.
  • corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • dependent: A person dependent for support upon another.
  • evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • felony: A crime carrying a penalty of more than a year in prison.
  • fraud: Intentional deception resulting in injury to another.
  • grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • in writing: include any representation of words, letters or figures, whether by printing, engraving, writing or otherwise. See West Virginia Code 2-2-10
  • indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • insured: as used in this article , shall not be construed as preventing a person other than the insured with a proper insurable interest from making application for and owning a policy covering the insured or from being entitled under such a policy to any indemnities, benefits and rights provided therein. See West Virginia Code 33-15-8
  • obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • personal representative: include the executor of a will, the assets of the estate, pay debts, and distribute residue to those entitled to it. See West Virginia Code 2-2-10
  • state: when applied to a part of the United States and not restricted by the context, includes the District of Columbia and the several territories, and the words "United States" also include the said district and territories. See West Virginia Code 2-2-10
  • statute: A law passed by a legislature.
  • trustee: A person or institution holding and administering property in trust.