§33-25-14. Advancement of Money to Corporation
Any person may advance to such corporation any sums of money necessary for its business or to enable it to comply with any requirements of law. Such advances and such interest thereon not exceeding six percent per annum, as may be agreed upon, shall not be a liability or a claim against the corporation or […]
§33-25-16. Disposition of Fees and Charges
All licenses or renewal fees, all auditing charges and any other income derived from this article shall be deposited with the treasurer of the State of West Virginia to the credit of the Insurance Commissioner to be used only for the cost of operation of the Insurance Commissioner's office.
§33-25-17. Bonds of Corporation Officers and Employees
Every officer or employee of any such corporation, who is entrusted with the handling of its funds, shall furnish, in such amount as may with the approval of the commissioner be fixed by the board of directors of the corporation, a bond with corporate surety, conditioned upon faithful performance of all his duties.
§33-25-18. Annual Audited Financial Report
Every health care organization organized under the laws of this state is subject to the provisions of article thirty-three of this chapter.
§33-25-8p. Prior Authorization
(a) As used in this section, the following words and phrases have the meanings given to them in this section unless the context clearly indicates otherwise: “Episode of Care” means a specific medical problem, condition, or specific illness being managed including tests, procedures and rehabilitation initially requested by health care practitioner, to be performed at […]
§33-25-8q. Fairness in Cost-Sharing Calculation
(a) As used in this section: “Cost sharing” means any copayment, coinsurance, or deductible required by or on behalf of an insured in order to receive a specific health care item or service covered by a health plan. “Drug” means the same as the term is defined in 30-5-4(19). “Person” means a natural person, corporation, […]
§33-25-8r. Mental Health Parity
(a) As used in this section, the following words and phrases have the meaning given them in this section unless the context clearly indicates otherwise: To the extent that coverage is provided “behavioral health, mental health, and substance use disorder” means a condition or disorder, regardless of etiology, that may be the result of a […]
§33-25-8s. Incorporation of the Health Benefit Plan Network Access and Adequacy Act
The provisions of the Health Benefit Plan Network Access and Adequacy Act codified at 33-55-1 et seq. of this code are made applicable to the provisions of this article.
§33-25-8t. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs
The provision requiring coverage for 12-month refill for contraceptive drugs codified at 33-58-1 of this code is made applicable to the provisions of this article.
§33-25-8o. Substance Use Disorder
(a) As used in this section, the following words have the following meanings: (1) “Concurrent review” means inpatient care is reviewed as it is provided. Medically qualified reviewers monitor appropriateness of the care, the setting, and patient progress, and, as appropriate, the discharge plans.