West Virginia Administrative Code

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 69A RECOGNITION OF PREFERRED MORTALITY TABLES FOR USE IN DETERMINING MINIMUM RESERVE LIABILITIES §114-69A-1. General. 1.1. Scope. -- The purpose of this rule is to recognize, permit and prescribe the use of mortality tables…

TITLE 114 INTERPRETIVE RULE INSURANCE COMMISSIONER SERIES 70 REBATES AND REFERRALS §114-70-1. General. 1.1. Scope. -- The purpose of this interpretive rule is to set a reasonable monetary limit upon the value of items given to a consumer or prospective consumer by insurance compa…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 71 INSURANCE FRAUD PREVENTION §114-71-1. General. 1.1. Scope. -- This legislative rule establishes standards for reporting insurance fraud. 1.2. Authority. -- W. Va. Code §§33-2-10 and 33-41-10. 1.3. Filing Date. -- May 6, …

TITLE 114 PROCEDURAL RULE INSURANCE COMMISSIONER SERIES 72 PERSONAL PRIVATE PASSENGER AUTOMOBILE LIABILITY INSURANCE AND PROPERTY INSURANCE WITHDRAWAL PLAN PROCEDURES §114-72-1. General. 1.1. Scope. -- The purpose of this rule is to provide orderly and uniform procedures, as requ…

TITLE 114 WEST VIRGINIA LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 73 SMALL EMPLOYER ELIGIBILITY REQUIREMENTS §114-73-1. General. 1.1. Scope. -- The purpose of this rule is to facilitate the offering of a health benefit plan under W. Va. Code §33-16D-16 by any licensed carrie…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 74 NONRENEWAL OF PROPERTY INSURANCE POLICIES §114-74-1. General. 1.1. Scope. -- This rule addresses various aspects of the alternative percentage method for the nonrenewal of property insurance policies set forth in W. Va. …

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 75 PRIVATE PASSENGER AUTOMOBILE AND PROPERTY INSURANCE - BIANNUAL RATE FILING REQUIREMENTS §114-75-1. General. 1.1. Scope -- This rule establishes guidelines and procedures under which every insurer providing five percent (…

TITLE 114 PROCEDURAL RULE INSURANCE COMMISSIONER SERIES 76 RULES OF PRACTICE AND PROCEDURE FOR ADMINISTRATIVE PROCEEDINGS BROUGHT BY THIRD PARTY CLAIMANTS §114-76-1. General. 1.1. Scope. -- These procedural rules shall govern the initiation and conduct of administrative proceedin…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 77 RATE FILING REQUIREMENTS FOR TITLE INSURANCE COMPANIES §114-77-1. General. 1.1. Scope. -- This rule establishes guidelines and procedures under which title insurance companies shall submit rate filings. 1.2. Authority. -…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 78 INDIVIDUAL LIMITED HEALTH BENEFITS PLANS §114-78-1. General. 1.1. Scope. -- The purpose of this legislative rule is to establish requirements for information and data to be provided with the filing of rates and rate adju…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 79 GROUP LIMITED HEALTH BENEFITS PLANS §114-79-1. General. 1.1. Scope. -- This rule establishes guidelines and procedures under which the Commissioner may approve group limited health benefit plans. 1.2. Authority. -- W. Va…

114-80 Special Provisions Regarding Workers' Compensation Rates The West Virginia Secretary of State Code of State Rules record for this citation is available at: https://apps.sos.wv.gov/adlaw/csr/ruleview.aspx?document=3493 The SOS document metadata indicates status "Historical"…

TITLE 114 PROCEDURAL RULE OFFICES OF THE INSURANCE COMMISSIONER SERIES 81 PROCEDURES FOR ANALYTICAL CRITERIA AND METHODOLOGY §114-81-1. General. 1.1. Scope. -- The purpose of this rule is to set forth the analytical criteria and methodology of all factors to be considered by the …

TITLE 114 LEGISLATIVE RULE OFFICES OF THE INSURANCE COMMISSIONER SERIES 82 MILITARY SALES PRACTICES §114-82-1. General. 1.1. Scope. -- This rule applies only to the solicitation or sale of any life insurance or annuity product by an insurer or insurance producer to an active duty…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 83 DISCOUNT MEDICAL PLAN ORGANIZATIONS AND DISCOUNT PRESCRIPTION DRUG PLAN ORGANIZATIONS §114-83-1. General. 1.1. Scope. -- The purpose of this rule is to implement W. Va. Code §33-15E, et seq. relating to Discount Medical …

114-84 Health Policy Rate And Form Filings The West Virginia Secretary of State Code of State Rules record for this citation is available at: https://apps.sos.wv.gov/adlaw/csr/ruleview.aspx?document=3499 The SOS document metadata indicates status "Historical" with document descri…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 85 PROFESSIONAL EMPLOYER ORGANIZATIONS §114-85-1. General. 1.1. Scope. -- This rule establishes procedures for the licensing and regulation of professional employer organizations ("PEOs") doing business in the State of West…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIS 86 PRE NEED LIFE INSURANCE MINIMUM STANDARDS FOR DETERMINING RESERVE LIABILITIES AND NON FORFEITURE VALUES §114-86-1. General. 1.1. Scope. -- This rule establishes minimum mortality standards to be used in determining reserv…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 87 PREVENTIVE CARE PILOT PROGRAM §114-87-1. General. 1.1. Scope. -- The purpose of this rule is to permit participation in the Preventive Care Pilot Program by an individual or employer with a comprehensive high deductible …

114-88 WV Affordable Health Care Plan The West Virginia Secretary of State Code of State Rules record for this citation is available at: https://apps.sos.wv.gov/adlaw/csr/ruleview.aspx?document=3504 The SOS document metadata indicates status "Historical" with document description…

TITLE 114 LEGISLATIVE RULE OFFICE OF THE INSURANCE COMMISSIONER SERIES 89 USE OF SENIOR-SPECIFIC CERTIFICATIONS AND PROFESSIONAL DESIGNATIONS IN THE SALE OF LIFE INSURANCE AND ANNUITIES §114-89-1. General. 1.1. Purpose. -- The purpose of this rule is to set forth standards to pro…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 91 HEALTH MAINTENANCE ORGANIZATION POINT OF SERVICE OPTION §114-91-1. General. 1.1. Scope. -- The purpose of this rule is to set forth requirements to be followed by health maintenance organizations that offer a point of se…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 93 MINI-COBRA §114-93-1. General. 1.1. Scope. -- This rule provides guidelines with respect to the continuation of health insurance coverage for former employees of certain small employers, their dependents and other qualif…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 94 WORKERS' COMPENSATION INSURANCE FOR STATE AGENCIES §114-94-1. General. 1.1. Scope. -- The purpose of this rule is to establish the procedure by which the Insurance Commissioner will procure workers' compensation coverage…

114-95 Utilization Review and Benefit Determination The West Virginia Secretary of State Code of State Rules record for this citation is available at: https://apps.sos.wv.gov/adlaw/csr/?series=114-95 The SOS document metadata indicates status "LegislativeActive" with document des…

114-96 Health Plan Issuer Internal Grievance Procedure The West Virginia Secretary of State Code of State Rules record for this citation is available at: https://apps.sos.wv.gov/adlaw/csr/?series=114-96 The SOS document metadata indicates status "LegislativeActive" with document …

114-97 External Review of Adverse Health Insurance Determinations The West Virginia Secretary of State Code of State Rules record for this citation is available at: https://apps.sos.wv.gov/adlaw/csr/?series=114-97 The SOS document metadata indicates status "LegislativeActive" wit…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 98 ADOPTION OF VALUATION MANUAL Section. 114-98-1. General 114-98-2. Definitions 114-98-3. Determination of Operative Date of Valuation Manual 114-98-4. Adoption of Valuation Manual TITLE 114 LEGISLATIVE RULE INSURANCE COMM…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 99 PHARMACY AUDITING ENTITIES AND PHARMACY BENEFIT MANAGERS §114-99-1. General. 1.1. Scope. -- The purpose of this rule is to provide for the regulation of pharmacy auditing entities and pharmacy benefit managers and to pro…

TITLE 115 LEGISLATIVE RULES STATE BOARD OF RISK AND INSURANCE MANAGEMENT SERIES 1 MINE SUBSIDENCE INSURANCE §115-1-1. General. 1.1. Scope. -- This rule applies to all insurance companies licensed by the Insurance Commissioner of West Virginia to write on a direct basis fire insur…

TITLE 115 LEGISLATIVE RULES STATE BOARD OF RISK AND INSURANCE MANAGEMENT SERIES 2 PUBLIC ENTITIES INSURANCE PROGRAM §115-2-1. General. 1.1. Scope. -- This rule establishes the procedures for implementing and administering the public entities insurance program as established by W.…

TITLE 115 PROCEDURAL RULE STATE BOARD OF RISK AND INSURANCE MANAGEMENT SERIES 3 ADMINISTRATIVE REGULATIONS OF STATE BOARD OF RISK AND INSURANCE MANAGEMENT §115-3-1. General. 1.1. Scope. -- These regulations establish rules for the general administration of the state board of risk…

115-04 Discontinuation Of Professional Malpractice Insurance The West Virginia Secretary of State Code of State Rules record for this citation is available at: https://apps.sos.wv.gov/adlaw/csr/ruleview.aspx?document=7304 The SOS document metadata indicates status "Historical" wi…

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115-06 Preferred Medical Liability And High Risk Medical Liability Program The West Virginia Secretary of State Code of State Rules record for this citation is available at: https://apps.sos.wv.gov/adlaw/csr/ruleview.aspx?document=7307 The SOS document metadata indicates status "…

115-07 Terms And Conditions Pertaining To Members Of Self-Insurance Pools Who Wisk To Participate In State Insurance Programs The West Virginia Secretary of State Code of State Rules record for this citation is available at: https://apps.sos.wv.gov/adlaw/csr/ruleview.aspx?documen…

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TITLE 115 PROCEDURAL RULE WEST VIRGINIA BOARD OF RISK AND INSURANCE MANAGEMENT SERIES 9 PROCUREMENT §115-9-1. General. 1.1. Scope. -- This procedural rule is an explanation and clarification of procedures for the purchase of commodities, services, and insurance products and insur…

TITLE 115 PROCEDURAL RULE BOARD OF RISK AND INSURANCE MANAGEMENT SERIES 10 PROCEDURE FOR PROVIDING WRITTEN NOTIFICATION OF CLAIMS §115-10-1. General. 1.1. Scope. -- This rule establishes the requirements and processes for insured entities to properly and promptly notify the West …

TITLE 116 LEGISLATIVE RULE HOSPITAL FINANCE AUTHORITY SERIES 1 ESTABLISHMENT OF FEE SCHEDULE AND COST ALLOCATIONS APPLICABLE TO THE ISSUANCE OF BONDS BY THE WEST VIRGINIA HOSPITAL FINANCE AUTHORITY §116-1-1. General. 1.1. Scope. -- This legislative rule establishes the fee schedu…

TITLE 116 PROCEDURAL RULES HOSPITAL FINANCE AUTHORITY SERIES 2 ESTABLISHMENT OF PROCEDURES FOR GIVING NOTICE TO THE PUBLIC AND MEDIA OF MEETINGS OF THE WEST VIRGINIA HOSPITAL FINANCE AUTHORITY '116-2-1. General. 1.1. Scope. -- This procedural rule establishes the procedures for g…

TITLE 116 PROCEDURAL RULES HOSPITAL FINANCE AUTHORITY SERIES 3 ESTABLISHMENT OF UNIFORM PROCEDURES AND GUIDELINES FOR HOSPITAL APPLICATION FINANCINGS BY THE WEST VIRGINIA HOSPITAL FINANCE AUTHORITY '116-3-1. General. 1.1. Scope. -- Matters addressed in these rules are as follows:…

TITLE 117 LEGISLATIVE RULE WEST VIRGINIA ECONOMIC DEVELOPMENT AUTHORITY SERIES 1 GENERAL ADMINISTRATION OF THE WEST VIRGINIA CAPITAL COMPANY ACT: ESTABLISHMENT OF THE APPLICATION PROCEDURES TO IMPLEMENT THE ACT §117-1-1. General. 1.1. Scope. -- This Legislative Rule is promulgate…

TITLE 117 PROCEDURAL RULE ECONOMIC DEVELOPMENT AUTHORITY SERIES 2 MEETINGS AND MEETING NOTICES '117-2-1. General. 1.1. Scope. -- This procedural rule governs the notice given of all regularly scheduled, special and emergency meetings of the Board of the West Virginia Economic Dev…

TITLE 117 LEGISLATIVE RULE ECONOMIC DEVELOPMENT AUTHORITY SERIES 3 GENERAL ADMINISTRATION OF THE WEST VIRGINIA VENTURE CAPITAL ACT §117-3-1. General. 1.1. Scope. -- This Legislative Rule is promulgated to provide for the general administration of the West Virginia Venture Capital…

TITLE 117 LEGISLATIVE RULE WEST VIRGINIA ECONOMIC DEVELOPMENT AUTHORITY SERIES 4 ECONOMIC DEVELOPMENT AND TECHNOLOGY ADVANCEMENT CENTERS §117-4-1. General. 1.1. Scope. -- This Legislative Rule is promulgated to provide for the efficient administration of the credits allowed for i…

TITLE 117 WEST VIRGINIA LEGISLATIVE RULE WEST VIRGINIA ECONOMIC DEVELOPMENT AUTHORITY SERIES 5 HIGH-GROWTH BUSINESS INVESTMENT TAX CREDIT. §117-5-1. General. 1.1. Scope. -- This Legislative Rule is promulgated to provide for the general administration of the High-Growth Business …