West Virginia Administrative Code

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 102 TERM AND UNIVERSAL LIFE INSURANCE RESERVE FINANCING Section 114-102-1. General. 114-102-2. Definitions. 114-102-3. Actuarial Method. 114-102-4. Requirements Applicable to Covered Policies to Obtain Credit for Reinsuranc…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 103 BAIL BONDSMEN IN CRIMINAL CASES Section 114-103-1. General. 114-103-2. Definitions. 114-103-3. License Required and Qualifications for Licensure. 114-103-4. License Renewal. 114-103-5. Responsibilities and Prohibited Ac…

TITLE 114 LEGISLATIVE RULE OFFICES OF THE INSURANCE COMMISSIONER SERIES 11A LIFE INSURANCE DISCLOSURES §114-11A-1. General. 1.1. The purpose of this rule is to require insurers to deliver to purchasers of life insurance information that will improve the buyer's ability to select …

TITLE 114 LEGISLATIVE RULE OFFICES OF THE INSURANCE COMMISSIONER SERIES 11C LIFE INSURANCE ILLUSTRATIONS §114-11C-1. General. 1.1. Scope. -- The purpose of this rule is to provide standards for life insurance policy illustrations that will protect consumers and foster consumer ed…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 11D VARIABLE LIFE INSURANCE §114-11D-1. General. 1.1. Scope. -- The purpose of this rule is to ensure that a policyholder is provided with a thorough disclosure concerning the operation of his or her variable life insurance…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 37 SUBSTANDARD RISK MOTOR VEHICLE INSURANCE NOTICE REQUIREMENTS '114-37-1. General. 1.1. Scope. -- This legislative rule implements the provisions of West Virginia Code '33-6-31c requiring a written notification on automobi…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 38 CONTINUATION OF COVERAGE UNDER AUTOMOBILE LIABILITY POLICIES '114-38-1. General. 1.1. Scope. -- This rule establishes the form and procedures for notice to be given by insurers to named insureds and spouses of named insu…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 41A PROPERTY AND CASUALTY ACTUARIAL OPINION §114-41A-1. General. 1.1. Scope. -- This rule applies to all property and casualty insurance companies and fraternal benefit societies doing business in this State and to all prop…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 43 HEALTH MAINTENANCE ORGANIZATIONS '114-43-1. General. 1.1. Scope. -- This rule applies to all persons or entities which are licensed or which may be required to be licensed pursuant to the provisions of W. Va. Code '33-25…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 44 MINIMUM RESERVE STANDARDS FOR INDIVIDUAL AND GROUP HEALTH INSURANCE CONTRACTS '114-44-1. General. 1.1. Scope. -- This legislative rule establishes minimum reserve standards for all individual and group health [accident a…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 46 FILING PROCEDURES FOR HEALTH MAINTENANCE ORGANIZATIONS '114-46-1. General. 1.1. Scope. -- This rule applies to all persons or entities which are licensed or which may be required to be licensed pursuant to the provisions…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 48 LIFE AND HEALTH REINSURANCE AGREEMENTS '114-48-1. General. 1.1. Scope. -- This rule shall apply to all domestic life and accident and sickness insurers and to all other licensed life and accident and sickness insurers wh…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 54 GROUP ACCIDENT AND SICKNESS INSURANCE ISSUANCE, PORTABILITY AND MARKETING REQUIREMENTS '114-54-1. General. 1.1. Scope and applicability. -- This rule applies to health benefit plans issued in connection with a group heal…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 55 GUARANTEED ISSUE OF INDIVIDUAL ACCIDENT AND SICKNESS INSURANCE '114-55-1. General. 1.1. Scope. -- The purpose of this rule is to set forth guidelines for insurers required to provide accident and sickness insurance cover…

TITLE 114 WEST VIRGINIA LEGISLATIVE RULE INSURANCE COMMISSION SERIES 56 QUALITY ASSURANCE STANDARDS FOR PREPAID LIMITED HEALTH SERVICE ORGANIZATIONS '114-56-1. General. 1.1. Scope. -- The purpose of this rule is to set forth standards for quality assurance programs established as…

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TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 59 MEDICAL MALPRACTICE INSURANCE CONSENT TO RATE AND GUIDE "A" RATE AGREEMENTS §114-59-1. General. 1.1. Scope. -- Except as otherwise provided, this rule applies to any insurer authorized to transact insurance in West Virgi…

TITLE 114 PROCEDURAL RULE INSURANCE COMMISSIONER SERIES 60 AFFIDAVITS OF CUSTODIAN BANKS §114-60-1. General. 1.1. Scope. -- This procedural rule prescribes the form for affidavits of custodian banks for use in the following situations: a. Where securities entrusted to its care ha…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 62 STANDARDS FOR SAFEGUARDING CUSTOMER INFORMATION §114-62-1. General. 1.1. Scope. -- This rule establishes standards for developing and implementing administrative, technical and physical safeguards to protect the security…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 63 STANDARD MOTOR VEHICLE POLICY PROVISIONS §114-63-1. General. 1.1. Scope. -- This rule establishes the standard motor vehicle insurance policy provisions as required by W. Va. Code §33-6-31(i). 1.2. Authority. -- W. Va. C…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 68 VALUATION OF LIFE INSURANCE POLICIES §114-68-1. General. 1.1. Scope. -- 1.1.a. The purpose of this rule is to provide: 1.1.a.1. Tables of select mortality factors and rules for their use; 1.1.a.2. Rules concerning a mini…

TITLE 114 LEGISLATIVE RULE INSURANCE COMMISSIONER SERIES 69 RECOGNITION OF THE 2001 CSO MORTALITY TABLE FOR USE IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS §114-69-1. General. 1.1. Scope. -- The purpose of this rule is to recognize, permit and prescribe …

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 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 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 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 …

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 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 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 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 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 …

TITLE 117 PROCEDURAL RULE WEST VIRGINIA ECONOMIC DEVELOPMENT AUTHORITY SERIES 6 PURCHASING PROCEDURE §117-6-1. General. 1.1. Scope. -- This rule is to ensure appropriate procedures will be followed and to ensure controls are in place for the purchase of goods and services. 1.2. A…