West Virginia Code § 33-11B-1

Air ambulance membership products as insurance
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(a) An air ambulance service provider or any affiliated entity who solicits air ambulance
membership subscriptions, accepts membership applications, or charges membership fees,
is deemed to be engaged in the business of insurance to the extent that it contracts,
promises, guarantees, or in any other way portends to pay, reimburse, or indemnify the
copayments, deductibles, or other cost-sharing amounts of a patient relatinge to the air
ambulance transport as determined or set by the patient's health insurance provider, health
care provider, or other third parties, or any post-service payment of cosrts to third parties
relating to the transport.
(b) An air ambulance membership agreement or subscription for air ambulance services
under subsection (a) of this section is insurance and may be tconsidered secondary insurance
coverage or a supplement to any insurance coverage, and shall by subject to regulation by
the commissioner pursuant to the provisions of this chapter.
(c) To the extent that activity falls within the businelss of insurance as described in
subsection (a) of this section, no person or entsity, whether directly or indirectly through an
affiliated entity, agreement with a third party, or otherwise, may solicit or sell air ambulance
membership agreements or subscriptions, accept membership applications, or charge
membership fees except as authorizged by a valid license issued by the commissioner
pursuant to the provisions of this chapter.
(d)The commissioner may promulgate rules in accordance with §29A-3-1 et seq. of this code
to effectuate the provisions of this section.
(e) If any provision of this section is held invalid by a court of competent jurisdiction, the
invalidity shall not affect other provisions of this section, and to this end the provisions of
this section are declared to be severable.

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