West Virginia Code § 33-15-20

Individual medical savings accounts; definitions; ownership; trustees;
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regulations.
(a) Any individual resident of this state may establish an individual medical savings account
to serve as self-insurance for the payment of medical expenses: Provided, That an individual
establishing an individual medical savings account may designate a percentage of the
account assets that may be withdrawn by the individual if not needed for thee payment of
medical expenses: Provided, however, That any amount remaining in an individual medical
savings account on the earlier of the date of retirement, at the age of firfty-nine and one-half
years or more, of the individual who established the account, or the date of death of that
individual, may be withdrawn by the individual or by his or her personal representative for a
purpose other than the payment of medical expenses: Provided further, That no withdrawal
pursuant to this subsection shall be subject to the additionalt twenty percent tax as provided
in subsection (d) of this section. As used in this section, "individual medical savings account"
means a trust that meets the definition of "medical savings account" set forth in paragraph
(1), subsection (d), section 220 of the Internal Revenue Code of 1986, as amended, when
that definition is applied without regard to sub-subparagraph (ii), subparagraph (A) of that
paragraph. "Medical expenses" means expenses that fall within the definition of "qualified
medical expenses" set forth in paragraph (2), subsection (d), section 220 of the Internal
Revenue Code of 1986, as amended, when that definition is applied without regard to
subparagraph (C) of that paragraph.
(b) Any insurer issuing accidenet and sickness policies in this state in accordance with the
provisions of this article may offer a benefit plan including deductibles or copayments
combined with individuaLl self-insurance through the establishment of individual medical
savings accounts. A benefit plan established pursuant to this subsection shall provide that
medical expenses inc luded within deductible or copayment provisions of the accident and
sickness policy for the individual or for his or her covered dependents and therefore not
payable under that policy be paid by the trustee, either directly or as reimbursement to an
individual who has previously paid medical expenses, from the individual medical savings
account. A benefit plan may limit payment of medical expenses until the group plan annual
deductible is met from the individual medical savings account to expenses which are covered
services under the policy.
(c) Within one hundred eighty days of the passage of this legislation, the Tax Commissioner
may promulgate emergency rules as to the keeping of records, the content and form of
returns and statements, and the filing of copies of income tax returns and determination by
trustees of individual medical savings accounts and by individuals establishing individual
medical savings accounts: Provided, That for purposes of sections fifteen, fifteen-a and
fifteen-b, article three, chapter twenty-nine-a of this code, a sufficient emergency to justify
the promulgation of those rules shall be deemed to exist. The power granted by this
subsection shall be in addition to the rule-making powers granted to the Tax Commissioner
elsewhere in this code.
(d) If any amount distributed out of an individual medical savings account is used for any
purpose other than to defray medical expenses, except as specifically provided in subsection
(a) of this section or except for a distribution of account assets pursuant to order of a federal
bankruptcy court, the West Virginia personal income tax of the individual establishing the
account, for the taxable year in which the distribution is made shall be increased by an
amount equal to twenty percent of the distribution.

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