West Virginia Code § 33-16A-9

Alternate plans of conversion coverage
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If the group insurance policy from which conversion is made insures the employee or
member for basic hospital or surgical expense insurance, the employee or member shall be
entitled to obtain a converted policy providing, at his option, coverage on an expense
incurred basis under any one of the plans meeting the following requirements:
Plan A
(a) Hospital room and board daily expense benefits in a maximum dollar amount
approximating the average semiprivate rate charged in metropoulitan areas of this state, for a
maximum duration of seventy days;
(b) Miscellaneous hospital expense benefits of a maximum amount of ten times the hospital
room and board daily expense benefits; and a
(c) Surgical operation expense benefits according tlo a surgical schedule consistent with
those customarily offered by the insurer under group or individual health insurance policies
and providing a maximum benefit of $800; or
Plan B
(a) Hospital room and board daily expense benefits in a maximum dollar amount equal to
seventy-five percent of the maximum dollar amount determined for Plan A, for a maximum
duration of seventy days;
(b) Miscellaneous hospital expense benefits of a maximum amount of ten times the hospital
room and board daily expense benefits; and
(c) Surgical operation expense benefits according to a surgical schedule consistent with
those customarily offered by the insurer under group or individual health insurance policies
andW providing a maximum benefit of $600; or
Plan C
(a) Hospital room and board daily expense benefits in a maximum dollar amount equal to
fifty percent of the maximum dollar amount determined for Plan A, for a maximum duration
of seventy days;
(b) Miscellaneous hospital benefits of a maximum amount of ten times the hospital room and
board daily expense benefits; and
(c) Surgical operation expense benefits according to a surgical schedule consistent with
those customarily offered by the insurer under group or individual health insurance policies
and providing a maximum benefit of $400.
The maximum dollar amounts in Plan A shall be determined by the commissioner and may be
redetermined by him from time to time as to converted policies issued subsequent to such
redetermination. Such redetermination shall not be made more often than once in three
years. The maximum dollar amounts in Plans A, B and C shall be rounded to the nearest
multiple of $10.

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