West Virginia Code § 33-16D-4

Discrimination prohibited; guaranteed issue; filing with commissioner;
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violations and penalties.
(a) All carriers subject to this article are strictly prohibited from marketing their product to a
specific group, legal occupation, locale, zip code, neighborhood, race, religion, or any
discriminatory group.
(b) For plan years beginning after June 30, 1997, in which the plan has, on the first day of
the plan year, at least two enrollees who are current employees, each carrier shall accept
every small employer that applies for coverage under a health benefit plan, unless such
health benefit plan is made available only through a bona fide asusociation, and consistent
with public law 104-191 (Public Health Service Act section 2711 (a) (1) (B)), shall accept for
enrollment in the plan every employee of the small employert, including dependents, when an
employee or dependent first becomes eligible to enroll under terms of the plan and under
the rules of the carrier that are uniformly applicable to small employers. This subsection
shall not apply to:
(1) A network plan if the carrier: s
(A) Limits coverage to a small employer's eimployees and dependents who reside, live or
work in the carrier's service area; org
(B) Obtains the commissioner's approval to deny coverage in its service area due to the
carrier's lack of capacity for additional enrollees, but only if the carrier denies coverage
uniformly to all small employers without regard to their claims experience or that of their
employees and dependents or to any health status-related factor relating to employees and
their dependents. A carrier may not offer small group coverage in the same service area for
one hundred eighty days after the date coverage is denied under this paragraph; or
(2) A carrier that obtains the commissioner's approval to deny coverage due to the carrier's
insufficient financial reserves for additional coverage, but only if the carrier denies coverage
uniformly to all small employers, consistent with all requirements of this chapter and
without regard to the claims experience of the small employers and their employees and
dependents or to any health status-related factor relating to employees and their
dependents. A carrier may not offer small group coverage for one hundred eighty days after
the date coverage is denied under this subdivision or until the carrier has obtained the
commissioner's approval of the level of its reserves for additional coverage, whichever is
later.
(c) All carriers subject to this article shall file any marketing information upon request of the
commissioner. The commissioner shall review said information and shall have the authority
to take appropriate action to eliminate discriminatory marketing practices, including
imposing fines on violators of this section of not more than $10,000. Upon a second violation
of this section, the commissioner shall have the authority to revoke the violator's license to
transact insurance.

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