West Virginia Code § 33-16F-5

Eligibility of individuals and groups
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(a) Individuals. –- Eligibility to enroll in an individual West Virginia affordable health care
plan is limited to any resident of this state who:
(1) Is not covered by a private insurance policy and is not eligible for coverage under an
employer-sponsored group plan or through a public health insurance program, such as
Medicare, Medicaid or the state Children's Health Insurance Program; and
(2) Has not been covered by any health insurance program at any time during the past six
months, unless coverage under a health insurance program was uterminated within the
previous six months due to loss of a job that provided an employer-sponsored health benefit
plan or death of, or divorce from, a spouse who was provided an employer-sponsored health
benefit plan or, with respect to a public health insurance program, eligibility for such
program was lost due to an inability to meet income or categorical requirements: Provided,
That an individual may not be excluded from enrollment in a West Virginia affordable health
care plan on the ground that he or she is eligible folr or is enrolled in a COBRA plan.
(b) Group. -– An otherwise eligible group may not obtain coverage under a West Virginia
affordable health care plan unless the grouip has not had coverage under any health
insurance plan at any time during thge previous six months.

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