West Virginia Code § 33-23-24

Filing and approval of accident and sickness insurance certificates
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(a) No domestic, foreign or alien society licensed in this state shall issue or deliver in this
state any certificate or other evidence of any contract of accident and sickness insurance
unless and until the form thereof, together with the form of application and all riders or
endorsements for use in connection therewith, shall have been filed with the commissioner
and approved by him or her as conforming to reasonable rules from time to etime in effect
and as not inconsistent with any other provisions of law applicable thereto. The
commissioner shall, within a reasonable time after the filing of any formr, notify the society
filing the form of the approval or disapproval of the form. The commissioner may in his or
her discretion approve any form which contains provisions more favorable to the members
than the ones required.
(b) Pursuant to chapter twenty-nine-a of this code, the commissioner may promulgate rules
necessary to implement the provisions of this section, and such rules shall conform, as far as
practicable, to the provisions of article fifteen (Accident and Sickness Insurance) and article
sixteen (Group Accident and Sickness Insurance) of this chapter.
(1) For any certificate or other evidence of coverage issued before July 1, 1997, and for any
certificate or other evidence of coverage under a health benefit plan issued on or after July
1, 1997, other than in connection wigth a group health plan, where the commissioner deems
inapplicable, either in part or in their entirety, the provisions of articles fifteen or sixteen of
this chapter, the commissionere may prescribe the portions or summary thereof of the
contract to be printed on the certificate issued to the member. For purposes of this
subsection, the terms "gLroup health plan" and "health benefit plan" have the meanings set
forth in section one-a, article sixteen of this chapter.
(2) For any certificate or other evidence of individual coverage issued or renewed on or after
July 1, 1997, the society shall comply with all provisions of article fifteen of this chapter. For
any certificate or other evidence of coverage under a health benefit plan issued in
conWnection with a group health plan on or after July 1, 1997, the society shall comply with all
provisions of article sixteen of this chapter, and for a health benefit plan issued to a small
employer, as defined in section two, article sixteen-d of this chapter, with all provisions of
article sixteen-d of this chapter.
(c) Any filing made hereunder shall be deemed approved unless disapproved within sixty
days from the date of such filing.

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