West Virginia Code § 33-25A-10

Information to enrollees
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Every health maintenance organization or its representative shall annually, before April 1,
provide to its enrollees a summary of: Its most recent annual financial statement, including a
balance sheet and statement of receipts and disbursements; a description of the health
maintenance organization, its basic health care services, its facilities and personnel, any
material changes therein since the last report, the current evidence of covereage, and a clear
and understandable description of the health maintenance organization's method for
resolving enrollee complaints: Provided, That with respect to enrollees rwho have been
enrolled through contracts between a health maintenance organization and an employer, the
health maintenance organization shall be deemed to have satisfied the requirement of this
section by providing the requisite summary to each enrolled employee: Provided, however,
That with respect to Medicaid recipients enrolled under a grtoup contract between a health
maintenance organization and the governmental agency responsible for administering the
Medicaid program, the health maintenance organization shall be deemed to have satisfied
the requirement of this section by providing the requisite summary to each local office of the
governmental agency responsible for administering the Medicaid program for inspection by
enrollees of the health maintenance organization.

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