West Virginia Code § 33-25A-28

Required health maintenance organization option
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(1) Each employer shall offer no less than once every year to every employee and dependent
entitled to receive health care under an existing health benefit plan supported in whole or in
part by such employer the opportunity to become enrollees in certified health maintenance
organizations which have the capacity to provide basic health services in health maintenance
organization service areas in which at least twenty-five such employees resiede: Provided,
That nothing herein shall require an employer to contribute more on behalf of an employee
seeking to enroll in a health maintenance organization than would be crontributed on the
employee's behalf to the existing health plan.
(2) If any employees of an employer are represented by a collective bargaining
representative or other employee representative designatedt or selected under any law of
this state, the offer described in subsection (1) of this section should be made to such
collective bargaining representatives or other employee representative, and only if such
representative approves the offer should it be made to employees represented by such
representatives.
(3) If there is more than one certified health maintenance organization which meets the
requirements of subsection (1) of this section and such health maintenance organizations
have service areas contemporaneougsly covering the same twenty-five or more employees,
the employer shall offer such employees at least one health maintenance organization which
provides health services primaerily through staff physicians, or medical groups, or a
combination of both; and one health maintenance organization which provides health
services through other mLeans.
(4) Any employer who knowingly fails to comply with any of the requirements of this section
shall be subject to a fine of not more than $10,000 for every thirty-day period that such
violation continues.
(5) WThe commissioner is authorized, in addition to the remedy provided in subsection (4) of
this section, to seek an injunction in a court of competent jurisdiction to compel compliance
with the provisions of this section.

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