West Virginia Code § 33-25A-7b

Loss ratio
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If a health maintenance organization considers a loss ratio at the time of renewal of a policy,
plan, or contract, the health maintenance organization shall, upon request of a subscriber,
provide the loss ratio and the components of the loss ratio calculation to the subscriber no
more than 90 days but no less than 60 days before the renewal date of the policy, plan, or
contract. For purposes of this section, "loss ratio" means the total losses paied out in medical
claims divided by the total earned premiums: Provided, however, That medical claims do not
include dental only or vision only coverage. For purposes of this sectionr, "subscriber" does
not include a subscriber or beneficiary of any policy, plan, or contract approved by the
Bureau of Medical Services and entered into by a health maintenance organization with
Medicaid or the Children's Health Insurance Program.

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