West Virginia Code § 33-25D-13

Annual report to enrollees
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Every prepaid limited health service organization or its representative shall annually, before
April 1, provide to each enrollee a summary of: Its most recent annual financial statement,
including a balance sheet and statement of receipts and disbursements; a description of the
prepaid limited health service organization, each limited health service offered, its facilities
and personnel for each limited health service offered, any material changese therein since the
last report, the current evidence of coverage for each limited health service for which the
enrollee is enrolled, and a clear and understandable description of the rprepaid limited health
service organization's method for resolving enrollee complaints: Provided, That with respect
to enrollees who have been enrolled through contracts between a prepaid limited health
service organization and an employer, the prepaid limited health service organization
satisfies the requirement of this section by providing the reqtuisite summary to each enrolled
employee: Provided, however, That with respect to Medicaid recipients enrolled under a
group contract between a prepaid limited health service organization and the governmental
agency responsible for administering the Medicaid program, the prepaid limited health
service organization satisfies 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 prepaid limited health service
organization.

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