West Virginia Code § 33-28-5

Minimum standards for benefits
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(a) The commissioner shall promulgate rules and regulations, in accordance with chapter
twenty-nine-a of the code, to establish minimum standards for benefits under each of the
following categories of coverage in individual policies of accident and sickness insurance
and subscriber contracts of hospital, medical, dental and service corporations:
(1) Basic hospital expense coverage;
(2) Basic medical-surgical expense coverage;
(3) Hospital confinement indemnity coverage;
(4) Major medical expense coverage;
(5) Disability income protection coverage;
(6) Accident only coverage; and
(7) Specified disease or specified accident coverage.
(b) Nothing in this section shall precglude the issuance of any policy or subscriber contract
which combines two or more of the categories of coverage enumerated in subdivisions (1)
through (6) of subsection (a) oef this section.
(c) No policy or subscriber contract shall be delivered or issued for delivery in this state
which does not meet the prescribed minimum standards for the categories of coverage listed
in subdivisions (1) through (7) of subsection (a) of this section unless the commissioner finds
that such policy or subscriber contract will be in the public interest and that such policy or
subscriber contract contains benefits which are reasonable in relation to the premium
charged.
(d) The commissioner shall prescribe the method of identification of policies and subscriber
contracts based upon coverages provided.

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