STATE STATUTES & CODES

VIRGINIA STATUTES AND CODES

Chapter 34 - Provisions Relating to Accident and Sickness Insurance (38.2-3400 thru 38.2-3437)

• 38.2-3400 - Application of chapter.
• 38.2-3401 - Forms of insurance authorized.
• 38.2-3402 - Certification to accompany application.
• 38.2-3403 - Fraudulent procurement of policy.
• 38.2-3404 - Commission may establish rules and regulations for simplified and readable accident and sickness insurance policies.
• 38.2-3405 - Certain subrogation provisions and limitations upon recovery in hospital, medical, etc., policies forbidden; limitations on disclosure of medical treatment options prohibited.
• 38.2-3405.1 - Commonwealth's right to certain accident and sickness benefits.
• 38.2-3406 - Accident and sickness benefits not subject to legal process.
• 38.2-3406.1 - Application of requirements that policies offered by small employers include state-mandated health benefits.
• 38.2-3406.2 - Capped benefits under insurance policies and contracts.
• 38.2-3407 - Health benefit programs.
• 38.2-3407.1 - Interest on accident and sickness claim proceeds.
• 38.2-3407.2 - Coverage for medical child support.
• 38.2-3407.3 - Calculation of cost-sharing provisions.
• 38.2-3407.3:1 - Premium payment arrearages; order of crediting payments
• 38.2-3407.4 - Explanation of benefits.
• 38.2-3407.4:1 - Description unavailable
• 38.2-3407.4:2 - Requirements for prescription benefit cards
• 38.2-3407.5 - Denial of benefits for certain prescription drugs prohibited.
• 38.2-3407.5:1 - Coverage for prescription contraceptives
• 38.2-3407.6 - Exclusion of podiatrist not permitted under certain circumstances.
• 38.2-3407.6:1 - Denial of benefits for certain prescription drugs prohibited
• 38.2-3407.7 - Pharmacies; freedom of choice.
• 38.2-3407.8 - Description unavailable
• 38.2-3407.9 - Reimbursement for ambulance services.
• 38.2-3407.9:01 - Prescription drug formularies
• 38.2-3407.9:02 - Requirement for prescription drug coverage
• 38.2-3407.9:03 - Payment of clean claims to administrators of pharmacy benefits
• 38.2-3407.10 - Health care provider panels.
• 38.2-3407.11 - Access to obstetrician-gynecologists.
• 38.2-3407.11:1 - Access to specialists; standing referrals
• 38.2-3407.11:2 - Standing referral for cancer patients
• 38.2-3407.11:3 - Breast cancer underwriting and preexisting condition restrictions
• 38.2-3407.12 - Patient optional point-of-service benefit.
• 38.2-3407.13 - Refusal to accept assignments prohibited; dentists and oral surgeons.
• 38.2-3407.13:1 - Coordination of benefits; notice of priority of coverage
• 38.2-3407.13:2 - Claims paid to insureds for services from nonparticipating physicians
• 38.2-3407.14 - Notice of premium increases.
• 38.2-3407.15 - Ethics and fairness in carrier business practices.
• 38.2-3407.16 - Requirements for obstetrical care.
• 38.2-3407.17 - Payment for services by dentists and oral surgeons.
• 38.2-3408 - Policy providing for reimbursement for services that may be performed by certain practitioners other than physicians.
• 38.2-3409 - Coverage of dependent children.
• 38.2-3410 - Construction of policy generally; words "physician" and doctor" to include dentist.
• 38.2-3411 - Coverage of newborn children required.
• 38.2-3411.1 - Coverage for child health supervision services.
• 38.2-3411.2 - Coverage of adopted children required.
• 38.2-3411.3 - Coverage for childhood immunizations.
• 38.2-3411.4 - Coverage for infant hearing screening and related diagnostics.
• 38.2-3412 - Description unavailable
• 38.2-3412.1 - Coverage for mental health and substance abuse services.
• 38.2-3412.1:01 - Coverage for biologically based mental illness
• 38.2-3413 - Description unavailable
• 38.2-3414 - Optional coverage for obstetrical services.
• 38.2-3414.1 - Obstetrical benefits; coverage for postpartum services.
• 38.2-3415 - Exclusion or reduction of benefits for certain causes prohibited.
• 38.2-3416 - Conversion on termination of eligibility; insurer required to offer conversion policy or group coverage.
• 38.2-3417 - Deductibles and coinsurance options required.
• 38.2-3418 - Coverage for victims of rape or incest.
• 38.2-3418.1 - Coverage for mammograms.
• 38.2-3418.1:1 - Description unavailable
• 38.2-3418.1:2 - Coverage for pap smears
• 38.2-3418.2 - Coverage of procedures involving bones and joints.
• 38.2-3418.3 - Coverage for hemophilia and congenital bleeding disorders.
• 38.2-3418.4 - Coverage for reconstructive breast surgery; notice; eligibility.
• 38.2-3418.5 - Coverage for early intervention services.
• 38.2-3418.6 - Minimum hospital stay for mastectomy and certain lymph node dissection patients.
• 38.2-3418.7 - Coverage for PSA testing.
• 38.2-3418.7:1 - Coverage for colorectal cancer screening
• 38.2-3418.8 - Coverage for clinical trials for treatment studies on cancer.
• 38.2-3418.9 - Minimum hospital stay for hysterectomy.
• 38.2-3418.10 - Coverage for diabetes.
• 38.2-3418.11 - Coverage for hospice care.
• 38.2-3418.12 - Coverage for hospitalization and anesthesia for dental procedures.
• 38.2-3418.13 - Coverage for the treatment of morbid obesity.
• 38.2-3418.14 - Coverage for lymphedema.
• 38.2-3418.15 - Coverage for prosthetic devices and components.
• 38.2-3418.16 - Coverage for telemedicine services.
• 38.2-3419 - Additional mandated coverage made optional to group policy or contract holder.
• 38.2-3419.1 - Report of costs and utilization of mandated benefits.
• 38.2-3420 - Authority and jurisdiction of Commission; exception.
• 38.2-3421 - How to show jurisdiction of other state agency or federal government.
• 38.2-3422 - Examination.
• 38.2-3423 - When subject to this title.
• 38.2-3424 - Disclosure of extent and elements of coverage.
• 38.2-3424.1 - Applicability.
• 38.2-3425 - through 38.2-3430
• 38.2-3430.1 - Application of article.
• 38.2-3430.1:1 - Health insurance coverage not required.
• 38.2-3430.2 - Definitions.
• 38.2-3430.3 - Guaranteed availability of individual health insurance coverage to certain individuals with prior group coverage.
• 38.2-3430.3:1 - Description unavailable
• 38.2-3430.4 - Special rules for network plans.
• 38.2-3430.5 - Application of financial capacity limits.
• 38.2-3430.6 - Market requirements.
• 38.2-3430.7 - Renewability of individual health insurance coverage.
• 38.2-3430.8 - Certification of coverage.
• 38.2-3430.9 - Regulations establishing standards.
• 38.2-3430.10 - Effective date.
• 38.2-3431 - Application of article; definitions.
• 38.2-3432 - Description unavailable
• 38.2-3432.1 - Renewability.
• 38.2-3432.2 - Availability.
• 38.2-3432.3 - Limitation on preexisting condition exclusion period.
• 38.2-3433 - Small employer market premium and disclosure provisions.
• 38.2-3434 - Disclosure of information.
• 38.2-3435 - Exclusions.
• 38.2-3436 - Eligibility to enroll.
• 38.2-3437 - Rules used to determine group size.

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