Virginia Administrative Code
Title 14 - INSURANCE
Agency 5 - STATE CORPORATION COMMISSION, BUREAU OF INSURANCE
Chapter 211 - RULES GOVERNING HEALTH MAINTENANCE ORGANIZATIONS
Part IV - Services
Section 14VAC5-211-165 - Point-of-service benefits
Universal Citation: 4 VA Admin Code 5-211-165
Current through Register Vol. 41, No. 3, September 23, 2024
A. A health maintenance organization shall offer point-of-service benefits to its enrollees in the large group market in accordance with the provisions of § 38.2-3407.12 of the Code of Virginia.
B. If point-of-service benefits are chosen, a description of the procedure for obtaining point-of-service benefits and notification requirements before obtaining these benefits shall be included in the evidence of coverage as well as a description of the restrictions or limitations on such benefits.
Statutory Authority: §§ 12.1-13 and 38.2-223 of the Code of Virginia.
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