West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-29 - Health Insurance Benefits For Temporomandibular And Craniomandibular Disorders
Section 114-29-6 - Rate and Form Filings
Universal Citation: 114 WV Code of State Rules 114-29-6
Current through Register Vol. XLI, No. 38, September 20, 2024
6.1. Entities subject to this rule shall file with the Commissioner such amended or new contractual or other forms as are necessary to accomplish the requirement of this rule by August 1, 1990, and may file appropriately adjusted premium rates consistent with any increased or decreased risk associated with the coverage of temporomandibular disorders (TMD) and craniomandibular disorders (CMD).
6.1.1. Premiums shall be structured so as to
provide appropriate premiums as to both insureds who retain coverage for
temporomandibular disorders (TMD) and craniomandibular disorders (CMD) and those
insureds who exercise their option to waive such coverage.
6.1.2. All premium rates and forms filed due to
this rule shall be filed in accordance with West Virginia Insurance Commissioner
Administrative Regulations, Series 26 -- Accident and Sickness Rate Filing, and
shall be subject to the prior approval of the Commissioner before they become
effective. This section shall not apply to group accident and health insurance plans
upon which premiums are negotiated with the individual policyholder and are based on
the historic and projected loss experience of the group to be insured.
Disclaimer: These regulations may not be the most recent version. West Virginia may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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