West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-57 - Privacy Of Consumer Financial And Health Information
Section 114-57-17 - Authorization Request Delivery

17.1. A request for authorization and an authorization form may be delivered to a consumer or a customer as part of an opt-out notice pursuant to section 8, provided that the request and the authorization form are clear and conspicuous. An authorization form is not required to be delivered to the consumer or customer or included in any other notices unless the licensee intends to disclose protected health information pursuant to subsection 15.1.