West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-76 - Rules Of Practice And Procedure For Administrative Proceedings Brought By Third Pary Claimants
Section 114-76-2 - Definitions
Current through Register Vol. XLI, No. 38, September 20, 2024
The following definitions apply to this rule:
2.1. "Claimant" means a third party claimant as defined in WV 114 CSR 14-2.8.
2.2. "Commissioner" means the West Virginia Insurance Commissioner.
2.3. "Complaint" means an administrative complaint filed by a third party claimant pursuant to W. Va. Code § 33-11-4 a(b).
2.4. "Egregious act" means conduct that is fraudulent or malicious and reckless, whether or not the act constituted a pattern corresponding to an unfair claims settlement practice committed with such frequency as to constitute a general business practice. An act, or failure to act, that is due to negligence, lack of judgment, incompetence, or bureaucratic confusion, is not an egregious act.
2.5. "Natural person" means a human being, as distinguished from an artificial person created by law.
2.6. "Person" includes any individual, company, insurer, association, organization, society, reciprocal, business trust, corporation or any other legal entity, including agents, adjusters and brokers.
2.7. "Respondent" means a person(s) against whom a complaint is filed with the commissioner pursuant to W. Va. Code § 33-11-4 a(b).
2.8. "Sixty-day period" means the 60-day period following the respondent's receipt of a complaint.