West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-96 - Health Plan Issuer Internal Grievance Procedure
Section 114-96-1 - General
Current through Register Vol. XLI, No. 38, September 20, 2024
1.1. Scope. -- The purpose of this rule is to provide standards for the establishment and maintenance of procedures by issuers to assure that covered persons have the opportunity for the appropriate resolution of grievances. This rule is based upon the National Association of Insurance Commissioners' "Health Carrier Grievance Procedure Act" (Model #72), as amended in 2012. To the extent feasible, this rule should be construed consistently with related state and federal laws, but to the extent any provision conflicts with a provision of other related rules in this title (including, but not limited to, series 43, 46, 50, 51 and 53 of this title), the provisions of this rule shall control and take precedence.
1.2. Authority. -- W.Va. Code § 33-2-10 & 33-16H-4.
1.3. Filing Date. -- June 6, 2014.
1.4. Effective Date. -- July 6, 2014.
