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 114-96-3 - Grievance Reporting and Recordkeeping Requirements
Universal Citation: 114 WV Code of State Rules 114-96-3
Current through Register Vol. XLI, No. 38, September 20, 2024
3.1. An issuer shall maintain written records to document all grievances received, including the notices and claims associated with the grievances.
3.1.a. The records of all
grievances initiated in each calendar year shall be arranged in a separate register,
the contents and form of which shall be prescribed by the Commissioner.
3.1.b. The records shall be retained for the
longer of five years or until the Commissioner has adopted a final report of an
examination that contains a review of the register for that calendar year.
3.1.c. The issuer shall make the records available
for examination by the Commissioner and such other persons designated by the
Commissioner.
3.2. An issuer shall annually submit to the Commissioner, at such time and in a format prescribed by the Commissioner, a report containing a compilation and analysis of the grievances filed, their disposition and their underlying causes.
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
