W. Va. Code R. § 114-96-1

Current through Register Vol. XLII, No. 1, January 3, 2025

Section 114-96-1 - General

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.

W. Va. Code R. § 114-96-1