Code of Virginia - Title 38.2 Insurance - Chapter 58 Managed Care Health Insurance Plans

38.2-5800 Definitions
As used in this chapter: "Accident and sickness insurance company" means a person subject to licensing in accordance with provisions in Chapter 10 (§ 38.2-1000 ...

38.2-5801 General provisions
A. No person shall operate an MCHIP in this Commonwealth unless the health carrier who directly or indirectly manages, owns, contracts with, or employs the ...

38.2-5802 Establishment of an MCHIP
A. A health carrier, when applying for initial licensing under this title and with each request for renewal that is to be effective on or ...

38.2-5803 Disclosures and representations to enrollees
A. The following shall be provided to the MCHIP's covered persons at the time of enrollment or at the time the contract or evidence of ...

38.2-5804 Complaint system
A. A health carrier subject to subsection B of § 38.2-5801 shall establish and maintain for each of its MCHIPs a complaint system approved by ...

38.2-5805 Provider contracts
A. Each health carrier subject to subsection B of § 38.2-5801 shall file with the Commission a list of the current providers who have executed ...

38.2-5806 Prohibited practices
A. No MCHIP licensee may cancel or refuse to renew the coverage of a covered person for basic health care services on the basis of ...

38.2-5807 Access to care
Access to care shall be assessed by the Department of Health in accordance with provisions in Article 1.1 (§ 32.1-137.1 et seq.) of Chapter 5 ...

38.2-5808 Examinations
A. In lieu of or in addition to making its own examination of an MCHIP and its health carrier, the Commission may accept the report ...

38.2-5809 Suspension or revocation of license
The Commission may suspend or revoke any license issued to a health carrier if it finds that any of the following conditions exist: 1. The ...

38.2-5810 Statutory construction and relationship to other laws
A. Neither the health carrier nor the MCHIP shall be deemed to be engaged in the practice of medicine solely by virtue of its compliance ...

38.2-5811 Controversies involving contracts
The Commission shall have no jurisdiction to adjudicate controversies between an MCHIP and its covered persons, and a breach of contract shall not be deemed ...