Source: http://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+HB49
Timestamp: 2019-02-18 00:14:30
Document Index: 563498115

Matched Legal Cases: ['§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38']

HOUSE BILL NO. 49 Offered January 10, 2018 Prefiled November 30, 2017 A BILL to amend and reenact § 38.2-1802 of the Code of Virginia and to amend the Code of Virginia by adding in Title 38.2 a chapter numbered 64, consisting of sections numbered 38.2-6400 through 38.2-6405, relating to the sale of health benefit plans by insurers licensed only in other states. ---------- Patron-- Webert ---------- Referred to Committee on Commerce and Labor ----------
1. That § 38.2-1802 of the Code of Virginia is amended and reenacted and that the Code of Virginia is amended by adding in Title 38.2 a chapter numbered 64, consisting of sections numbered 38.2-6400 through 38.2-6405, as follows:
§ 38.2-1802. Acting as agent for unlicensed insurer prohibited; penalties.
B. Any person violating the provisions of this section shall be guilty upon conviction of a Class 1 misdemeanor and punished for each offense. In addition, any person violating this section shall be (i) liable on any claim against any unlicensed insurer that arises out of a contract or policy sold, solicited, or negotiated by the person or which the person assisted in selling, soliciting, or negotiating, or (ii) punished as provided in §§ 38.2-218 and 38.2-1831, or (iii) subject to both clauses (i) and (ii).
3. Health benefit plans on behalf of a foreign insurer that is licensed to sell, offer, or provide health benefit plans in any other state, if such foreign insurer is authorized to sell, offer, or provide the health benefit plans in the Commonwealth pursuant to Chapter 64 (§ 38.2-6400 et seq.).
"Authorized foreign health insurer" means a foreign health insurer that has received authorization by the Commission to sell, offer, or provide health benefit plans in the Commonwealth as provided in § 38.2-6402.
"State-mandated health benefit" means coverage required under this title or other laws of the Commonwealth to be provided in a policy of accident and sickness insurance or a contract for a health-related condition that (i) includes coverage for specific health care services or benefits; (ii) places limitations or restrictions on deductibles, coinsurance, copayments, or any annual or lifetime maximum benefit amounts; or (iii) includes a specific category of licensed health care practitioners from whom an insured is entitled to receive care. "State-mandated health benefit" includes, without limitation, any coverage, or the offering of coverage, or a benefit provided pursuant to § 38.2-3407.5 through 38.2-3407.6:1, 38.2-3407.9:01, 38.2-3407.9:02, 38.2-3407.11 through 38.2-3407.11:3, 38.2-3407.16, 38.2-3408, 38.2-3411 through 38.2-3411.4, 38.2-3412.1, 38.2-3414, 38.2-3414.1, 38.2-3418, 38.2-3418.1, 38.2-3418.1:2 through 38.2-3418.14, or 38.2-4221. For purposes of this article, "state-mandated health benefit" does not include a benefit that is mandated by federal law.
§ 38.2-6401. Authorization for insurer licensed only in other states to sell health benefit plans; requirement to offer or provide state mandated health benefits.
§ 38.2-6402. Selection of foreign health insurers to sell health benefit plans.
§ 38.2-6403. Disclosures required in applications and health benefit plans.
§ 38.2-6404. Examinations of foreign health insurers.
The Commission is authorized to conduct market conduct and financial condition examinations of any foreign health insurer that has applied for, or has received, authorization under § 38.2-6402 to sell, offer, or provide health benefit plans in the Commonwealth. Such examinations shall be conducted in the same manner and under the same terms and conditions as for licensed health insurers.
§ 38.2-6405. Regulations.