WEST VIRGINIA CODE
WVC 33 - 25 A- 16
§33-25A-16. Powers of insurers and hospital and medical service
corporations.
(1) An insurance company licensed in this state or a hospital
or medical service corporation authorized to do business in this
state, after applying for and receiving a certificate of authority
as a health maintenance organization, may through a subsidiary or
affiliate organize and operate a health maintenance organization
under the provisions of this article. Notwithstanding any other
law to the contrary, any two or more insurance companies, hospital
or medical service corporations, or subsidiaries or affiliates
thereof, may jointly organize and operate a health maintenance
organization. The business of insurance is considered to include
the providing of health care by a health maintenance organization
owned or operated by an insurer or a subsidiary thereof.
(2) Notwithstanding any provision of insurance and hospital or
medical service corporation laws, an insurer or a hospital or
medical service corporation may contract with a health maintenance
organization to provide insurance or similar protection against the
cost of care provided through health maintenance organizations and
to provide coverage in the event of the failure of the health
maintenance organization to meet its obligations. The enrollees of
a health maintenance organization constitute a permissible group
under such laws. Among other things, under the contracts, the
insurer or hospital or medical service corporation may make benefit
payments to health maintenance organizations for health care
services rendered by providers.
Note: WV Code updated with legislation passed through the 2012 1st Special Session