SB 178 S B&I AM #1

Marey Casey 7988

    The Committee on Banking and Insurance moves to amend the bill on page two, line five, after the word “authorized” by striking out the period and adding the following: with the following amendments:

    On page one, section two, by striking out the heading “§114-96-1. Definitions." and inserting in lieu thereof the heading “§114-96-2. Definitions.";

    On page one, subsection 2.1., by striking out the word “healthcare” and inserting in lieu thereof the words “health care”;

    On page one, subsection 2.1., after the word “terminated” by adding a period;

    On page two, subdivision 2.3.a., by striking out the word “external” and inserting in lieu thereof the word “internal”;

    On page two, subdivision 2.3.c., after the word “professional” by adding a semicolon;

    On page two, subsection 2.6., by striking out the word “as” and inserting in lieu thereof the word “that”;

    On page three, subsection 2.15., by striking out the word “no” and inserting in lieu thereof the word “not”;

    On page four, subsection 2.18., by striking out the words “except as otherwise specifically exempted in this definition” and inserting in lieu thereof the words “but excluding the excepted benefits defined in 42 U.S.C. § 300gg-91 and as otherwise specifically excepted in this rule”;

    On page five, subsection 2.19., by striking out the word “state” and inserting in lieu thereof the words “West Virginia”;

    On page six, subsection 2.26., by striking out the word “in” and inserting in lieu thereof the word “an”;

    On page seven, subsection 2.30., by striking out the word “that” and inserting in lieu thereof the words “the one”;

    On page seven, subdivision 2.32.c., by striking out “2.35.b” and inserting in lieu thereof “2.32.d”;

    On page nine, subsection 4.2., by striking out the words “subdivision a of”;

    On page ten, subdivision 5.4.a., after “5.4.a.” by striking out the period;

    On page eleven, after subdivision 5.6.c., by inserting a new subdivision, designated subdivision 5.6.d., to read as follows:

    5.6.d. The issuer shall make the provisions of subsection 5.4 known to the covered person within three working days after the date of receipt of the grievance.;

    On page thirteen, subdivision 5.8.g., by striking out the word “upholds” and inserting in lieu thereof the word “denies”;

    On page thirteen, paragraph 5.8.g.4., after the word “either” by inserting the word “the”;

    On page thirteen, paragraph 5.8.g.5., after the word “circumstances” by inserting a comma;

    On page thirteen, paragraph 5.8.g.5., by striking out the word “provide” and inserting in lieu thereof the word “provided”;

    On page thirteen, subparagraph 5.8.g.6.A., by striking out “5.4.g.4" and inserting in lieu thereof “5.8.g.4";

    On page thirteen, subparagraph 5.8.g.6.B., by striking out “5.4.g.5" and inserting in lieu thereof “5.8.g.5";

    On page thirteen, by striking out paragraph 5.8.h.1. in its entirety;

    On page fourteen, by striking out paragraph 5.8.h.2. in its entirety;

    By renumbering the remaining paragraphs;

    On page fourteen, paragraph 5.8.h.3., by striking out “if the covered person decides not to file for an additional voluntary review of the first level review decision involving an adverse determination”;

    On page fourteen, paragraph 5.9.a.3., after the words “notices” by striking out the comma;

    On page fifteen, subdivision 6.4.b., after “6.4.b.” by striking out the period;

    On page sixteen, subdivision 6.5.d., after the semicolon by adding the word “and”;

    On page sixteen, by striking out subdivision 6.5.e. in its entirety;

    By relettering the remaining subdivision;

    On page sixteen, by striking out paragraphs 6.5.e.1 and 6.5.e.2 in their entirety;

    On page sixteen, subsection 7.2., by striking out “5.1" and inserting in lieu thereof “7.1";

    On page eighteen, subparagraph 7.8.a.7.A., after the words “as well as” by inserting the word “a”;

    On page eighteen, subparagraph 7.8.a.7.A., after the word “reaching” by inserting the word “the”;

    On page nineteen, subparagraph 7.8.a.7.E., after the word “circumstances” by inserting a comma;

    On page nineteen, part 7.8.a.7.F.3., after the word “et” by striking out the period;

    On page nineteen, part 7.8.a.7.F.6., after the word “claim” by inserting a comma;

    And,

    On page twenty, after subparagraph 7.8.b.1.B., by inserting a new subparagraph, designated subparagraph 7.8.b.1.C., to read as follows:

    7.8.b.1.C. Include in the English versions of all notices a statement prominently displayed in any applicable non-English language clearly indicating how to access the language services provided by the carrier.

Adopted

Rejected