Current through Register Vol. XLI, No. 50, December 13, 2024
Section 113-1-2 - Definitions2.1. "Average annual household income" means the Total Income reported on the prior year's federal tax return for all individuals in the applicant's or member's household, plus any other Income received by any household member, including but not limited to non-taxed Social Security income, child support, disability payments, veterans' benefits, and public assistance.2.2. "Board" means the Board of Directors of the Plan.2.3. "Low-income eligible individuals" means those persons having an annual household income at or below 400% of the federal poverty level who are otherwise eligible for coverage under the Plan as provided in W. Va. Code § 33-48-4.2.4. "Plan" means the West Virginia Health Insurance Plan as created in W. Va. Code § 33-48-2.2.5. "Plan Administrator" means the administrator of the Plan selected by the Board pursuant to W. Va. Code § 33-48-6.2.6. "Premium subsidy" means the difference between the amount of periodic payment the Plan Administrator makes to the Plan on behalf of the low-income eligible individual plus the administrative cost to the Plan of providing the Plan to that low-income eligible individual, and the amount determined by the Board to be the low-income eligible individual's premium responsibility.2.7. "Surplus" means funds being held in the West Virginia Health Insurance Plan Fund pursuant to W. Va. Code § 33-48-7a that are above those amounts necessary to provide fully for the expected costs of claims and other expenses listed in W. Va. Code § 33-48-7(a).