W. Va. Code R. § 114-26-2

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 114-26-2 - Definitions

2.1. A policy or policy form includes the contract effecting insurance, or the certificate thereof, and includes any riders, endorsements or amendments attached to the base contract.

2.2. An experience rated group, for purposes of this rule means a group eligible for group accident and sickness insurance pursuant to W. Va. Code § 33-16-2 and whose premium rates are based on the historic and/or projected loss experience of the individual group standing alone.

2.3. A community rated group is a group eligible for group accident and sickness insurance pursuant to W. Va. Code § 33-16-2 and whose premium rates are based on the historic and/or projected loss experience of a pool of group policies.

W. Va. Code R. § 114-26-2