W. Va. Code R. § 114-29-6

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

Section 114-29-6 - Rate and Form Filings

6.1. Entities subject to this rule shall file with the Commissioner such amended or new contractual or other forms as are necessary to accomplish the requirement of this rule by August 1, 1990, and may file appropriately adjusted premium rates consistent with any increased or decreased risk associated with the coverage of temporomandibular disorders (TMD) and craniomandibular disorders (CMD).

6.1.1. Premiums shall be structured so as to provide appropriate premiums as to both insureds who retain coverage for temporomandibular disorders (TMD) and craniomandibular disorders (CMD) and those insureds who exercise their option to waive such coverage.

6.1.2. All premium rates and forms filed due to this rule shall be filed in accordance with West Virginia Insurance Commissioner Administrative Regulations, Series 26 -- Accident and Sickness Rate Filing, and shall be subject to the prior approval of the Commissioner before they become effective. This section shall not apply to group accident and health insurance plans upon which premiums are negotiated with the individual policyholder and are based on the historic and projected loss experience of the group to be insured.

W. Va. Code R. § 114-29-6