77256638.2-4509Virginia Decodedhttps://vacode.org2016InsuranceDental Or Optometric Services PlansApplication of certain laws1980, c. 682, § 38.1-899; 1983, c. 457; 1986, c. 562; 1989, c. 653; 1993, cc. 158, 307; 1996, c. 776; 1998, cc. 42, 891; 1999, cc. 643, 649, 709, 739; 2000, cc. 47, 50, 922; 2004, c. 315; 2006, c. 427; 2010, cc. 583, 734; 2011, c. 788; 2013, cc. 473, 670, 679; 2014, c. 309; 2015, cc. 14, 723.http://law.lis.virginia.gov/vacode/38.2-4509/32.1-137.7Definitions/32.1-137.7/38.2-1038Authority of Commission to issue orders covering insurers in hazardous financial condition/38.2-1038/38.2-1040Refusal, suspension or revocation of license/38.2-1040/38.2-1044New business prohibited/38.2-1044/38.2-1300Annual statements/38.2-1300/38.2-1306.2Valuation of investments and other assets/38.2-1306.2/38.2-1312Unearned premium reserves/38.2-1312/38.2-1314Loss or claim reserves/38.2-1314/38.2-1315.1Actuarial statements of opinion, reports, memoranda, and summaries/38.2-1315.1/38.2-1317Examinations; when authorized or required/38.2-1317/38.2-1322Definitions/38.2-1322/38.2-1335Definitions/38.2-1335/38.2-1400Scope and purpose of chapter/38.2-1400/38.2-1442Guaranty association obligations/38.2-1442/38.2-1446Prohibition of hypothecation/38.2-1446/38.2-1447Exception/38.2-1447/38.2-1800Definitions/38.2-1800/38.2-1836Licensing nonresidents; reciprocal agreements with other states and Canadian provinces/38.2-1836/38.2-200General powers of the Commission relative to insurance/38.2-200/38.2-203Management and exclusive agency contracts subject to approval by Commission/38.2-203/38.2-209Award of insured's attorney fees in certain cases/38.2-209/38.2-213Violation of § 38.2-210 or § 38.2-211/38.2-213/38.2-218Penalties and restitution payments/38.2-218/38.2-225Disposition of fines and penalties/38.2-225/38.2-229Immunity from liability/38.2-229/38.2-316Policy forms to be filed with Commission; notice of approval or disapproval; exceptions/38.2-316/38.2-322Standardized claims forms/38.2-322/38.2-326Plan management functions/38.2-326/38.2-3401Forms of insurance authorized/38.2-3401/38.2-3404Commission may establish rules and regulations for simplified and readable accident and sickness insurance policies/38.2-3404/38.2-3405Certain subrogation provisions and limitations upon recovery in hospital, medical, etc., policies forbidden; limitations on disclosure of medical treatment options prohibited/38.2-3405/38.2-3407.1Interest on accident and sickness claim proceeds/38.2-3407.1/38.2-3407.10Health care provider panels/38.2-3407.10/38.2-3407.13Refusal to accept assignments prohibited; dentists and oral surgeons/38.2-3407.13/38.2-3407.14Notice of premium or deductible increases/38.2-3407.14/38.2-3407.15Ethics and fairness in carrier business practices/38.2-3407.15/38.2-3407.17(Effective January 1, 2017) Payment for services by dentists and oral surgeons/38.2-3407.17/38.2-3407.17(Effective until January 1, 2017) Payment for services by dentists and oral surgeons/38.2-3407.17/38.2-3407.19Payment for services by optometrists and ophthalmologists/38.2-3407.19/38.2-3407.4Explanation of benefits/38.2-3407.4/38.2-3415Exclusion or reduction of benefits for certain causes prohibited/38.2-3415/38.2-3541Continuation on termination of eligibility/38.2-3541/38.2-3551Definitions/38.2-3551/38.2-3600Medicare supplement policy; definition/38.2-3600/38.2-3603Same; minimum return for individual policies/38.2-3603/38.2-400Expense of administration of insurance laws borne by licensees; minimum contribution/38.2-400/38.2-402Definitions/38.2-402/38.2-413Double assessment respecting same direct gross premium income negated/38.2-413/38.2-500Declaration of purpose/38.2-500/38.2-515Power of Commission/38.2-515/38.2-5500Applicability/38.2-5500/38.2-5800Definitions/38.2-5800/38.2-600Purposes/38.2-600/38.2-620Effective date/38.2-620/38.2-900Workers' compensation/38.2-900/38.2-904Existing rates/38.2-904//38.2-4509/38.2/45/38.2-4509No provision of this title except this chapter and, insofar as they are not inconsistent with this chapter, §§ 38.2-200, 38.2-203, 38.2-209 through 38.2-213, 38.2-218 through 38.2-225, 38.2-229, 38.2-316, 38.2-326, 38.2-400, 38.2-402 through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620, 38.2-900 through 38.2-904, 38.2-1038, 38.2-1040 through 38.2-1044, Articles 1 (§ 38.2-1300 et seq.) and 2 (§ 38.2-1306.2 et seq.) of Chapter 13, §§ 38.2-1312, 38.2-1314, 38.2-1315.1, Articles 4 (§ 38.2-1317 et seq.), 5 (§ 38.2-1322 et seq.), and 6 (§ 38.2-1335 et seq.) of Chapter 13, §§ 38.2-1400 through 38.2-1442, 38.2-1446, 38.2-1447, 38.2-1800 through 38.2-1836, 38.2-3401, 38.2-3404, 38.2-3405, 38.2-3407.1, 38.2-3407.4, 38.2-3407.10, 38.2-3407.13, 38.2-3407.14, 38.2-3407.15, 38.2-3407.17, 38.2-3407.19, 38.2-3415, 38.2-3541, Article 5 (§ 38.2-3551 et seq.) of Chapter 35, §§ 38.2-3600 through 38.2-3603, Chapter 55 (§ 38.2-5500 et seq.), and Chapter 58 (§ 38.2-5800 et seq.) shall apply to the operation of a plan.sectionAA1The provisions of subsection A of § 38.2-322 shall apply to an optometric services plan. The provisions of subsection C of § 38.2-322 shall apply to a dental services plan.sectionBB1The provisions of Article 1.2 (§ 32.1-137.7 et seq.) of Chapter 5 of Title 32.1 shall not apply to either an optometric or dental services plan.sectionCC1The provisions of § 38.2-3407.1 shall apply to claim payments made on or after January 1, 2014. No optometric or dental services plan shall be required to pay interest computed under § 38.2-3407.1 if the total interest is less than $ 5.sectionDD1