{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/38.2-4201.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/38.2-4201.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/38.2-4201.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/38.2-4201.html"}],"law_id":76897,"edition_id":1,"section_id":76897,"structure_id":12968,"section_number":"38.2-4201","catch_line":"Definitions","history":"1986, c. 562; 1988, c. 185.","full_text":"As used in this chapter:\n\t\t&#8220;Contract holder&#8221; means a person entering into a subscription contract with a nonstock corporation.\n\t\t&#8220;Nonstock corporation&#8221; means a foreign or domestic nonstock corporation which is subject to regulation and licensing under this chapter and which offers or administers subscription contracts to contract holders as part of a plan.\n\t\t&#8220;Health services plan&#8221; or &#8220;plan&#8221; means any arrangement for offering or administering health services or similar or related services by a nonstock corporation licensed under this chapter.\n\t\t&#8220;Hospital services plan&#8221; means a health services plan for providing hospital and similar or related services.\n\t\t&#8220;Medical or surgical services plan&#8221; means a health services plan for providing medical or surgical services or both, and similar or related services.\n\t\t&#8220;Subscriber&#8221; means any person entitled to benefits under the terms and conditions of a subscription contract.\n\t\t&#8220;Subscription contract&#8221; means a written contract which is issued to a contract holder by a nonstock corporation and which provides health services or benefits for health services on a prepaid basis.","order_by":null,"text":{"0":{"id":276012,"text":"As used in this chapter:\n\t\t&#8220;Contract holder&#8221; means a person entering into a subscription contract with a nonstock corporation.\n\t\t&#8220;Nonstock corporation&#8221; means a foreign or domestic nonstock corporation which is subject to regulation and licensing under this chapter and which offers or administers subscription contracts to contract holders as part of a plan.\n\t\t&#8220;Health services plan&#8221; or &#8220;plan&#8221; means any arrangement for offering or administering health services or similar or related services by a nonstock corporation licensed under this chapter.\n\t\t&#8220;Hospital services plan&#8221; means a health services plan for providing hospital and similar or related services.\n\t\t&#8220;Medical or surgical services plan&#8221; means a health services plan for providing medical or surgical services or both, and similar or related services.\n\t\t&#8220;Subscriber&#8221; means any person entitled to benefits under the terms and conditions of a subscription contract.\n\t\t&#8220;Subscription contract&#8221; means a written contract which is issued to a contract holder by a nonstock corporation and which provides health services or benefits for health services on a prepaid basis.","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1}},"ancestry":[{"id":12968,"edition_id":1,"name":"In General","identifier":"1","label":"article","depth":3,"order_by":1,"parent_id":12967,"metadata":{},"date_created":"2026-06-26 03:44:05","date_modified":"2026-06-26 03:44:05","permalink":{"id":216659,"object_type":"structure","relational_id":12968,"identifier":"1","token":"38.2\/42\/1","url":"\/38.2\/42\/1\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12967,"edition_id":1,"name":"Health Services Plans","identifier":"42","label":"chapter","depth":2,"order_by":1,"parent_id":12698,"metadata":{},"date_created":"2026-06-26 03:44:05","date_modified":"2026-06-26 03:44:05","permalink":{"id":216657,"object_type":"structure","relational_id":12967,"identifier":"42","token":"38.2\/42","url":"\/38.2\/42\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12698,"edition_id":1,"name":"Insurance","identifier":"38.2","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:49","date_modified":"2026-06-26 03:43:49","permalink":{"id":210661,"object_type":"structure","relational_id":12698,"identifier":"38.2","token":"38.2","url":"\/38.2\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":78890,"structure_id":12968,"section_number":"38.2-4200","catch_line":"Applicability of chapter","url":"\/38.2-4200\/","token":"38.2\/42\/1\/38.2-4200","metadata":false},{"id":76897,"structure_id":12968,"section_number":"38.2-4201","catch_line":"Definitions","url":"\/38.2-4201\/","token":"38.2\/42\/1\/38.2-4201","metadata":false},{"id":71531,"structure_id":12968,"section_number":"38.2-4202","catch_line":"Hospital services plans","url":"\/38.2-4202\/","token":"38.2\/42\/1\/38.2-4202","metadata":false},{"id":80676,"structure_id":12968,"section_number":"38.2-4203","catch_line":"Medical or surgical services plans","url":"\/38.2-4203\/","token":"38.2\/42\/1\/38.2-4203","metadata":false},{"id":68874,"structure_id":12968,"section_number":"38.2-4204","catch_line":"Merger of nonstock corporations","url":"\/38.2-4204\/","token":"38.2\/42\/1\/38.2-4204","metadata":false},{"id":59642,"structure_id":12968,"section_number":"38.2-4204.1","catch_line":"Commission approval of mergers of nonstock corporations operating prepaid hospital, medical and surgical services plans","url":"\/38.2-4204.1\/","token":"38.2\/42\/1\/38.2-4204.1","metadata":false},{"id":54058,"structure_id":12968,"section_number":"38.2-4205","catch_line":"Dental and optometric services","url":"\/38.2-4205\/","token":"38.2\/42\/1\/38.2-4205","metadata":false},{"id":70123,"structure_id":12968,"section_number":"38.2-4206","catch_line":"Nonstock corporation required","url":"\/38.2-4206\/","token":"38.2\/42\/1\/38.2-4206","metadata":false},{"id":84087,"structure_id":12968,"section_number":"38.2-4207","catch_line":"Existing foreign nonstock corporation","url":"\/38.2-4207\/","token":"38.2\/42\/1\/38.2-4207","metadata":false},{"id":61631,"structure_id":12968,"section_number":"38.2-4208","catch_line":"Nonstock corporation not required to act as agent","url":"\/38.2-4208\/","token":"38.2\/42\/1\/38.2-4208","metadata":false},{"id":80669,"structure_id":12968,"section_number":"38.2-4209","catch_line":"Preferred provider subscription contracts","url":"\/38.2-4209\/","token":"38.2\/42\/1\/38.2-4209","metadata":false},{"id":67453,"structure_id":12968,"section_number":"38.2-4209.1","catch_line":"Pharmacies; freedom of choice","url":"\/38.2-4209.1\/","token":"38.2\/42\/1\/38.2-4209.1","metadata":false},{"id":79670,"structure_id":12968,"section_number":"38.2-4209.2","catch_line":"Repealed","url":"\/38.2-4209.2\/","token":"38.2\/42\/1\/38.2-4209.2","metadata":false},{"id":65462,"structure_id":12968,"section_number":"38.2-4210","catch_line":"Liability of participants","url":"\/38.2-4210\/","token":"38.2\/42\/1\/38.2-4210","metadata":false},{"id":65554,"structure_id":12968,"section_number":"38.2-4211","catch_line":"Change of participants","url":"\/38.2-4211\/","token":"38.2\/42\/1\/38.2-4211","metadata":false},{"id":80058,"structure_id":12968,"section_number":"38.2-4212","catch_line":"Board of directors of nonstock corporation operating plan","url":"\/38.2-4212\/","token":"38.2\/42\/1\/38.2-4212","metadata":false},{"id":57906,"structure_id":12968,"section_number":"38.2-4213","catch_line":"Liability of participating providers upon merger of nonstock corporation","url":"\/38.2-4213\/","token":"38.2\/42\/1\/38.2-4213","metadata":false},{"id":55347,"structure_id":12968,"section_number":"38.2-4214","catch_line":"Application of certain provisions of law","url":"\/38.2-4214\/","token":"38.2\/42\/1\/38.2-4214","metadata":false},{"id":70935,"structure_id":12968,"section_number":"38.2-4214.1","catch_line":"Rehabilitation, liquidation, conservation","url":"\/38.2-4214.1\/","token":"38.2\/42\/1\/38.2-4214.1","metadata":false},{"id":69479,"structure_id":12968,"section_number":"38.2-4215","catch_line":"Payments by nonstock corporation","url":"\/38.2-4215\/","token":"38.2\/42\/1\/38.2-4215","metadata":false},{"id":83790,"structure_id":12968,"section_number":"38.2-4216","catch_line":"Repealed","url":"\/38.2-4216\/","token":"38.2\/42\/1\/38.2-4216","metadata":false},{"id":75758,"structure_id":12968,"section_number":"38.2-4216.1","catch_line":"Repealed","url":"\/38.2-4216.1\/","token":"38.2\/42\/1\/38.2-4216.1","metadata":false},{"id":76300,"structure_id":12968,"section_number":"38.2-4217","catch_line":"Reports","url":"\/38.2-4217\/","token":"38.2\/42\/1\/38.2-4217","metadata":false},{"id":73797,"structure_id":12968,"section_number":"38.2-4218","catch_line":"Subscriber to have free choice of medical practitioners available","url":"\/38.2-4218\/","token":"38.2\/42\/1\/38.2-4218","metadata":false},{"id":73334,"structure_id":12968,"section_number":"38.2-4219","catch_line":"Subscriber to be advised in writing as to benefits and limitations thereon","url":"\/38.2-4219\/","token":"38.2\/42\/1\/38.2-4219","metadata":false},{"id":57164,"structure_id":12968,"section_number":"38.2-4220","catch_line":"Interplan arrangements","url":"\/38.2-4220\/","token":"38.2\/42\/1\/38.2-4220","metadata":false},{"id":74708,"structure_id":12968,"section_number":"38.2-4221","catch_line":"Services of certain practitioners other than physicians to be covered","url":"\/38.2-4221\/","token":"38.2\/42\/1\/38.2-4221","metadata":false},{"id":70849,"structure_id":12968,"section_number":"38.2-4222","catch_line":"Licensing of nonstock corporations","url":"\/38.2-4222\/","token":"38.2\/42\/1\/38.2-4222","metadata":false},{"id":68899,"structure_id":12968,"section_number":"38.2-4223","catch_line":"Renewal of license","url":"\/38.2-4223\/","token":"38.2\/42\/1\/38.2-4223","metadata":false},{"id":63881,"structure_id":12968,"section_number":"38.2-4224","catch_line":"Licensing of agents","url":"\/38.2-4224\/","token":"38.2\/42\/1\/38.2-4224","metadata":false},{"id":75183,"structure_id":12968,"section_number":"38.2-4225","catch_line":"Repealed","url":"\/38.2-4225\/","token":"38.2\/42\/1\/38.2-4225","metadata":false},{"id":61125,"structure_id":12968,"section_number":"38.2-4226","catch_line":"Taxation","url":"\/38.2-4226\/","token":"38.2\/42\/1\/38.2-4226","metadata":false},{"id":78423,"structure_id":12968,"section_number":"38.2-4227","catch_line":"Misleading applications or contracts","url":"\/38.2-4227\/","token":"38.2\/42\/1\/38.2-4227","metadata":false},{"id":68671,"structure_id":12968,"section_number":"38.2-4228","catch_line":"Controversies involving subscription contracts","url":"\/38.2-4228\/","token":"38.2\/42\/1\/38.2-4228","metadata":false},{"id":60792,"structure_id":12968,"section_number":"38.2-4229","catch_line":"Reinsurance","url":"\/38.2-4229\/","token":"38.2\/42\/1\/38.2-4229","metadata":false},{"id":86012,"structure_id":12968,"section_number":"38.2-4229.1","catch_line":"Conversion to domestic mutual insurer","url":"\/38.2-4229.1\/","token":"38.2\/42\/1\/38.2-4229.1","metadata":false},{"id":82144,"structure_id":12968,"section_number":"38.2-4229.2","catch_line":"Hearings and investigations on effect of other state's law","url":"\/38.2-4229.2\/","token":"38.2\/42\/1\/38.2-4229.2","metadata":false}],"previous_section":{"id":78890,"structure_id":12968,"section_number":"38.2-4200","catch_line":"Applicability of chapter","url":"\/38.2-4200\/","token":"38.2\/42\/1\/38.2-4200","metadata":false},"next_section":{"id":71531,"structure_id":12968,"section_number":"38.2-4202","catch_line":"Hospital services plans","url":"\/38.2-4202\/","token":"38.2\/42\/1\/38.2-4202","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/38.2-4201\/","history_text":"<p>This law was first created in 1986. The record of its establishment is cataloged in chapter 562 of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. Unfortunately, the 1986 \u201cActs\u201d aren\u2019t available online. It has been modified 1 time. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. That modification is as follows: in 1988, chapter 185.<\/p>","references":[{"id":66737,"section_number":"32.1-352","catch_line":"Virginia Family Access to Medical Insurance Security Plan Trust Fund","order_by":null,"url":"\/32.1-352\/"},{"id":71531,"section_number":"38.2-4202","catch_line":"Hospital services plans","order_by":null,"url":"\/38.2-4202\/"},{"id":80676,"section_number":"38.2-4203","catch_line":"Medical or surgical services plans","order_by":null,"url":"\/38.2-4203\/"},{"id":68558,"section_number":"58.1-2501","catch_line":"Levy of license tax","order_by":null,"url":"\/58.1-2501\/"}],"refers_to":false,"permalink":{"id":216665,"object_type":"law","relational_id":76897,"identifier":"38.2-4201","token":"38.2\/42\/1\/38.2-4201","url":"\/38.2-4201\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/38.2-4201\/","token":"38.2\/42\/1\/38.2-4201","dublin_core":{"Title":"Definitions","Type":"Text","Format":"text\/html","Identifier":"\u00a7 38.2-4201","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section><p>As used in this chapter:\n\t\t&#8220;<span class=\"dictionary\">Contract holder<\/span>&#8221; means a <span class=\"dictionary\">person<\/span> entering into a <span class=\"dictionary\">subscription contract<\/span> with a <span class=\"dictionary\">nonstock corporation<\/span>.\n\t\t&#8220;<span class=\"dictionary\">Nonstock corporation<\/span>&#8221; means a foreign or domestic <span class=\"dictionary\">nonstock corporation<\/span> which is subject to regulation and licensing under this chapter and which offers or administers <span class=\"dictionary\">subscription contracts<\/span> to <span class=\"dictionary\">contract holders<\/span> as part of a plan.\n\t\t&#8220;<span class=\"dictionary\">Health services plan<\/span>&#8221; or &#8220;plan&#8221; means any arrangement for offering or administering health services or similar or related services by a <span class=\"dictionary\">nonstock corporation<\/span> licensed under this chapter.\n\t\t&#8220;<span class=\"dictionary\">Hospital services plan<\/span>&#8221; means a <span class=\"dictionary\">health services plan<\/span> for providing hospital and similar or related services.\n\t\t&#8220;<span class=\"dictionary\">Medical or surgical services plan<\/span>&#8221; means a <span class=\"dictionary\">health services plan<\/span> for providing medical or surgical services or both, and similar or related services.\n\t\t&#8220;<span class=\"dictionary\">Subscriber<\/span>&#8221; means any <span class=\"dictionary\">person<\/span> entitled to benefits under the terms and conditions of a <span class=\"dictionary\">subscription contract<\/span>.\n\t\t&#8220;<span class=\"dictionary\">Subscription contract<\/span>&#8221; means a written contract which is issued to a <span class=\"dictionary\">contract holder<\/span> by a <span class=\"dictionary\">nonstock corporation<\/span> and which provides health services or benefits for health services on a prepaid basis.<\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nDEFINITIONS (\u00a7 38.2-4201)\n\nAs used in this chapter:\n\t\t&#8220;Contract holder&#8221; means a person entering into a subscription\ncontract with a nonstock corporation.\n\t\t&#8220;Nonstock corporation&#8221; means a foreign or domestic nonstock\ncorporation which is subject to regulation and licensing under this chapter and\nwhich offers or administers subscription contracts to contract holders as part\nof a plan.\n\t\t&#8220;Health services plan&#8221; or &#8220;plan&#8221; means any arrangement\nfor offering or administering health services or similar or related services by\na nonstock corporation licensed under this chapter.\n\t\t&#8220;Hospital services plan&#8221; means a health services plan for\nproviding hospital and similar or related services.\n\t\t&#8220;Medical or surgical services plan&#8221; means a health services plan\nfor providing medical or surgical services or both, and similar or related\nservices.\n\t\t&#8220;Subscriber&#8221; means any person entitled to benefits under the terms\nand conditions of a subscription contract.\n\t\t&#8220;Subscription contract&#8221; means a written contract which is issued\nto a contract holder by a nonstock corporation and which provides health\nservices or benefits for health services on a prepaid basis.\n\nHISTORY: 1986, c. 562; 1988, c. 185.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}