{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/38.2-4509.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/38.2-4509.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/38.2-4509.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/38.2-4509.html"}],"law_id":62548,"edition_id":1,"section_id":62548,"structure_id":14149,"section_number":"38.2-4509","catch_line":"Application of certain laws","history":"1980, c. 682, \u00a7 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; 2019, c. 655; 2020, cc. 264, 916, 917; 2021, Sp. Sess. I, c. 161; 2024, cc. 197, 319, 345.","full_text":"A\n\nNo provision of this title except this chapter and, insofar as they are not inconsistent with this chapter, &#xA7;&#xA7; 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, 38.2-316.2, 38.2-325, 38.2-326, 38.2-400, 38.2-402 through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-629, 38.2-900 through 38.2-904, 38.2-1038, 38.2-1040 through 38.2-1044, Articles 1 (&#xA7; 38.2-1300 et seq.) and 2 (&#xA7; 38.2-1306.2 et seq.) of Chapter 13, &#xA7;&#xA7; 38.2-1312, 38.2-1314, 38.2-1315.1, Articles 4 (&#xA7; 38.2-1317 et seq.), 5 (&#xA7; 38.2-1322 et seq.), and 6 (&#xA7; 38.2-1335 et seq.) of Chapter 13, &#xA7;&#xA7; 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, 38.2-3407.10:1, 38.2-3407.13, 38.2-3407.14, 38.2-3407.15, 38.2-3407.17, 38.2-3407.17:1, 38.2-3407.19, 38.2-3415, 38.2-3541, Article 5 (&#xA7; 38.2-3551 et seq.) of Chapter 35, &#xA7;&#xA7; 38.2-3600 through 38.2-3603, Chapter 55 (&#xA7; 38.2-5500 et seq.), Chapter 58 (&#xA7; 38.2-5800 et seq.), and Chapter 65 (&#xA7; 38.2-6500 et seq.) shall apply to the operation of a plan.B\n\nThe provisions of subsection A of &#xA7; 38.2-322 shall apply to an optometric services plan. The provisions of subsection C of &#xA7; 38.2-322 shall apply to a dental services plan.C\n\nThe provisions of Article 1.2 (&#xA7; 32.1-137.7 et seq.) of Chapter 5 of Title 32.1 shall not apply to either an optometric or dental services plan.D\n\nThe provisions of &#xA7; 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 &#xA7; 38.2-3407.1 if the total interest is less than $5.","order_by":null,"text":{"0":{"id":228099,"text":"No provision of this title except this chapter and, insofar as they are not inconsistent with this chapter, &#xA7;&#xA7; 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, 38.2-316.2, 38.2-325, 38.2-326, 38.2-400, 38.2-402 through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-629, 38.2-900 through 38.2-904, 38.2-1038, 38.2-1040 through 38.2-1044, Articles 1 (&#xA7; 38.2-1300 et seq.) and 2 (&#xA7; 38.2-1306.2 et seq.) of Chapter 13, &#xA7;&#xA7; 38.2-1312, 38.2-1314, 38.2-1315.1, Articles 4 (&#xA7; 38.2-1317 et seq.), 5 (&#xA7; 38.2-1322 et seq.), and 6 (&#xA7; 38.2-1335 et seq.) of Chapter 13, &#xA7;&#xA7; 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, 38.2-3407.10:1, 38.2-3407.13, 38.2-3407.14, 38.2-3407.15, 38.2-3407.17, 38.2-3407.17:1, 38.2-3407.19, 38.2-3415, 38.2-3541, Article 5 (&#xA7; 38.2-3551 et seq.) of Chapter 35, &#xA7;&#xA7; 38.2-3600 through 38.2-3603, Chapter 55 (&#xA7; 38.2-5500 et seq.), Chapter 58 (&#xA7; 38.2-5800 et seq.), and Chapter 65 (&#xA7; 38.2-6500 et seq.) shall apply to the operation of a plan.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":228100,"text":"The provisions of subsection A of &#xA7; 38.2-322 shall apply to an optometric services plan. The provisions of subsection C of &#xA7; 38.2-322 shall apply to a dental services plan.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":228101,"text":"The provisions of Article 1.2 (&#xA7; 32.1-137.7 et seq.) of Chapter 5 of Title 32.1 shall not apply to either an optometric or dental services plan.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B","next_prefix":"D"},"3":{"id":228102,"text":"The provisions of &#xA7; 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 &#xA7; 38.2-3407.1 if the total interest is less than $5.","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C"}},"ancestry":[{"id":14149,"edition_id":1,"name":"Dental or Optometric Services Plans","identifier":"45","label":"chapter","depth":2,"order_by":1,"parent_id":12698,"metadata":{},"date_created":"2026-06-26 03:47:02","date_modified":"2026-06-26 03:47:02","permalink":{"id":217051,"object_type":"structure","relational_id":14149,"identifier":"45","token":"38.2\/45","url":"\/38.2\/45\/","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":59325,"structure_id":14149,"section_number":"38.2-4500","catch_line":"Applicability of chapter","url":"\/38.2-4500\/","token":"38.2\/45\/38.2-4500","metadata":false},{"id":78064,"structure_id":14149,"section_number":"38.2-4501","catch_line":"Definitions","url":"\/38.2-4501\/","token":"38.2\/45\/38.2-4501","metadata":false},{"id":73246,"structure_id":14149,"section_number":"38.2-4502","catch_line":"Dental services plans","url":"\/38.2-4502\/","token":"38.2\/45\/38.2-4502","metadata":false},{"id":59544,"structure_id":14149,"section_number":"38.2-4503","catch_line":"Optometric services plans","url":"\/38.2-4503\/","token":"38.2\/45\/38.2-4503","metadata":false},{"id":59439,"structure_id":14149,"section_number":"38.2-4504","catch_line":"Nonstock corporation required","url":"\/38.2-4504\/","token":"38.2\/45\/38.2-4504","metadata":false},{"id":80037,"structure_id":14149,"section_number":"38.2-4505","catch_line":"Liability of participants","url":"\/38.2-4505\/","token":"38.2\/45\/38.2-4505","metadata":false},{"id":57331,"structure_id":14149,"section_number":"38.2-4506","catch_line":"Terms of participation","url":"\/38.2-4506\/","token":"38.2\/45\/38.2-4506","metadata":false},{"id":69619,"structure_id":14149,"section_number":"38.2-4507","catch_line":"Change of participants","url":"\/38.2-4507\/","token":"38.2\/45\/38.2-4507","metadata":false},{"id":61186,"structure_id":14149,"section_number":"38.2-4508","catch_line":"Board of directors of nonstock corporation","url":"\/38.2-4508\/","token":"38.2\/45\/38.2-4508","metadata":false},{"id":62548,"structure_id":14149,"section_number":"38.2-4509","catch_line":"Application of certain laws","url":"\/38.2-4509\/","token":"38.2\/45\/38.2-4509","metadata":false},{"id":85127,"structure_id":14149,"section_number":"38.2-4509.1","catch_line":"Rehabilitation, liquidation, conservation","url":"\/38.2-4509.1\/","token":"38.2\/45\/38.2-4509.1","metadata":false},{"id":82537,"structure_id":14149,"section_number":"38.2-4510","catch_line":"Quarterly reports","url":"\/38.2-4510\/","token":"38.2\/45\/38.2-4510","metadata":false},{"id":55305,"structure_id":14149,"section_number":"38.2-4511","catch_line":"Corporation's contracts with participating dentists or optometrists","url":"\/38.2-4511\/","token":"38.2\/45\/38.2-4511","metadata":false},{"id":84503,"structure_id":14149,"section_number":"38.2-4512","catch_line":"Contracts between participating dentists or optometrists and subscribers","url":"\/38.2-4512\/","token":"38.2\/45\/38.2-4512","metadata":false},{"id":81032,"structure_id":14149,"section_number":"38.2-4513","catch_line":"Subscriber to have free choice of practitioners available","url":"\/38.2-4513\/","token":"38.2\/45\/38.2-4513","metadata":false},{"id":71843,"structure_id":14149,"section_number":"38.2-4514","catch_line":"Subscriber to be advised in writing as to benefits and limitations thereon","url":"\/38.2-4514\/","token":"38.2\/45\/38.2-4514","metadata":false},{"id":58336,"structure_id":14149,"section_number":"38.2-4515","catch_line":"Geographical area","url":"\/38.2-4515\/","token":"38.2\/45\/38.2-4515","metadata":false},{"id":76374,"structure_id":14149,"section_number":"38.2-4516","catch_line":"Interplan arrangements","url":"\/38.2-4516\/","token":"38.2\/45\/38.2-4516","metadata":false},{"id":73516,"structure_id":14149,"section_number":"38.2-4517","catch_line":"Licensing of nonstock corporation","url":"\/38.2-4517\/","token":"38.2\/45\/38.2-4517","metadata":false},{"id":86358,"structure_id":14149,"section_number":"38.2-4518","catch_line":"Renewal of nonstock corporation license","url":"\/38.2-4518\/","token":"38.2\/45\/38.2-4518","metadata":false},{"id":65645,"structure_id":14149,"section_number":"38.2-4519","catch_line":"Licensing of agents","url":"\/38.2-4519\/","token":"38.2\/45\/38.2-4519","metadata":false},{"id":55429,"structure_id":14149,"section_number":"38.2-4520","catch_line":"Corporate restrictions","url":"\/38.2-4520\/","token":"38.2\/45\/38.2-4520","metadata":false},{"id":83904,"structure_id":14149,"section_number":"38.2-4521","catch_line":"Taxation","url":"\/38.2-4521\/","token":"38.2\/45\/38.2-4521","metadata":false},{"id":77097,"structure_id":14149,"section_number":"38.2-4522","catch_line":"Misleading applications or contracts","url":"\/38.2-4522\/","token":"38.2\/45\/38.2-4522","metadata":false},{"id":84644,"structure_id":14149,"section_number":"38.2-4523","catch_line":"Controversies involving subscription contracts","url":"\/38.2-4523\/","token":"38.2\/45\/38.2-4523","metadata":false}],"previous_section":{"id":61186,"structure_id":14149,"section_number":"38.2-4508","catch_line":"Board of directors of nonstock corporation","url":"\/38.2-4508\/","token":"38.2\/45\/38.2-4508","metadata":false},"next_section":{"id":85127,"structure_id":14149,"section_number":"38.2-4509.1","catch_line":"Rehabilitation, liquidation, conservation","url":"\/38.2-4509.1\/","token":"38.2\/45\/38.2-4509.1","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/38.2-4509\/","history_text":"<p>This law was first created in 1980. The record of its establishment is cataloged in chapter 682 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 1980 \u201cActs\u201d aren\u2019t available online. It has been modified 18 times. 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. Those modifications are as follows: in 1983, chapter 457; in 1986, chapter 562; in 1989, chapter 653; in 1993, chapters 158 and 307; in 1996, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?961+ful+CHAP0776\">776<\/a>; in 1998, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?981+ful+CHAP0042\">42<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?981+ful+CHAP0891\">891<\/a>; in 1999, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?991+ful+CHAP0643\">643<\/a>, <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?991+ful+CHAP0649\">649<\/a>, <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?991+ful+CHAP0709\">709<\/a>, and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?991+ful+CHAP0739\">739<\/a>; in 2000, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?001+ful+CHAP0047\">47<\/a>, <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?001+ful+CHAP0050\">50<\/a>, and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?001+ful+CHAP0922\">922<\/a>; in 2004, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?041+ful+CHAP0315\">315<\/a>; in 2006, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?061+ful+CHAP0427\">427<\/a>; in 2010, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?101+ful+CHAP0583\">583<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?101+ful+CHAP0734\">734<\/a>; in 2011, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?111+ful+CHAP0788\">788<\/a>; in 2013, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?131+ful+CHAP0473\">473<\/a>, <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?131+ful+CHAP0670\">670<\/a>, and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?131+ful+CHAP0679\">679<\/a>; in 2014, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?141+ful+CHAP0309\">309<\/a>; in 2015, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?151+ful+CHAP0014\">14<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?151+ful+CHAP0723\">723<\/a>; in 2019, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?191+ful+CHAP0655\">655<\/a>; in 2020, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?201+ful+CHAP0264\">264<\/a>, <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?201+ful+CHAP0916\">916<\/a>, and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?201+ful+CHAP0917\">917<\/a>; in 2024, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?241+ful+CHAP0197\">197<\/a>, <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?241+ful+CHAP0319\">319<\/a>, and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?241+ful+CHAP0345\">345<\/a>.<\/p>","references":false,"refers_to":[{"id":72177,"section_number":"32.1-137.7","catch_line":"Definitions","order_by":null,"url":"\/32.1-137.7\/"},{"id":84129,"section_number":"38.2-1038","catch_line":"Authority of Commission to issue orders covering insurers in hazardous financial condition","order_by":null,"url":"\/38.2-1038\/"},{"id":71497,"section_number":"38.2-1040","catch_line":"Refusal, suspension or revocation of license","order_by":null,"url":"\/38.2-1040\/"},{"id":72878,"section_number":"38.2-1044","catch_line":"New business prohibited","order_by":null,"url":"\/38.2-1044\/"},{"id":81115,"section_number":"38.2-1300","catch_line":"Annual statements","order_by":null,"url":"\/38.2-1300\/"},{"id":60506,"section_number":"38.2-1306.2","catch_line":"Valuation of investments and other assets","order_by":null,"url":"\/38.2-1306.2\/"},{"id":57332,"section_number":"38.2-1312","catch_line":"Unearned premium reserves","order_by":null,"url":"\/38.2-1312\/"},{"id":58606,"section_number":"38.2-1314","catch_line":"Loss or claim reserves","order_by":null,"url":"\/38.2-1314\/"},{"id":81929,"section_number":"38.2-1315.1","catch_line":"Actuarial statements of opinion, reports, memoranda, and summaries","order_by":null,"url":"\/38.2-1315.1\/"},{"id":85909,"section_number":"38.2-1317","catch_line":"Examinations; when authorized or required","order_by":null,"url":"\/38.2-1317\/"},{"id":66587,"section_number":"38.2-1322","catch_line":"Definitions","order_by":null,"url":"\/38.2-1322\/"},{"id":85446,"section_number":"38.2-1335","catch_line":"Definitions","order_by":null,"url":"\/38.2-1335\/"},{"id":64362,"section_number":"38.2-1400","catch_line":"Scope and purpose of chapter","order_by":null,"url":"\/38.2-1400\/"},{"id":58210,"section_number":"38.2-1442","catch_line":"Guaranty association obligations","order_by":null,"url":"\/38.2-1442\/"},{"id":60790,"section_number":"38.2-1446","catch_line":"Prohibition of hypothecation","order_by":null,"url":"\/38.2-1446\/"},{"id":81029,"section_number":"38.2-1447","catch_line":"Exception","order_by":null,"url":"\/38.2-1447\/"},{"id":67482,"section_number":"38.2-1800","catch_line":"Definitions","order_by":null,"url":"\/38.2-1800\/"},{"id":67300,"section_number":"38.2-1836","catch_line":"Licensing nonresidents; reciprocal agreements with other states and Canadian provinces","order_by":null,"url":"\/38.2-1836\/"},{"id":84875,"section_number":"38.2-200","catch_line":"General powers of the Commission relative to insurance","order_by":null,"url":"\/38.2-200\/"},{"id":66056,"section_number":"38.2-203","catch_line":"Management and exclusive agency contracts subject to approval by Commission","order_by":null,"url":"\/38.2-203\/"},{"id":71333,"section_number":"38.2-209","catch_line":"Award of insured's attorney fees in certain cases","order_by":null,"url":"\/38.2-209\/"},{"id":85199,"section_number":"38.2-213","catch_line":"Violation of \u00a7 38.2-210 or \u00a7 38.2-211","order_by":null,"url":"\/38.2-213\/"},{"id":64490,"section_number":"38.2-218","catch_line":"Penalties and restitution payments","order_by":null,"url":"\/38.2-218\/"},{"id":59699,"section_number":"38.2-225","catch_line":"Disposition of fines and penalties","order_by":null,"url":"\/38.2-225\/"},{"id":62523,"section_number":"38.2-229","catch_line":"Immunity from liability","order_by":null,"url":"\/38.2-229\/"},{"id":60466,"section_number":"38.2-316","catch_line":"Policy forms to be filed with Commission; notice of approval or disapproval; exceptions","order_by":null,"url":"\/38.2-316\/"},{"id":71148,"section_number":"38.2-316.2","catch_line":"Dental carriers; annual actual loss ratio report","order_by":null,"url":"\/38.2-316.2\/"},{"id":65634,"section_number":"38.2-322","catch_line":"Standardized claims forms","order_by":null,"url":"\/38.2-322\/"},{"id":72048,"section_number":"38.2-325","catch_line":"Electronic delivery","order_by":null,"url":"\/38.2-325\/"},{"id":55944,"section_number":"38.2-326","catch_line":"Plan management functions","order_by":null,"url":"\/38.2-326\/"},{"id":72072,"section_number":"38.2-3401","catch_line":"Forms of insurance authorized","order_by":null,"url":"\/38.2-3401\/"},{"id":65279,"section_number":"38.2-3404","catch_line":"Commission may establish rules and regulations for simplified and readable accident and sickness insurance policies","order_by":null,"url":"\/38.2-3404\/"},{"id":62539,"section_number":"38.2-3405","catch_line":"Certain subrogation provisions and limitations upon recovery in hospital, medical, etc., policies forbidden; limitations on disclosure of medical treatment options prohibited","order_by":null,"url":"\/38.2-3405\/"},{"id":66921,"section_number":"38.2-3407.1","catch_line":"Interest on accident and sickness claim proceeds","order_by":null,"url":"\/38.2-3407.1\/"},{"id":58079,"section_number":"38.2-3407.10","catch_line":"Health care provider panels","order_by":null,"url":"\/38.2-3407.10\/"},{"id":66411,"section_number":"38.2-3407.10:1","catch_line":"Processing of new provider applications and reimbursement for services rendered during pendency of a participating provider's credentialing application","order_by":null,"url":"\/38.2-3407.10_1\/"},{"id":81634,"section_number":"38.2-3407.13","catch_line":"Refusal to accept assignments prohibited; dentists and oral surgeons","order_by":null,"url":"\/38.2-3407.13\/"},{"id":60288,"section_number":"38.2-3407.14","catch_line":"Notice of premium or deductible increases","order_by":null,"url":"\/38.2-3407.14\/"},{"id":71060,"section_number":"38.2-3407.15","catch_line":"Ethics and fairness in carrier business practices","order_by":null,"url":"\/38.2-3407.15\/"},{"id":64799,"section_number":"38.2-3407.17","catch_line":"Payment for services by dentists and oral surgeons","order_by":null,"url":"\/38.2-3407.17\/"},{"id":55530,"section_number":"38.2-3407.17:1","catch_line":"Payment and reimbursement practices for dental services; network access","order_by":null,"url":"\/38.2-3407.17_1\/"},{"id":83502,"section_number":"38.2-3407.19","catch_line":"Payment for services by optometrists and ophthalmologists","order_by":null,"url":"\/38.2-3407.19\/"},{"id":78457,"section_number":"38.2-3407.4","catch_line":"Explanation of benefits","order_by":null,"url":"\/38.2-3407.4\/"},{"id":58957,"section_number":"38.2-3415","catch_line":"Exclusion or reduction of benefits for certain causes prohibited","order_by":null,"url":"\/38.2-3415\/"},{"id":55325,"section_number":"38.2-3541","catch_line":"Continuation on termination of eligibility","order_by":null,"url":"\/38.2-3541\/"},{"id":76670,"section_number":"38.2-3551","catch_line":"Definitions","order_by":null,"url":"\/38.2-3551\/"},{"id":84516,"section_number":"38.2-3600","catch_line":"Medicare supplement policy; definition","order_by":null,"url":"\/38.2-3600\/"},{"id":83912,"section_number":"38.2-3603","catch_line":"Same; minimum return for individual policies","order_by":null,"url":"\/38.2-3603\/"},{"id":57860,"section_number":"38.2-400","catch_line":"Expense of administration of insurance laws borne by licensees; minimum contribution","order_by":null,"url":"\/38.2-400\/"},{"id":77505,"section_number":"38.2-402","catch_line":"Definitions","order_by":null,"url":"\/38.2-402\/"},{"id":80377,"section_number":"38.2-413","catch_line":"Double assessment respecting same direct gross premium income negated","order_by":null,"url":"\/38.2-413\/"},{"id":66905,"section_number":"38.2-500","catch_line":"Declaration of purpose","order_by":null,"url":"\/38.2-500\/"},{"id":77046,"section_number":"38.2-515","catch_line":"Power of Commission","order_by":null,"url":"\/38.2-515\/"},{"id":68244,"section_number":"38.2-5500","catch_line":"Applicability","order_by":null,"url":"\/38.2-5500\/"},{"id":77304,"section_number":"38.2-5800","catch_line":"Definitions","order_by":null,"url":"\/38.2-5800\/"},{"id":64742,"section_number":"38.2-600","catch_line":"Purposes","order_by":null,"url":"\/38.2-600\/"},{"id":54030,"section_number":"38.2-629","catch_line":"Exceptions","order_by":null,"url":"\/38.2-629\/"},{"id":75766,"section_number":"38.2-6500","catch_line":"Definitions","order_by":null,"url":"\/38.2-6500\/"},{"id":85549,"section_number":"38.2-900","catch_line":"Workers' compensation","order_by":null,"url":"\/38.2-900\/"},{"id":82908,"section_number":"38.2-904","catch_line":"Existing rates","order_by":null,"url":"\/38.2-904\/"}],"permalink":{"id":217089,"object_type":"law","relational_id":62548,"identifier":"38.2-4509","token":"38.2\/45\/38.2-4509","url":"\/38.2-4509\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/38.2-4509\/","token":"38.2\/45\/38.2-4509","dublin_core":{"Title":"Application of certain laws","Type":"Text","Format":"text\/html","Identifier":"\u00a7 38.2-4509","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section id=\"A\"><p><span class=\"prefix-number\">A.<\/span> No provision of this title except this chapter and, insofar as they are not inconsistent with this chapter, &#xA7;&#xA7; <a class=\"law\" title=\"General powers of the Commission relative to insurance\" href=\"\/38.2-200\/\">38.2-200<\/a>, <a class=\"law\" title=\"Management and exclusive agency contracts subject to approval by Commission\" href=\"\/38.2-203\/\">38.2-203<\/a>, <a class=\"law\" title=\"Award of insured&#039;s attorney fees in certain cases\" href=\"\/38.2-209\/\">38.2-209<\/a> through <a class=\"law\" title=\"Violation of \u00a7 38.2-210 or \u00a7 38.2-211\" href=\"\/38.2-213\/\">38.2-213<\/a>, <a class=\"law\" title=\"Penalties and restitution payments\" href=\"\/38.2-218\/\">38.2-218<\/a> through <a class=\"law\" title=\"Disposition of fines and penalties\" href=\"\/38.2-225\/\">38.2-225<\/a>, <a class=\"law\" title=\"Immunity from liability\" href=\"\/38.2-229\/\">38.2-229<\/a>, <a class=\"law\" title=\"Policy forms to be filed with Commission; notice of approval or disapproval; exceptions\" href=\"\/38.2-316\/\">38.2-316<\/a>, <a class=\"law\" title=\"Dental carriers; annual actual loss ratio report\" href=\"\/38.2-316.2\/\">38.2-316.2<\/a>, <a class=\"law\" title=\"Electronic delivery\" href=\"\/38.2-325\/\">38.2-325<\/a>, <a class=\"law\" title=\"Plan management functions\" href=\"\/38.2-326\/\">38.2-326<\/a>, <a class=\"law\" title=\"Expense of administration of insurance laws borne by licensees; minimum contribution\" href=\"\/38.2-400\/\">38.2-400<\/a>, <a class=\"law\" title=\"Definitions\" href=\"\/38.2-402\/\">38.2-402<\/a> through <a class=\"law\" title=\"Double assessment respecting same direct gross premium income negated\" href=\"\/38.2-413\/\">38.2-413<\/a>, <a class=\"law\" title=\"Declaration of purpose\" href=\"\/38.2-500\/\">38.2-500<\/a> through <a class=\"law\" title=\"Power of Commission\" href=\"\/38.2-515\/\">38.2-515<\/a>, <a class=\"law\" title=\"Purposes\" href=\"\/38.2-600\/\">38.2-600<\/a> through <a class=\"law\" title=\"Exceptions\" href=\"\/38.2-629\/\">38.2-629<\/a>, <a class=\"law\" title=\"Workers&#039; compensation\" href=\"\/38.2-900\/\">38.2-900<\/a> through <a class=\"law\" title=\"Existing rates\" href=\"\/38.2-904\/\">38.2-904<\/a>, <a class=\"law\" title=\"Authority of Commission to issue orders covering insurers in hazardous financial condition\" href=\"\/38.2-1038\/\">38.2-1038<\/a>, <a class=\"law\" title=\"Refusal, suspension or revocation of license\" href=\"\/38.2-1040\/\">38.2-1040<\/a> through <a class=\"law\" title=\"New business prohibited\" href=\"\/38.2-1044\/\">38.2-1044<\/a>, Articles 1 (&#xA7; <a class=\"law\" title=\"Annual statements\" href=\"\/38.2-1300\/\">38.2-1300<\/a> et seq.) and 2 (&#xA7; <a class=\"law\" title=\"Valuation of investments and other assets\" href=\"\/38.2-1306.2\/\">38.2-1306.2<\/a> et seq.) of Chapter 13, &#xA7;&#xA7; <a class=\"law\" title=\"Unearned premium reserves\" href=\"\/38.2-1312\/\">38.2-1312<\/a>, <a class=\"law\" title=\"Loss or claim reserves\" href=\"\/38.2-1314\/\">38.2-1314<\/a>, <a class=\"law\" title=\"Actuarial statements of opinion, reports, memoranda, and summaries\" href=\"\/38.2-1315.1\/\">38.2-1315.1<\/a>, Articles 4 (&#xA7; <a class=\"law\" title=\"Examinations; when authorized or required\" href=\"\/38.2-1317\/\">38.2-1317<\/a> et seq.), 5 (&#xA7; <a class=\"law\" title=\"Definitions\" href=\"\/38.2-1322\/\">38.2-1322<\/a> et seq.), and 6 (&#xA7; <a class=\"law\" title=\"Definitions\" href=\"\/38.2-1335\/\">38.2-1335<\/a> et seq.) of Chapter 13, &#xA7;&#xA7; <a class=\"law\" title=\"Scope and purpose of chapter\" href=\"\/38.2-1400\/\">38.2-1400<\/a> through <a class=\"law\" title=\"Guaranty association obligations\" href=\"\/38.2-1442\/\">38.2-1442<\/a>, <a class=\"law\" title=\"Prohibition of hypothecation\" href=\"\/38.2-1446\/\">38.2-1446<\/a>, <a class=\"law\" title=\"Exception\" href=\"\/38.2-1447\/\">38.2-1447<\/a>, <a class=\"law\" title=\"Definitions\" href=\"\/38.2-1800\/\">38.2-1800<\/a> through <a class=\"law\" title=\"Licensing nonresidents; reciprocal agreements with other states and Canadian provinces\" href=\"\/38.2-1836\/\">38.2-1836<\/a>, <a class=\"law\" title=\"Forms of insurance authorized\" href=\"\/38.2-3401\/\">38.2-3401<\/a>, <a class=\"law\" title=\"Commission may establish rules and regulations for simplified and readable accident and sickness insurance policies\" href=\"\/38.2-3404\/\">38.2-3404<\/a>, <a class=\"law\" title=\"Certain subrogation provisions and limitations upon recovery in hospital, medical, etc., policies forbidden; limitations on disclosure of medical treatment options prohibited\" href=\"\/38.2-3405\/\">38.2-3405<\/a>, <a class=\"law\" title=\"Interest on accident and sickness claim proceeds\" href=\"\/38.2-3407.1\/\">38.2-3407.1<\/a>, <a class=\"law\" title=\"Explanation of benefits\" href=\"\/38.2-3407.4\/\">38.2-3407.4<\/a>, <a class=\"law\" title=\"Health care provider panels\" href=\"\/38.2-3407.10\/\">38.2-3407.10<\/a>, <a class=\"law\" title=\"Processing of new provider applications and reimbursement for services rendered during pendency of a participating provider&#039;s credentialing application\" href=\"\/38.2-3407.10_1\/\">38.2-3407.10:1<\/a>, <a class=\"law\" title=\"Refusal to accept assignments prohibited; dentists and oral surgeons\" href=\"\/38.2-3407.13\/\">38.2-3407.13<\/a>, <a class=\"law\" title=\"Notice of premium or deductible increases\" href=\"\/38.2-3407.14\/\">38.2-3407.14<\/a>, <a class=\"law\" title=\"Ethics and fairness in carrier business practices\" href=\"\/38.2-3407.15\/\">38.2-3407.15<\/a>, <a class=\"law\" title=\"Payment for services by dentists and oral surgeons\" href=\"\/38.2-3407.17\/\">38.2-3407.17<\/a>, <a class=\"law\" title=\"Payment and reimbursement practices for dental services; network access\" href=\"\/38.2-3407.17_1\/\">38.2-3407.17:1<\/a>, <a class=\"law\" title=\"Payment for services by optometrists and ophthalmologists\" href=\"\/38.2-3407.19\/\">38.2-3407.19<\/a>, <a class=\"law\" title=\"Exclusion or reduction of benefits for certain causes prohibited\" href=\"\/38.2-3415\/\">38.2-3415<\/a>, <a class=\"law\" title=\"Continuation on termination of eligibility\" href=\"\/38.2-3541\/\">38.2-3541<\/a>, Article 5 (&#xA7; <a class=\"law\" title=\"Definitions\" href=\"\/38.2-3551\/\">38.2-3551<\/a> et seq.) of Chapter 35, &#xA7;&#xA7; <a class=\"law\" title=\"Medicare supplement policy; definition\" href=\"\/38.2-3600\/\">38.2-3600<\/a> through <a class=\"law\" title=\"Same; minimum return for individual policies\" href=\"\/38.2-3603\/\">38.2-3603<\/a>, Chapter 55 (&#xA7; <a class=\"law\" title=\"Applicability\" href=\"\/38.2-5500\/\">38.2-5500<\/a> et seq.), Chapter 58 (&#xA7; <a class=\"law\" title=\"Definitions\" href=\"\/38.2-5800\/\">38.2-5800<\/a> et seq.), and Chapter 65 (&#xA7; <a class=\"law\" title=\"Definitions\" href=\"\/38.2-6500\/\">38.2-6500<\/a> et seq.) shall apply to the operation of a <span class=\"dictionary\">plan<\/span>. <a id=\"paragraph-228099\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-4509\/#A\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"B\"><p><span class=\"prefix-number\">B.<\/span> The provisions of subsection A of &#xA7; <a class=\"law\" title=\"Standardized claims forms\" href=\"\/38.2-322\/\">38.2-322<\/a> shall apply to an <span class=\"dictionary\">optometric services plan<\/span>. The provisions of subsection C of &#xA7; <a class=\"law\" title=\"Standardized claims forms\" href=\"\/38.2-322\/\">38.2-322<\/a> shall apply to a dental services plan. <a id=\"paragraph-228100\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-4509\/#B\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"C\"><p><span class=\"prefix-number\">C.<\/span> The provisions of Article 1.2 (&#xA7; <a class=\"law\" title=\"Definitions\" href=\"\/32.1-137.7\/\">32.1-137.7<\/a> et seq.) of Chapter 5 of Title 32.1 shall not apply to either an optometric or dental services plan. <a id=\"paragraph-228101\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-4509\/#C\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"D\"><p><span class=\"prefix-number\">D.<\/span> The provisions of &#xA7; <a class=\"law\" title=\"Interest on accident and sickness claim proceeds\" href=\"\/38.2-3407.1\/\">38.2-3407.1<\/a> 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 &#xA7; <a class=\"law\" title=\"Interest on accident and sickness claim proceeds\" href=\"\/38.2-3407.1\/\">38.2-3407.1<\/a> if the total interest is less than $5. <a id=\"paragraph-228102\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-4509\/#D\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nAPPLICATION OF CERTAIN LAWS (\u00a7 38.2-4509)\n\nA. No provision of this title except this chapter and, insofar as they are not\ninconsistent with this chapter, &#xA7;&#xA7; 38.2-200, 38.2-203, 38.2-209\nthrough 38.2-213, 38.2-218 through 38.2-225, 38.2-229, 38.2-316, 38.2-316.2,\n38.2-325, 38.2-326, 38.2-400, 38.2-402 through 38.2-413, 38.2-500 through\n38.2-515, 38.2-600 through 38.2-629, 38.2-900 through 38.2-904, 38.2-1038,\n38.2-1040 through 38.2-1044, Articles 1 (&#xA7; 38.2-1300 et seq.) and 2 (&#xA7;\n38.2-1306.2 et seq.) of Chapter 13, &#xA7;&#xA7; 38.2-1312, 38.2-1314,\n38.2-1315.1, Articles 4 (&#xA7; 38.2-1317 et seq.), 5 (&#xA7; 38.2-1322 et\nseq.), and 6 (&#xA7; 38.2-1335 et seq.) of Chapter 13, &#xA7;&#xA7; 38.2-1400\nthrough 38.2-1442, 38.2-1446, 38.2-1447, 38.2-1800 through 38.2-1836, 38.2-3401,\n38.2-3404, 38.2-3405, 38.2-3407.1, 38.2-3407.4, 38.2-3407.10, 38.2-3407.10:1,\n38.2-3407.13, 38.2-3407.14, 38.2-3407.15, 38.2-3407.17, 38.2-3407.17:1,\n38.2-3407.19, 38.2-3415, 38.2-3541, Article 5 (&#xA7; 38.2-3551 et seq.) of\nChapter 35, &#xA7;&#xA7; 38.2-3600 through 38.2-3603, Chapter 55 (&#xA7;\n38.2-5500 et seq.), Chapter 58 (&#xA7; 38.2-5800 et seq.), and Chapter 65\n(&#xA7; 38.2-6500 et seq.) shall apply to the operation of a plan.\n\nB. The provisions of subsection A of &#xA7; 38.2-322 shall apply to an\noptometric services plan. The provisions of subsection C of &#xA7; 38.2-322\nshall apply to a dental services plan.\n\nC. The provisions of Article 1.2 (&#xA7; 32.1-137.7 et seq.) of Chapter 5 of\nTitle 32.1 shall not apply to either an optometric or dental services plan.\n\nD. The provisions of &#xA7; 38.2-3407.1 shall apply to claim payments made on or\nafter January 1, 2014. No optometric or dental services plan shall be required\nto pay interest computed under &#xA7; 38.2-3407.1 if the total interest is less\nthan $5.\n\nHISTORY: 1980, c. 682, \u00a7 38.1-899; 1983, c. 457; 1986, c. 562; 1989, c. 653;\n1993, cc. 158, 307; 1996, c. 776; 1998, cc. 42, 891; 1999, cc. 643, 649, 709,\n739; 2000, cc. 47, 50, 922; 2004, c. 315; 2006, c. 427; 2010, cc. 583, 734;\n2011, c. 788; 2013, cc. 473, 670, 679; 2014, c. 309; 2015, cc. 14, 723; 2019, c.\n655; 2020, cc. 264, 916, 917; 2021, Sp. Sess. I, c. 161; 2024, cc. 197, 319,\n345.","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}}