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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>79541</law_id><section_number>38.2-3407.13:1</section_number><catch_line>Coordination of benefits; notice of priority of coverage</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>38.2-4319</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="38.2">Insurance</unit><unit label="chapter" level="2" order_by="1" identifier="34">Provisions Relating to Accident and Sickness Insurance</unit><unit label="article" level="3" order_by="1" identifier="1">General Provisions</unit></structure><text>
						<section><p>Each (i) <span class="dictionary">insurer</span> issuing individual or group accident and sickness <span class="dictionary">insurance policies</span> providing hospital, medical and surgical or major medical coverage on an expense-incurred basis, (ii) corporation providing individual or group accident and sickness subscription <span class="dictionary">contracts</span>, and (iii) health maintenance organization providing a health care plan for health care services, whose policy, <span class="dictionary">contract</span> or plan, including any certificate or <span class="dictionary">evidence</span> of coverage issued in connection with any such policy, <span class="dictionary">contract</span> or plan, contains a coordination of benefits provision shall provide written notification to the insured, subscriber or member as a prominent part of its enrollment <span class="dictionary">materials</span> that if such insured, subscriber or member is covered under another group accident and sickness insurance policy, group accident and sickness subscription <span class="dictionary">contract</span>, or group health care plan for health care services, that insurance policy, subscription <span class="dictionary">contract</span> or health care plan may have primary responsibility for the covered expenses of other family members enrolled with the insured, subscriber or member. Such written notification shall describe generally the conditions upon which the other coverage would be primary for dependent children enrolled under the insured&#x2019;s, subscriber&#x2019;s, or member&#x2019;s coverage and the method by which the insured, subscriber or member may verify from the <span class="dictionary">insurer</span>, corporation or health maintenance organization which coverage would have primary responsibility for the covered expenses of each family member. The provisions of this section shall not be construed to abrogate any coordination of benefits provision authorized pursuant to subsection B of &#xA7;&#xA0;<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>.</p></section></text><history>2000, c. 149.</history><metadata></metadata></law>
