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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>64092</law_id><section_number>38.2-3424</section_number><catch_line>Disclosure of extent and elements of coverage</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><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="3">Jurisdiction over Providers of Health Care Services</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> Any agent, agency, administrator, or other <span class="dictionary">person</span> that advertises, sells, transacts, or administers coverage for health care services in this Commonwealth where that coverage is provided by any <span class="dictionary">person</span> subject to the provisions of this article shall inform any purchaser, prospective purchaser, or covered <span class="dictionary">person</span> of (i) the lack of <span class="dictionary">insurance</span> or other coverage, unless that coverage is fully insured or otherwise fully covered by an admitted life <span class="dictionary">insurer</span>, accident and sickness <span class="dictionary">insurer</span>, <span class="dictionary">health services plan</span>, dental or optometric services plan, or health maintenance organization and (ii) if the coverage is fully insured or otherwise fully covered, the terms, coverages, limits, and deductibles including the amount of &#x201C;stop-loss&#x201D; <span class="dictionary">insurance</span> in effect. <a id="paragraph-233364" class="section-permalink" href="https://vacode.org/38.2-3424/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> No <span class="dictionary">person</span>, including an administrator, <span class="dictionary">insurer</span>, agent, or affiliate of an <span class="dictionary">insurer</span> shall make, publish, disseminate, circulate, or place before the public, or cause, directly or indirectly, to be made, published, disseminated, circulated, or placed before the public, in any newspaper, magazine or other publication, or in the form of a notice, circular, pamphlet, letter or poster, or over any radio station or television station, or in any other way, any advertisement, announcement, or statement soliciting membership, offering coverage, or evidencing coverage in any health care plan or arrangement which is subject to regulation by the <span class="dictionary">Commission</span> under this article and not otherwise regulated by this title, unless such advertisement, announcement, or statement contains the following disclosure:
			Your plan of coverage is not protected under the Virginia Life, Accident and Sickness <span class="dictionary">Insurance</span> Guaranty Association Act. Therefore: <a id="paragraph-233365" class="section-permalink" href="https://vacode.org/38.2-3424/#B"><i class="fa fa-link"/></a></p></section>
						<section id="B1" class="indent-1"><p><span class="prefix-number">1.</span> In the event of an insolvency of your plan, you may be unable to collect any amount you are owed for covered claims, regardless of the coverage provided under the plan; <a id="paragraph-233366" class="section-permalink" href="https://vacode.org/38.2-3424/#B1"><i class="fa fa-link"/></a></p></section>
						<section id="B2" class="indent-1"><p><span class="prefix-number">2.</span> The payment of premiums into your plan does not guarantee payment of claims under your plan, regardless of the coverage provided under the plan.
				When such disclosure is contained in print, it shall be no smaller than boldfaced ten-point type. <a id="paragraph-233367" class="section-permalink" href="https://vacode.org/38.2-3424/#B2"><i class="fa fa-link"/></a></p></section></text><history>1983, c. 417, &#xA7; 38.1-43.11; 1986, c. 562; 1990, c. 477.</history><metadata></metadata></law>
