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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>83348</law_id><section_number>38.2-3430.5</section_number><catch_line>Application of financial capacity limits</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="4.1">Individual Health Insurance Coverage</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> A health <span class="dictionary">insurance</span> issuer may deny health <span class="dictionary">insurance</span> coverage in the individual market to an eligible individual if the health <span class="dictionary">insurance</span> issuer has demonstrated to the satisfaction of the <span class="dictionary">Commission</span> that: <a id="paragraph-298613" class="section-permalink" href="https://vacode.org/38.2-3430.5/#A"><i class="fa fa-link"/></a></p></section>
						<section id="A1" class="indent-1"><p><span class="prefix-number">1.</span> It does not have the financial reserves necessary to underwrite additional coverage; and <a id="paragraph-298614" class="section-permalink" href="https://vacode.org/38.2-3430.5/#A1"><i class="fa fa-link"/></a></p></section>
						<section id="A2" class="indent-1"><p><span class="prefix-number">2.</span> It is applying this section uniformly to all individuals in the individual market in the Commonwealth consistent with the <span class="dictionary">laws</span> of this Commonwealth and without regard to any health status-related factor of such individuals and without regard to whether the individuals are eligible individuals. <a id="paragraph-298615" class="section-permalink" href="https://vacode.org/38.2-3430.5/#A2"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> A health <span class="dictionary">insurance</span> issuer, upon denying individual health <span class="dictionary">insurance</span> coverage in any service area in accordance with subsection A, may not offer such coverage in the individual market within such service area for a period of 180 days after the date such coverage is denied or until the health <span class="dictionary">insurance</span> issuer has demonstrated to the satisfaction of the <span class="dictionary">Commission</span> that the health <span class="dictionary">insurance</span> issuer has sufficient financial reserves to underwrite additional coverage, whichever is later. <a id="paragraph-298616" class="section-permalink" href="https://vacode.org/38.2-3430.5/#B"><i class="fa fa-link"/></a></p></section></text><history>1997, cc. 807, 913.</history><metadata></metadata></law>
