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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>56086</law_id><section_number>38.2-3557</section_number><catch_line>Scope of chapter</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>38.2-3556</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="35.1">Health Carrier Internal Appeal Process and External Review</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> This chapter shall apply to all <span class="dictionary">health carriers</span>, except that the provisions of this chapter shall not apply to a policy or certificate that provides coverage only for a specified disease, specified accident or accident-only coverage, credit, disability income, hospital indemnity, long-term care, dental, vision care, or any other limited supplemental benefit or to a <span class="dictionary">Medicare</span> supplement policy of <span class="dictionary">insurance</span>, coverage under a plan through <span class="dictionary">Medicare</span>, Medicaid, or the federal employees health <span class="dictionary">benefits</span> program, self-insured plans, any coverage issued under Chapter 55 of Title 10 of the U.S. Code, and any coverage issued as supplemental to that coverage, any coverage issued as supplemental to liability <span class="dictionary">insurance</span>, workers&#x2019; compensation or similar <span class="dictionary">insurance</span>, automobile medical payment <span class="dictionary">insurance</span> or any <span class="dictionary">insurance</span> under which <span class="dictionary">benefits</span> are payable with or without regard to fault, whether written on a group blanket or individual basis. <a id="paragraph-205581" class="section-permalink" href="https://vacode.org/38.2-3557/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> Notwithstanding the provisions of this section, self-insured employee welfare benefit plans may request a standard external review from the <span class="dictionary">Commission</span>. &#x201C;Employee welfare benefit plan&#x201D; has the meaning set forth in the Employee Retirement Income Security Act of 1974, 29 U.S.C. &#xA7; 1002 (1). <a id="paragraph-205582" class="section-permalink" href="https://vacode.org/38.2-3557/#B"><i class="fa fa-link"/></a></p></section></text><history>2011, c. 788.</history><metadata></metadata></law>
