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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>59642</law_id><section_number>38.2-4204.1</section_number><catch_line>Commission approval of mergers of nonstock corporations operating prepaid hospital, medical and surgical services plans</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="42">Health Services Plans</unit><unit label="article" level="3" order_by="1" identifier="1">In General</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> Except as otherwise provided in this chapter, Article 11 (&#xA7; <a class="law" title="Definitions" href="/13.1-893.1/">13.1-893.1</a> et seq.) of Chapter 10 of Title 13.1 shall apply to mergers involving corporations licensed under this chapter. <a id="paragraph-218420" class="section-permalink" href="https://vacode.org/38.2-4204.1/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> Before any joint agreement for the merger of a corporation licensed under this chapter is submitted to the members, it shall first be submitted to and approved by the <span class="dictionary">Commission</span>. The <span class="dictionary">Commission</span> shall approve the agreement, unless, after giving notice and opportunity to be heard, it determines that: <a id="paragraph-218421" class="section-permalink" href="https://vacode.org/38.2-4204.1/#B"><i class="fa fa-link"/></a></p></section>
						<section id="B1" class="indent-1"><p><span class="prefix-number">1.</span> After the merger, the new or surviving corporation would not be able to satisfy the requirements of this chapter for the issuance of a license; <a id="paragraph-218422" class="section-permalink" href="https://vacode.org/38.2-4204.1/#B1"><i class="fa fa-link"/></a></p></section>
						<section id="B2" class="indent-1"><p><span class="prefix-number">2.</span> The effect of the merger would lessen competition substantially or tend to create a monopoly in <span class="dictionary">insurance</span>, prepaid hospital, medical and surgical services <span class="dictionary">plans</span>, or health care benefit <span class="dictionary">plans</span> in this Commonwealth; <a id="paragraph-218423" class="section-permalink" href="https://vacode.org/38.2-4204.1/#B2"><i class="fa fa-link"/></a></p></section>
						<section id="B3" class="indent-1"><p><span class="prefix-number">3.</span> The financial condition of any <span class="dictionary">party</span> to the merger might jeopardize the financial stability of the new or surviving corporation, or prejudice the interest of the <span class="dictionary">subscribers</span>; <a id="paragraph-218424" class="section-permalink" href="https://vacode.org/38.2-4204.1/#B3"><i class="fa fa-link"/></a></p></section>
						<section id="B4" class="indent-1"><p><span class="prefix-number">4.</span> Any <span class="dictionary">plans</span> or proposals of the new or surviving corporation to liquidate the new or surviving corporation, sell its <span class="dictionary">assets</span> or merge it with any <span class="dictionary">person</span>, or to make any other <span class="dictionary">material</span> change in its business or corporate structure or management, are unfair and unreasonable to the <span class="dictionary">subscribers</span> and not in the public interest; <a id="paragraph-218425" class="section-permalink" href="https://vacode.org/38.2-4204.1/#B4"><i class="fa fa-link"/></a></p></section>
						<section id="B5" class="indent-1"><p><span class="prefix-number">5.</span> The competence, experience, and integrity of those <span class="dictionary">persons</span> who would control the operation of the new or surviving corporation are such that it would not be in the interest of the <span class="dictionary">subscribers</span> and of the public to permit the merger; or <a id="paragraph-218426" class="section-permalink" href="https://vacode.org/38.2-4204.1/#B5"><i class="fa fa-link"/></a></p></section>
						<section id="B6" class="indent-1"><p><span class="prefix-number">6.</span> After the change of control, the new or surviving corporation&#x2019;s surplus to <span class="dictionary">subscribers</span> would not be reasonable in relation to its outstanding liabilities or adequate to its financial needs. <a id="paragraph-218427" class="section-permalink" href="https://vacode.org/38.2-4204.1/#B6"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> The provisions of subsection B notwithstanding, the <span class="dictionary">Commission</span> has the authority to merge two <span class="dictionary">nonstock corporations</span> licensed under this chapter where it finds that (i) one of the corporations is insolvent or is in such condition that its further transaction of business in this Commonwealth is hazardous to <span class="dictionary">subscribers</span> and the public, (ii) that the merger of such <span class="dictionary">nonstock corporation</span> into another <span class="dictionary">nonstock corporation</span> licensed under this chapter is desirable for the protection of its <span class="dictionary">subscribers</span>, and that such merger of such <span class="dictionary">nonstock corporation</span> is in the public interest, and (iii) that an emergency exists, and if the board of directors of the insolvent or financially hazardous <span class="dictionary">nonstock corporation</span> to be merged approves a <span class="dictionary">plan</span> of merger of such <span class="dictionary">nonstock corporation</span> into another <span class="dictionary">nonstock corporation</span> licensed under this chapter, compliance with the requirements of &#xA7; <a class="law" title="Action on plan of merger" href="/13.1-895/">13.1-895</a> shall be dispensed with as to such <span class="dictionary">nonstock corporation</span> and the approval by the <span class="dictionary">Commission</span> of such <span class="dictionary">plan</span> of merger shall be the equivalent of approval of two-thirds of the members for all purposes of Article 11 (&#xA7; <a class="law" title="Definitions" href="/13.1-893.1/">13.1-893.1</a> et seq.) of Chapter 10 of Title 13.1. The <span class="dictionary">Commission</span> shall provide that prompt notice of its <span class="dictionary">findings</span>, and <span class="dictionary">plan</span> of merger be sent to the members of record of such corporation for the purpose of providing such members an opportunity to challenge the <span class="dictionary">findings</span> of the <span class="dictionary">Commission</span> and the <span class="dictionary">plan</span> of merger. The <span class="dictionary">Commission</span>&#x2019;s <span class="dictionary">findings</span> and <span class="dictionary">plan</span> of merger shall become final if a <span class="dictionary">hearing</span> before the <span class="dictionary">Commission</span> is not requested by any member in a written request delivered to the <span class="dictionary">Commission</span> within fifteen days after the notice specified herein is sent. <a id="paragraph-218428" class="section-permalink" href="https://vacode.org/38.2-4204.1/#C"><i class="fa fa-link"/></a></p></section></text><history>1986, c. 562.</history><metadata></metadata></law>
