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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>55347</law_id><section_number>38.2-4214</section_number><catch_line>Application of certain provisions of law</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><p>No provision of this title except this chapter and, insofar as they are not inconsistent with this chapter, &#xA7;&#xA7;&#xA0;<a class="law" title="General powers of the Commission relative to insurance" href="/38.2-200/">38.2-200</a>, <a class="law" title="Management and exclusive agency contracts subject to approval by Commission" href="/38.2-203/">38.2-203</a>, <a class="law" title="Award of insured's attorney fees in certain cases" href="/38.2-209/">38.2-209</a> through <a class="law" title="Violation of &#xA7; 38.2-210 or &#xA7; 38.2-211" href="/38.2-213/">38.2-213</a>, <a class="law" title="Penalties and restitution payments" href="/38.2-218/">38.2-218</a> through <a class="law" title="Disposition of fines and penalties" href="/38.2-225/">38.2-225</a>, <a class="law" title="Distributions by nonstock corporation" href="/38.2-230/">38.2-230</a>, <a class="law" title="Notice of lapse or pending lapse of certain life and accident and sickness insurance policies" href="/38.2-232/">38.2-232</a>, <a class="law" title="Contents of policies" href="/38.2-305/">38.2-305</a>, <a class="law" title="Policy forms to be filed with Commission; notice of approval or disapproval; exceptions" href="/38.2-316/">38.2-316</a>, <a class="law" title="Premium rates" href="/38.2-316.1/">38.2-316.1</a>, <a class="law" title="Dental carriers; annual actual loss ratio report" href="/38.2-316.2/">38.2-316.2</a>, <a class="law" title="Standardized claims forms" href="/38.2-322/">38.2-322</a>, <a class="law" title="Electronic delivery" href="/38.2-325/">38.2-325</a>, <a class="law" title="Plan management functions" href="/38.2-326/">38.2-326</a>, <a class="law" title="Expense of administration of insurance laws borne by licensees; minimum contribution" href="/38.2-400/">38.2-400</a>, <a class="law" title="Definitions" href="/38.2-402/">38.2-402</a> through <a class="law" title="Double assessment respecting same direct gross premium income negated" href="/38.2-413/">38.2-413</a>, <a class="law" title="Declaration of purpose" href="/38.2-500/">38.2-500</a> through <a class="law" title="Power of Commission" href="/38.2-515/">38.2-515</a>, <a class="law" title="Purposes" href="/38.2-600/">38.2-600</a> through <a class="law" title="Exceptions" href="/38.2-629/">38.2-629</a>, <a class="law" title="When domestic insurer may hold stock of another insurer" href="/38.2-700/">38.2-700</a> through <a class="law" title="Antitrust provision" href="/38.2-705/">38.2-705</a>, <a class="law" title="Workers' compensation" href="/38.2-900/">38.2-900</a> through <a class="law" title="Existing rates" href="/38.2-904/">38.2-904</a>, <a class="law" title="Applicability of Title 13.1" href="/38.2-1017/">38.2-1017</a>, <a class="law" title="Plan of merger to be approved by Commission" href="/38.2-1018/">38.2-1018</a>, <a class="law" title="Authority of Commission to issue orders covering insurers in hazardous financial condition" href="/38.2-1038/">38.2-1038</a>, and <a class="law" title="Refusal, suspension or revocation of license" href="/38.2-1040/">38.2-1040</a> through <a class="law" title="New business prohibited" href="/38.2-1044/">38.2-1044</a>, Articles 1 (&#xA7;&#xA0;<a class="law" title="Annual statements" href="/38.2-1300/">38.2-1300</a> et seq.) and 2 (&#xA7;&#xA0;<a class="law" title="Valuation of investments and other assets" href="/38.2-1306.2/">38.2-1306.2</a> et seq.) of Chapter 13, &#xA7;&#xA7;&#xA0;<a class="law" title="Unearned premium reserves" href="/38.2-1312/">38.2-1312</a>, <a class="law" title="Loss or claim reserves" href="/38.2-1314/">38.2-1314</a>, <a class="law" title="Actuarial statements of opinion, reports, memoranda, and summaries" href="/38.2-1315.1/">38.2-1315.1</a>, <a class="law" title="Examinations; when authorized or required" href="/38.2-1317/">38.2-1317</a> through <a class="law" title="Exemption" href="/38.2-1328/">38.2-1328</a>, <a class="law" title="Revocation, suspension, or nonrenewal of insurer's license" href="/38.2-1334/">38.2-1334</a>, <a class="law" title="Revocation, suspension, or nonrenewal of insurer's license" href="/38.2-1340/">38.2-1340</a>, <a class="law" title="Scope and purpose of chapter" href="/38.2-1400/">38.2-1400</a> through <a class="law" title="Guaranty association obligations" href="/38.2-1442/">38.2-1442</a>, <a class="law" title="Prohibition of hypothecation" href="/38.2-1446/">38.2-1446</a>, <a class="law" title="Exception" href="/38.2-1447/">38.2-1447</a>, <a class="law" title="Definitions" href="/38.2-1800/">38.2-1800</a> through <a class="law" title="Licensing nonresidents; reciprocal agreements with other states and Canadian provinces" href="/38.2-1836/">38.2-1836</a>, <a class="law" title="Application of chapter" href="/38.2-3400/">38.2-3400</a>, <a class="law" title="Forms of insurance authorized" href="/38.2-3401/">38.2-3401</a>, <a class="law" title="Commission may establish rules and regulations for simplified and readable accident and sickness insurance policies" href="/38.2-3404/">38.2-3404</a>, <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>, <a class="law" title="Commonwealth's right to certain accident and sickness benefits" href="/38.2-3405.1/">38.2-3405.1</a>, <a class="law" title="Application of requirements that policies offered by small employers include state-mandated health benefits" href="/38.2-3406.1/">38.2-3406.1</a>, <a class="law" title="Capped benefits under insurance policies and contracts" href="/38.2-3406.2/">38.2-3406.2</a>, <a class="law" title="Interest on accident and sickness claim proceeds" href="/38.2-3407.1/">38.2-3407.1</a> through <a class="law" title="Denial of benefits for certain prescription drugs prohibited" href="/38.2-3407.6_1/">38.2-3407.6:1</a>, <a class="law" title="Reimbursement for emergency medical services vehicle transportation services" href="/38.2-3407.9/">38.2-3407.9</a> through <a class="law" title="Calculation of enrollee's contribution to out-of-pocket maximum or cost-sharing requirement" href="/38.2-3407.20/">38.2-3407.20</a>, <a class="law" title="Coverage of dependent children" href="/38.2-3409/">38.2-3409</a>, <a class="law" title="Coverage of newborn children required" href="/38.2-3411/">38.2-3411</a> through <a class="law" title="Report of costs and utilization of mandated benefits" href="/38.2-3419.1/">38.2-3419.1</a>, and <a class="law" title="Application of article" href="/38.2-3430.1/">38.2-3430.1</a> through <a class="law" title="Wellness programs" href="/38.2-3454/">38.2-3454</a>, Articles 8 (&#xA7;&#xA0;<a class="law" title="Definitions" href="/38.2-3461/">38.2-3461</a> et seq.) and 9 (&#xA7;&#xA0;<a class="law" title="Definitions" href="/38.2-3465/">38.2-3465</a> et seq.) of Chapter 34, &#xA7;&#xA7;&#xA0;<a class="law" title="Policy forms; powers of Commission" href="/38.2-3501/">38.2-3501</a> and <a class="law" title="Notice to be printed on policy; return of policy to insurer" href="/38.2-3502/">38.2-3502</a>, subdivision 13 of &#xA7;&#xA0;<a class="law" title="Required accident and sickness policy provisions" href="/38.2-3503/">38.2-3503</a>, subdivision 8 of &#xA7;&#xA0;<a class="law" title="Other provisions" href="/38.2-3504/">38.2-3504</a>, &#xA7;&#xA7;&#xA0;<a class="law" title="Preexisting conditions provisions" href="/38.2-3514.1/">38.2-3514.1</a> and <a class="law" title="Renewability of coverage" href="/38.2-3514.2/">38.2-3514.2</a>, &#xA7;&#xA7;&#xA0;<a class="law" title="Purpose" href="/38.2-3516/">38.2-3516</a> through <a class="law" title="Coverage of preexisting conditions" href="/38.2-3520/">38.2-3520</a> as they apply to <span class="dictionary">Medicare</span> supplement policies, &#xA7;&#xA7;&#xA0;<a class="law" title="Limits of group accident and sickness insurance" href="/38.2-3522.1/">38.2-3522.1</a> through <a class="law" title="Minimum number of persons covered" href="/38.2-3523.4/">38.2-3523.4</a>, <a class="law" title="Group accident and sickness insurance coverages of spouses, dependent children or other persons" href="/38.2-3525/">38.2-3525</a>, <a class="law" title="Claims experience" href="/38.2-3540.1/">38.2-3540.1</a>, <a class="law" title="Continuation on termination of eligibility" href="/38.2-3541/">38.2-3541</a>, <a class="law" title="Enrollment following change in eligibility status under assistance programs" href="/38.2-3541.2/">38.2-3541.2</a>, <a class="law" title="Notice to employees upon termination of coverage; penalty for failure to remit funds" href="/38.2-3542/">38.2-3542</a>, and <a class="law" title="Applicability of laws" href="/38.2-3543.2/">38.2-3543.2</a>, Article 5 (&#xA7;&#xA0;<a class="law" title="Definitions" href="/38.2-3551/">38.2-3551</a> et seq.) of Chapter 35, Chapter 35.1 (&#xA7;&#xA0;<a class="law" title="Definitions" href="/38.2-3556/">38.2-3556</a> et seq.), &#xA7;&#xA7;&#xA0;<a class="law" title="Medicare supplement policy; definition" href="/38.2-3600/">38.2-3600</a> through <a class="law" title="Group or individual Medicare supplement policies; minimum standards" href="/38.2-3607/">38.2-3607</a> and <a class="law" title="Medicare supplement policies for persons eligible by reason of disability" href="/38.2-3610/">38.2-3610</a>, Chapter 52 (&#xA7;&#xA0;<a class="law" title="Definitions" href="/38.2-5200/">38.2-5200</a> et seq.), Chapter 55 (&#xA7;&#xA0;<a class="law" title="Applicability" href="/38.2-5500/">38.2-5500</a> et seq.), Chapter 58 (&#xA7;&#xA0;<a class="law" title="Definitions" href="/38.2-5800/">38.2-5800</a> et seq.), Chapter 65 (&#xA7;&#xA0;<a class="law" title="Definitions" href="/38.2-6500/">38.2-6500</a> et seq.), and Chapter 66 (&#xA7;&#xA0;<a class="law" title="Definitions" href="/38.2-6600/">38.2-6600</a> et seq.) shall apply to the operation of a <span class="dictionary">plan</span>.</p></section></text><history>Code 1950, &#xA7; 32-195.8; 1956, c. 268, &#xA7; 38.1-818; 1960, c. 357; 1973, c. 28; 1975, c. 281; 1976, c. 355; 1977, cc. 606, 607; 1978, c. 496; 1979, cc. 47, 97, 721, 726; 1980, cc. 682, 719; 1981, c. 575; 1982, c. 577; 1983, c. 457; 1984, c. 718; 1986, cc. 550, 562; 1987, cc. 565, 655; 1989, cc. 606, 653; 1990, cc. 301, 393, 439, 531, 795, 802, 826; 1991, c. 369; 1992, c. 800; 1993, cc. 158, 306, 307; 1994, cc. 213, 320, 374, 522; 1995, cc. 420, 522; 1996, cc. 550, 776, 967; 1997, cc. 688, 807, 913; 1998, cc. 154, 891, 908; 1999, cc. 643, 649, 709, 739, 856, 857, 923; 2000, cc. 47, 50, 187, 532, 540, 922; 2004, c. 315; 2006, c. 427; 2009, cc. 796, 877; 2010, cc. 504, 583, 734; 2011, cc. 788, 882; 2012, cc. 634, 641; 2013, cc. 670, 679, 751; 2015, cc. 14, 723; 2016, c. 475; 2019, cc. 661, 662, 666, 684; 2020, cc. 219, 264, 916, 917, 1161, 1288; 2021, Sp. Sess. I, c. 480; 2024, cc. 319, 345.</history><metadata></metadata></law>
