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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>85130</law_id><section_number>38.2-4307.1</section_number><catch_line>Additional reports</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>38.2-4310.1</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="43">Health Maintenance Organizations</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> In addition to the annual statement, the <span class="dictionary">Commission</span> may require a licensed <span class="dictionary">health maintenance organization</span> to file additional reports, exhibits or statements considered necessary to secure complete information concerning the condition, solvency, experience, transactions or affairs of the <span class="dictionary">health maintenance organization</span>. The <span class="dictionary">Commission</span> shall establish reasonable deadlines for filing these additional reports, exhibits, or statements and may require verification by any officers of the <span class="dictionary">health maintenance organization</span> designated by the <span class="dictionary">Commission</span>. <a id="paragraph-305065" class="section-permalink" href="https://vacode.org/38.2-4307.1/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> The <span class="dictionary">Commission</span> may require a licensed <span class="dictionary">health maintenance organization</span> to file with the National Association of <span class="dictionary">Insurance</span> <span class="dictionary">Commissioners</span> (NAIC) a copy of its financial statement required to be filed pursuant to &#xA7; <a class="law" title="Annual statement" href="/38.2-4307/">38.2-4307</a>, on a quarterly basis. Unless otherwise prescribed by the <span class="dictionary">Commission</span>, all such financial statements, whether filed with the <span class="dictionary">Commission</span> or the NAIC, shall be prepared in accordance with applicable provisions of the annual statement instructions and the accounting practices and procedures manual adopted by the NAIC, or any successor publications. The <span class="dictionary">Commission</span> may prescribe that additional copies of financial statements and other reports be filed in machine-readable format. <a id="paragraph-305066" class="section-permalink" href="https://vacode.org/38.2-4307.1/#B"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> Each annual and quarterly statement shall be accompanied by a statement of covered and uncovered expenses. The statement shall be prepared in accordance with instructions prescribed by the <span class="dictionary">Commission</span> for reporting the expenses of the <span class="dictionary">health maintenance organization</span> during the three months comprising the most recently ended calendar-year quarter. The statement of covered and uncovered expenses shall not be required for any <span class="dictionary">health maintenance organization</span> that reports a <span class="dictionary">capital and surplus</span> amount of at least $4,500,000 on its most recent annual or quarterly financial statement filed with the <span class="dictionary">Commission</span>. <a id="paragraph-305067" class="section-permalink" href="https://vacode.org/38.2-4307.1/#C"><i class="fa fa-link"/></a></p></section></text><history>1990, c. 224; 1999, c. 482; 2000, c. 503; 2006, c. 448.</history><metadata></metadata></law>
