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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>62548</law_id><section_number>38.2-4509</section_number><catch_line>Application of certain laws</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="45">Dental or Optometric Services Plans</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> No provision of this title except this chapter and, insofar as they are not inconsistent with this chapter, &#xA7;&#xA7; <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="Immunity from liability" href="/38.2-229/">38.2-229</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="Dental carriers; annual actual loss ratio report" href="/38.2-316.2/">38.2-316.2</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="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="Authority of Commission to issue orders covering insurers in hazardous financial condition" href="/38.2-1038/">38.2-1038</a>, <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; <a class="law" title="Annual statements" href="/38.2-1300/">38.2-1300</a> et seq.) and 2 (&#xA7; <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; <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>, Articles 4 (&#xA7; <a class="law" title="Examinations; when authorized or required" href="/38.2-1317/">38.2-1317</a> et seq.), 5 (&#xA7; <a class="law" title="Definitions" href="/38.2-1322/">38.2-1322</a> et seq.), and 6 (&#xA7; <a class="law" title="Definitions" href="/38.2-1335/">38.2-1335</a> et seq.) of Chapter 13, &#xA7;&#xA7; <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="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="Interest on accident and sickness claim proceeds" href="/38.2-3407.1/">38.2-3407.1</a>, <a class="law" title="Explanation of benefits" href="/38.2-3407.4/">38.2-3407.4</a>, <a class="law" title="Health care provider panels" href="/38.2-3407.10/">38.2-3407.10</a>, <a class="law" title="Processing of new provider applications and reimbursement for services rendered during pendency of a participating provider's credentialing application" href="/38.2-3407.10_1/">38.2-3407.10:1</a>, <a class="law" title="Refusal to accept assignments prohibited; dentists and oral surgeons" href="/38.2-3407.13/">38.2-3407.13</a>, <a class="law" title="Notice of premium or deductible increases" href="/38.2-3407.14/">38.2-3407.14</a>, <a class="law" title="Ethics and fairness in carrier business practices" href="/38.2-3407.15/">38.2-3407.15</a>, <a class="law" title="Payment for services by dentists and oral surgeons" href="/38.2-3407.17/">38.2-3407.17</a>, <a class="law" title="Payment and reimbursement practices for dental services; network access" href="/38.2-3407.17_1/">38.2-3407.17:1</a>, <a class="law" title="Payment for services by optometrists and ophthalmologists" href="/38.2-3407.19/">38.2-3407.19</a>, <a class="law" title="Exclusion or reduction of benefits for certain causes prohibited" href="/38.2-3415/">38.2-3415</a>, <a class="law" title="Continuation on termination of eligibility" href="/38.2-3541/">38.2-3541</a>, Article 5 (&#xA7; <a class="law" title="Definitions" href="/38.2-3551/">38.2-3551</a> et seq.) of Chapter 35, &#xA7;&#xA7; <a class="law" title="Medicare supplement policy; definition" href="/38.2-3600/">38.2-3600</a> through <a class="law" title="Same; minimum return for individual policies" href="/38.2-3603/">38.2-3603</a>, Chapter 55 (&#xA7; <a class="law" title="Applicability" href="/38.2-5500/">38.2-5500</a> et seq.), Chapter 58 (&#xA7; <a class="law" title="Definitions" href="/38.2-5800/">38.2-5800</a> et seq.), and Chapter 65 (&#xA7; <a class="law" title="Definitions" href="/38.2-6500/">38.2-6500</a> et seq.) shall apply to the operation of a <span class="dictionary">plan</span>. <a id="paragraph-228099" class="section-permalink" href="https://vacode.org/38.2-4509/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> The provisions of subsection A of &#xA7; <a class="law" title="Standardized claims forms" href="/38.2-322/">38.2-322</a> shall apply to an <span class="dictionary">optometric services plan</span>. The provisions of subsection C of &#xA7; <a class="law" title="Standardized claims forms" href="/38.2-322/">38.2-322</a> shall apply to a dental services plan. <a id="paragraph-228100" class="section-permalink" href="https://vacode.org/38.2-4509/#B"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> The provisions of Article 1.2 (&#xA7; <a class="law" title="Definitions" href="/32.1-137.7/">32.1-137.7</a> et seq.) of Chapter 5 of Title 32.1 shall not apply to either an optometric or dental services plan. <a id="paragraph-228101" class="section-permalink" href="https://vacode.org/38.2-4509/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> The provisions of &#xA7; <a class="law" title="Interest on accident and sickness claim proceeds" href="/38.2-3407.1/">38.2-3407.1</a> shall apply to claim payments made on or after January 1, 2014. No optometric or dental services plan shall be required to pay interest computed under &#xA7; <a class="law" title="Interest on accident and sickness claim proceeds" href="/38.2-3407.1/">38.2-3407.1</a> if the total interest is less than $5. <a id="paragraph-228102" class="section-permalink" href="https://vacode.org/38.2-4509/#D"><i class="fa fa-link"/></a></p></section></text><history>1980, c. 682, &#xA7; 38.1-899; 1983, c. 457; 1986, c. 562; 1989, c. 653; 1993, cc. 158, 307; 1996, c. 776; 1998, cc. 42, 891; 1999, cc. 643, 649, 709, 739; 2000, cc. 47, 50, 922; 2004, c. 315; 2006, c. 427; 2010, cc. 583, 734; 2011, c. 788; 2013, cc. 473, 670, 679; 2014, c. 309; 2015, cc. 14, 723; 2019, c. 655; 2020, cc. 264, 916, 917; 2021, Sp. Sess. I, c. 161; 2024, cc. 197, 319, 345.</history><metadata></metadata></law>
