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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>81440</law_id><section_number>38.2-6507</section_number><catch_line>Appeal of decertification or denial of certification</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="65">Virginia Health Benefit Exchange</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> The Exchange shall give each <span class="dictionary">health carrier</span> the opportunity to <span class="dictionary">appeal</span> a decertification decision or the denial of certification as a <span class="dictionary">qualified health plan</span> or <span class="dictionary">qualified dental plan</span>. <a id="paragraph-291813" class="section-permalink" href="https://vacode.org/38.2-6507/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> The Exchange shall give each <span class="dictionary">health carrier</span> that <span class="dictionary">appeals</span> a decertification decision or the denial of certification the opportunity for: <a id="paragraph-291814" class="section-permalink" href="https://vacode.org/38.2-6507/#B"><i class="fa fa-link"/></a></p></section>
						<section id="B1" class="indent-1"><p><span class="prefix-number">1.</span> The submission and consideration of <span class="dictionary">facts</span>, arguments, or proposals of adjustment of the plan or <span class="dictionary">plans</span> at <span class="dictionary">issue</span>; and <a id="paragraph-291815" class="section-permalink" href="https://vacode.org/38.2-6507/#B1"><i class="fa fa-link"/></a></p></section>
						<section id="B2" class="indent-1"><p><span class="prefix-number">2.</span> A <span class="dictionary">hearing</span> and a decision on the record, to the extent that the Exchange and the <span class="dictionary">health carrier</span> are unable to reach agreement following the submission of the information in subdivision 1. <a id="paragraph-291816" class="section-permalink" href="https://vacode.org/38.2-6507/#B2"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> Any <span class="dictionary">hearing</span> held pursuant to subsection B shall be conducted by the <span class="dictionary">Commission</span> in accordance with its rules of practice and procedure. <a id="paragraph-291817" class="section-permalink" href="https://vacode.org/38.2-6507/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> Any final action or <span class="dictionary">order</span> of the <span class="dictionary">Commission</span> shall be subject to judicial review in accordance with the provisions of &#xA7;&#xA7; <a class="law" title="Appeals generally" href="/12.1-39/">12.1-39</a>, <a class="law" title="Method of taking and prosecuting appeals" href="/12.1-40/">12.1-40</a>, and <a class="law" title="Petitions for writs of supersedeas" href="/12.1-41/">12.1-41</a>. <a id="paragraph-291818" class="section-permalink" href="https://vacode.org/38.2-6507/#D"><i class="fa fa-link"/></a></p></section></text><history>2020, cc. 916, 917.</history><metadata></metadata></law>
