                                 CODE OF VIRGINIA

ANNUAL STATEMENT (§ 38.2-4307)

A. Each health maintenance organization shall file a statement with the
Commission annually by March 1. The statement shall be verified by at least two
principal officers and shall cover the preceding calendar year. Each health
maintenance organization shall also send a copy of the statement to the State
Health Commissioner.

B. The statement shall be on forms prescribed by the Commission and shall
include:

   1. A financial statement of the organization, including its balance sheet and
   income statement for the preceding year;

   2. Any material changes in the information submitted pursuant to subsection B
   of &#xA7; 38.2-4301;

   3. The number of persons enrolled during the year, the number of enrollees as
   of the end of the year and the number of enrollments terminated during the
   year; and

   4. Any other information relating to the operations of the health maintenance
   organization required by the Commission pursuant to this chapter or Chapter 58
   (&#xA7; 38.2-5800 et seq.) of this title.

C. If the health maintenance organization is audited annually by an independent
certified public accountant, a copy of the certified audit report shall be filed
annually with the Commission by June 30.

D. The Commission may extend the time prescribed for filing annual statements or
other reports or exhibits of any health maintenance organization for good cause
shown. However, the Commission shall not extend the time for filing annual
statements beyond sixty days after the time prescribed by subsection A of this
section. Any health maintenance organization which fails to file its annual
statement within the time prescribed by this section shall be subject to a fine
as specified in &#xA7; 38.2-218.

E. The Commission may prescribe the form of the annual statement and
supplemental schedules and exhibits to include additional copies in
machine-readable format, and may vary the form requirements for different types
of health maintenance organizations. However, as far as practicable, the form
for annual statements, supplementary schedules, and exhibits shall be the same
as other such forms in general use in the United States. Unless otherwise
prescribed by the Commission, such annual statements shall be prepared using an
annual statement convention blank developed by the National Association of
Insurance Commissioners (NAIC). The annual statement, and supplementary
schedules and exhibits required by this section, shall be prepared in accordance
with the appropriate annual statement instructions and the accounting practices
and procedures manual adopted by the NAIC, or any successor publications.

F. At the request of the Commission, a health maintenance organization that is
licensed under this chapter shall annually on or before March 1 of each year,
file with the NAIC a copy of its annual statement convention blank, along with
such additional filings as prescribed by the Commission for the preceding year.
Unless otherwise prescribed by the Commission, the information filed with the
NAIC shall be in the same format and scope as that required by the Commission
and shall include the signed jurat page and any actuarial certification required
by the Commission. Any amendments and addenda to the annual statement filed
subsequently with the Commission shall also be filed with the NAIC.

HISTORY: 1980, c. 720, § 38.1-870; 1986, c. 562; 1987, c. 520; 1998, c. 891;
1999, c. 482.