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Virginia Administrative Code


Agency 5 - STATE CORPORATION COMMISSION, BUREAU OF INSURANCE

Chapter 10ACCIDENT AIRTRIP INSURANCE
Chapter 20VARIABLE CONTRACT REGULATIONS
Chapter 30RULES GOVERNING LIFE INSURANCE AND ANNUITY REPLACEMENTS
Chapter 40RULES GOVERNING LIFE INSURANCE AND ANNUITY MARKETING PRACTICES [REPEALED]
Chapter 41RULES GOVERNING ADVERTISEMENT OF LIFE INSURANCE AND ANNUITIES
Chapter 43RULES GOVERNING USE OF SENIOR-SPECIFIC CERTIFICATIONS AND PROFESSIONAL DESIGNATIONS IN SALE OF LIFE OR ACCIDENT AND SICKNESS INSURANCE OR ANNUITIES
Chapter 45RULES GOVERNING SUITABILITY IN ANNUITY TRANSACTIONS
Chapter 50RULES GOVERNING NEW ANNUITY MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES
Chapter 60RULES PERMITTING SMOKER/NONSMOKER MORTALITY TABLES FOR USE IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS
Chapter 70RULES GOVERNING ACCELERATED BENEFITS PROVISIONS
Chapter 71RULES GOVERNING VIATICAL SETTLEMENT PROVIDERS AND VIATICAL SETTLEMENT BROKERS
Chapter 80RULES GOVERNING VARIABLE LIFE INSURANCE
Chapter 90RULES GOVERNING ADVERTISEMENT OF ACCIDENT AND SICKNESS INSURANCE
Chapter 100RULES GOVERNING THE SUBMISSION FOR APPROVAL OF LIFE, ACCIDENT AND SICKNESS, ANNUITY, CREDIT LIFE AND CREDIT ACCIDENT SICKNESS POLICY FORMS
Chapter 110RULES AND REGULATIONS FOR SIMPLIFIED AND READABLE ACCIDENT AND SICKNESS INSURANCE POLICIES
Chapter 120RULES GOVERNING THE IMPLEMENTATION OF THE INDIVIDUAL ACCIDENT AND SICKNESS INSURANCE MINIMUM STANDARDS ACT WITH RESPECT TO SPECIFIED DISEASE POLICIES
Chapter 130RULES GOVERNING THE FILING OF RATES FOR INDIVIDUAL AND CERTAIN GROUP ACCIDENT AND SICKNESS INSURANCE POLICY FORMS
Chapter 140RULES GOVERNING THE IMPLEMENTATION OF THE INDIVIDUAL ACCIDENT AND SICKNESS INSURANCE MINIMUM STANDARDS ACT
Chapter 150RULES TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE ...
Chapter 160RULES TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO REPEAL OF THE ...
Chapter 170RULES GOVERNING MINIMUM STANDARDS FOR MEDICARE SUPPLEMENT POLICIES
Chapter 180RULES GOVERNING UNDERWRITING PRACTICES AND COVERAGE LIMITATIONS AND EXCLUSIONS FOR ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS)
Chapter 190RULES GOVERNING THE REPORTING OF COST AND UTILIZATION DATA RELATING TO MANDATED BENEFITS AND MANDATED PROVIDERS
Chapter 200RULES GOVERNING LONG-TERM CARE INSURANCE
Chapter 210RULES GOVERNING HEALTH MAINTENANCE ORGANIZATIONS [REPEALED]
Chapter 211RULES GOVERNING HEALTH MAINTENANCE ORGANIZATIONS
Chapter 215RULES GOVERNING INDEPENDENT EXTERNAL REVIEW OF FINAL ADVERSE UTILIZATION REVIEW DECISIONS [REPEALED]
Chapter 216RULES GOVERNING INTERNAL APPEAL AND EXTERNAL REVIEW
Chapter 220RULES GOVERNING PRIVATE REVIEW AGENTS [REPEALED]
Chapter 230RULES GOVERNING CREDIT LIFE INSURANCE AND CREDIT ACCIDENT AND SICKNESS INSURANCE [REPEALED]
Chapter 232[RESERVED]
Chapter 234RULES GOVERNING ESSENTIAL AND STANDARD HEALTH BENEFIT PLAN CONTRACTS
Chapter 240RULES AND REGULATIONS REGARDING PROXIES, CONSENTS AND AUTHORIZATIONS OF DOMESTIC STOCK INSURERS
Chapter 250RULES, REGULATIONS AND FORMS RELATING TO RESTRICTIONS ON THE PURCHASE AND SALE OF EQUITY SECURITIES OF DOMESTIC STOCK INSURANCE COMPANIES
Chapter 260RULES GOVERNING INSURANCE HOLDING COMPANIES
Chapter 270RULES GOVERNING ANNUAL FINANCIAL REPORTING
Chapter 280RULES ESTABLISHING STANDARDS FOR LIFE, ANNUITY, AND ACCIDENT AND SICKNESS REINSURANCE AGREEMENTS
Chapter 290RULES ESTABLISHING STANDARDS FOR COMPANIES DEEMED TO BE IN HAZARDOUS FINANCIAL CONDITION
Chapter 300RULES GOVERNING CREDIT FOR REINSURANCE
Chapter 310RULES GOVERNING ACTUARIAL OPINIONS AND MEMORANDA
Chapter 319LIFE INSURANCE RESERVES
Chapter 320RULES ESTABLISHING MINIMUM RESERVE STANDARDS FOR INDIVIDUAL AND GROUP ACCIDENT AND SICKNESS INSURANCE CONTRACTS
Chapter 321USE OF THE 2001 CSO MORTALITY TABLE IN DETERMINING RESERVE LIABILITIES AND NONFORFEITURE BENEFITS
Chapter 322USE OF THE 2001 CSO PREFERRED CLASS STRUCTURE MORTALITY TABLE IN DETERMINING RESERVE LIABILITIES
Chapter 323RULES GOVERNING PRENEED LIFE INSURANCE MINIMUM STANDARDS FOR DETERMINING RESERVE LIABILITIES AND NONFORFEITURE VALUES
Chapter 330REPORTING OF SALVAGE AND SUBROGATION RECOVERIES [REPEALED]
Chapter 335RULES GOVERNING CLAIMS-MADE LIABILITY INSURANCE POLICIES
Chapter 340RULES GOVERNING STANDARDS FOR THE CONTENT OF FIRE INSURANCE OR FIRE INSURANCE IN COMBINATION WITH OTHER COVERAGES
Chapter 350RULES GOVERNING SURPLUS LINES INSURANCE [REPEALED]
Chapter 360RULES GOVERNING LOCAL GOVERNMENT GROUP SELF-INSURANCE POOLS
Chapter 370RULES GOVERNING GROUP SELF-INSURERS OF LIABILITY UNDER THE VIRGINIA WORKERS' COMPENSATION ACT
Chapter 380RULES GOVERNING UNDERGROUND STORAGE TANK OWNERS AND OPERATORS GROUP SELF-INSURANCE POOLS
Chapter 385RULES GOVERNING ABOVEGROUND STORAGE TANK AND PIPELINE OPERATORS GROUP SELF-INSURANCE POOLS
Chapter 390RULES GOVERNING INSURANCE PREMIUM FINANCE COMPANIES
Chapter 395RULES GOVERNING SETTLEMENT AGENTS
Chapter 400RULES GOVERNING UNFAIR CLAIM SETTLEMENT PRACTICES
Chapter 402[RESERVED]
Chapter 410RULES GOVERNING MULTIPLE EMPLOYER WELFARE ARRANGEMENTS
Chapter 420RULES GOVERNING MILITARY SALES PRACTICES



Chapter 10ACCIDENT AIRTRIP INSURANCE (create report)
Section 10Location, maintenance, repair of machines, methods of advertisement



Chapter 20VARIABLE CONTRACT REGULATIONS (create report)
Section 10Definitions
Section 20Delivery of variable contracts
Section 30Separate accounts; provisions
Section 40Filing of contracts
Section 50Procedures
Section 60Required reports
Section 70Foreign companies
Section 80Agents
Section 90Examination of other persons
Section 100Records of examination
Section 110General



Chapter 30RULES GOVERNING LIFE INSURANCE AND ANNUITY REPLACEMENTS (create report)
Section 10Purpose
Section 20Definitions
Section 30Exemptions
Section 40Duties of agents
Section 50[Repealed]
Section 51Duties of replacing insurers that use agents
Section 55Duties of the existing insurer
Section 60Duties of insurers that use agents
Section 70Duties of insurers with respect to direct response solicitations
Section 80Penalties
Section 90Severability
Section 100[Repealed]
Section 100:1EXHIBIT A. [Repealed]
FORMSFORMS (14VAC5-30)



Chapter 40RULES GOVERNING LIFE INSURANCE AND ANNUITY MARKETING PRACTICES [REPEALED] (create report)
Section 10[Repealed]
Section 20[Repealed]
Section 30[Repealed]
Section 40[Repealed]
Section 50[Repealed]
Section 60[Repealed]
Section 70[Repealed]
Section 80[Repealed]



Chapter 41RULES GOVERNING ADVERTISEMENT OF LIFE INSURANCE AND ANNUITIES (create report)
Section 10Purpose and applicability
Section 20Definitions
Section 30Form and content of advertisements
Section 40General disclosure requirements
Section 50Premiums
Section 60Nonguaranteed policy elements
Section 70Policies and benefits
Section 80Policy costs and cost comparisons
Section 90Insurer identity and representations
Section 100Testimonials, appraisals, analyses, and endorsements
Section 110Introductory, initial, or special offers
Section 120Policies sold to students
Section 130Individual deferred annuity contracts or deposit funds
Section 140Jurisdictional licensing
Section 150Approval and records maintenance requirements
Section 160Severability



Chapter 43RULES GOVERNING USE OF SENIOR-SPECIFIC CERTIFICATIONS AND PROFESSIONAL DESIGNATIONS IN SALE OF LIFE OR ACCIDENT AND SICKNESS INSURANCE OR ANNUITIES (create report)
Section 10Applicability
Section 20Senior-specific certifications and professional designations
Section 30Severability



Chapter 45RULES GOVERNING SUITABILITY IN ANNUITY TRANSACTIONS (create report)
Section 10Purpose and scope
Section 20Definitions
Section 30Exemptions
Section 40Duties of insurers and agents
Section 50Severability



Chapter 50RULES GOVERNING NEW ANNUITY MORTALITY TABLES FOR USE IN DETERMINING RESERVE LIABILITIES FOR ANNUITIES (create report)
Section 10Purpose
Section 20Definitions
Section 30Individual annuity or pure endowment contracts
Section 40Group annuity or pure endowment contracts
Section 41Application of the 1994 GAR Table
Section 50Severability



Chapter 60RULES PERMITTING SMOKER/NONSMOKER MORTALITY TABLES FOR USE IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS (create report)
Section 10Purpose
Section 20Definitions
Section 30Alternate tables
Section 40Conditions
Section 50Prohibited provision
Section 60Severability



Chapter 70RULES GOVERNING ACCELERATED BENEFITS PROVISIONS (create report)
Section 10Purpose
Section 20Compliance with the chapter
Section 30Applicability and scope
Section 40Definitions
Section 50Type of product
Section 60Assignee/beneficiary
Section 70Criteria for payment; lump sum settlement option; restrictions on use of proceeds; accidental death benefit provision
Section 80Required disclosure provision; descriptive title; tax consequences; solicitations and disclosures; effect of benefit payment
Section 90Effective date of the accelerated benefits
Section 100Waiver of premiums
Section 110Discrimination
Section 120Actuarial standards; financing options; effect on cash value; effect of outstanding policy loans
Section 130Actuarial disclosure and reserves
Section 140Filing requirement
Section 150Severability



Chapter 71RULES GOVERNING VIATICAL SETTLEMENT PROVIDERS AND VIATICAL SETTLEMENT BROKERS (create report)
Section 10Purpose
Section 20Definitions
Section 30[Repealed]
Section 31License requirements for viatical settlement providers
Section 35Viatical settlement contracts and disclosure statements
Section 40License requirements for viatical settlement brokers
Section 50Other requirements for viatical settlement brokers
Section 60Standards for evaluation of reasonable payments
Section 70Reporting requirements
Section 80[Repealed]
Section 90General rules
Section 91Advertising
Section 92Prohibited practices
Section 93Insurance company practices
Section 100Severability
FORMSFORMS (14VAC5-71)



Chapter 80RULES GOVERNING VARIABLE LIFE INSURANCE (create report)
Section 10Scope
Section 20Definitions
Section 30Licensing and approval to do business in the Commonwealth
Section 40Filing for approval to do business in the Commonwealth
Section 50Standards of suitability
Section 60Use of sales materials
Section 70Requirements applicable to contractual services
Section 80Reports to the Commission
Section 90Authority of Commission to disapprove
Section 100Variable life insurance form approval; in general
Section 110Filing of variable life insurance policies
Section 120Mandatory policy benefit and design requirements
Section 130Mandatory policy provisions
Section 140Policy loan provisions
Section 150Other policy provisions
Section 160[Repealed]
Section 200Establishment and administration of separate accounts
Section 210Amounts in the separate account
Section 220Investment by the separate account
Section 230Limitations on ownership
Section 240Valuation of separate account assets
Section 250Separate account investment policy
Section 260Charges against separate account
Section 270Standards of conduct
Section 280Conflicts of interest
Section 290Investment advisory services to a separate account
Section 300Information furnished to applicants
Section 310Applications
Section 320Reports to policyholders
Section 330Foreign companies
Section 340Qualification to sell variable life insurance
Section 350Reports of disciplinary actions
Section 360Refusal to qualify agent to sell variable life insurance: suspension, revocation, or nonrenewal of qualification
Section 370Severability



Chapter 90RULES GOVERNING ADVERTISEMENT OF ACCIDENT AND SICKNESS INSURANCE (create report)
Section 10Purpose
Section 20Applicability
Section 30Definitions
Section 40Method of disclosure of required information
Section 50Form and content of advertisements
Section 55Form and content of invitations to inquire
Section 60Requirements applicable to advertisements of covered benefits; disclosures relating to exceptions, reductions, limitations; and pre-existing ...
Section 70Necessity for disclosing policy provisions relating to renewability, cancellability, and termination
Section 80Testimonials or endorsements by third parties
Section 90Use of statistics
Section 100Identification of plan or number of policies
Section 110Disparaging comparisons and statements
Section 120Jurisdictional licensing and status of insurer
Section 130Identity of insurer
Section 140Group or quasi-group implications
Section 150Introductory, initial or special offers
Section 160Statements about an insurer
Section 170Enforcement procedures; advertising file; corrective advertising
Section 180Severability
FORMS[Repealed]



Chapter 100RULES GOVERNING THE SUBMISSION FOR APPROVAL OF LIFE, ACCIDENT AND SICKNESS, ANNUITY, CREDIT LIFE AND CREDIT ACCIDENT SICKNESS POLICY FORMS (create report)
Section 10General considerations
Section 20Source of filing
Section 30Filing date
Section 40Transmittal letter
Section 50Form requirements
Section 60Continuing responsibility of insurers
Section 70Individual accident and sickness rate information
Section 80Credit life/accident and sickness rate information



Chapter 110RULES AND REGULATIONS FOR SIMPLIFIED AND READABLE ACCIDENT AND SICKNESS INSURANCE POLICIES (create report)
Section 10Purpose
Section 20Effective date and other provisions
Section 30Scope
Section 40Definitions
Section 50Readable policy requirements; general rules; format; legibility; readability
Section 60Certification
Section 70Powers of the Commission
Section 80Severability



Chapter 120RULES GOVERNING THE IMPLEMENTATION OF THE INDIVIDUAL ACCIDENT AND SICKNESS INSURANCE MINIMUM STANDARDS ACT WITH RESPECT TO SPECIFIED DISEASE POLICIES (create report)
Section 10Purpose
Section 20Effective date and other provisions
Section 30Scope
Section 40Policy definitions
Section 50General policy requirements
Section 60Prohibited policy provisions
Section 70Specified disease minimum benefit standards
Section 80Required disclosure provisions
Section 90Requirements for replacement
Section 100Severability



Chapter 130RULES GOVERNING THE FILING OF RATES FOR INDIVIDUAL AND CERTAIN GROUP ACCIDENT AND SICKNESS INSURANCE POLICY FORMS (create report)
Section 10Purpose
Section 20[Reserved]
Section 30Scope
Section 40Definitions
Section 50General rules on rate filing; experience records and data
Section 60Filing of rates for a new policy form
Section 65Reasonableness of benefits in relation to initial premiums
Section 70Filing a rate revision
Section 75Reasonableness of benefits in relation to revised premiums
Section 80[Repealed]
Section 81Risk pools and index rate
Section 90Monitoring of experience
Section 100Severability
FORMSFORMS (14VAC5-130)



Chapter 140RULES GOVERNING THE IMPLEMENTATION OF THE INDIVIDUAL ACCIDENT AND SICKNESS INSURANCE MINIMUM STANDARDS ACT (create report)
Section 10Purpose
Section 20Compliance with chapter
Section 30Scope
Section 40Policy definitions
Section 50General policy requirements
Section 60Prohibited policy provisions
Section 70Accident and sickness minimum standards for benefits
Section 80Required disclosure provisions
Section 90Requirements for replacement
Section 100Severability



Chapter 150RULES TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO MEDICARE ... (create report)
Section 10Purpose
Section 20[Reserved]
Section 30Applicability and scope
Section 40Definitions
Section 50Benefit conversion requirements
Section 60Requirements for new policies and certificates
Section 70Buyer's guide
Section 80Severability



Chapter 160RULES TO IMPLEMENT TRANSITIONAL REQUIREMENTS FOR THE CONVERSION OF MEDICARE SUPPLEMENT INSURANCE BENEFITS AND PREMIUMS TO CONFORM TO REPEAL OF THE ... (create report)
Section 10Purpose
Section 20[Reserved]
Section 30Applicability and scope
Section 40Definitions
Section 50Benefit conversion requirements
Section 60Form and rate filing requirements
Section 70Offer of reinstitution of coverage
Section 80Requirements for new policy and certificates
Section 90Filing requirements for advertising
Section 100Buyer's guide
Section 110Severability
Section 110:1APPENDIX A. NOTICE OF CHANGES IN MEDICARE AND YOUR MEDICARE SUPPLEMENT COVERAGE-1990



Chapter 170RULES GOVERNING MINIMUM STANDARDS FOR MEDICARE SUPPLEMENT POLICIES (create report)
Section 10Purpose
Section 20Applicability and scope
Section 30Definitions
Section 40Policy definitions and terms
Section 50Policy provisions
Section 60Minimum benefit standards for prestandardized Medicare supplement benefits plan policies or certificates issued for delivery prior to July 30, 1992
Section 70Benefit standards for 1990 Medicare supplement policies delivered on or after July 30, 1992 and prior to June 1, 2010
Section 75Benefit standards for 2010 Medicare supplement policies delivered on or after June 1, 2010
Section 80Standard plans for 1990 Medicare supplement policies delivered on or after July 30, 1992, and prior to June 1, 2010
Section 85Standard plans for 2010 standardized Medicare supplement policies delivered on or after June 1, 2010
Section 90Medicare select policies and certificates
Section 100Open enrollment
Section 105Guaranteed issue for eligible persons
Section 110Standards for claims payment
Section 120Loss ratio standards and refund or credit of premium; annual filing; public hearing
Section 130Filing and approval of policies and certificates and premium rates
Section 140Permitted compensation arrangements
Section 150Required disclosure provisions
Section 160Requirements for application forms and replacement coverage
Section 170Filing requirements for advertising
Section 180Standards for marketing
Section 190Appropriateness of recommended purchase and excessive insurance
Section 200Reporting of multiple policies
Section 210Prohibition against preexisting conditions, waiting periods, elimination periods and probationary periods in replacement policies or certificates
Section 215Prohibition against use of genetic information and requests for genetic testing
Section 220Severability
Section 220:1APPENDIX A. MEDICARE SUPPLEMENT REFUND CALCULATION FORM
Section 220:2APPENDIX B. FORM FOR REPORTING MEDICARE SUPPLEMENT POLICIES
Section 220:3APPENDIX C. DISCLOSURE STATEMENTS
Section 220:4APPENDIX D. NOTICE ABOUT ATTAINED AGE RATED MEDICARE SUPPLEMENT POLICIES



Chapter 180RULES GOVERNING UNDERWRITING PRACTICES AND COVERAGE LIMITATIONS AND EXCLUSIONS FOR ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) (create report)
Section 10Purpose
Section 20Effective date
Section 30Scope
Section 40Definitions
Section 50Underwriting procedures
Section 60Coverage limitations and exclusions
Section 70Severability



Chapter 190RULES GOVERNING THE REPORTING OF COST AND UTILIZATION DATA RELATING TO MANDATED BENEFITS AND MANDATED PROVIDERS (create report)
Section 10Purpose
Section 20Scope
Section 30Definitions
Section 40Reporting requirements
Section 50Procedures
Section 60Annual notification and modification of reporting form
Section 70Penalties
Section 80Severability
Section 80:1APPENDIX A. FORM MB-1 INSTRUCTIONS AND INFORMATION
Section 80:2APPENDIX B. CPT-4, ICD-9CM, AND UB-82 REFERENCES



Chapter 200RULES GOVERNING LONG-TERM CARE INSURANCE (create report)
Section 10Purpose
Section 20Contracts effective prior to April 1, 2003
Section 30Applicability and scope
Section 40Definitions
Section 50Policy definitions
Section 60Policy practices and provisions
Section 65Unintentional lapse
Section 70Required disclosure provisions
Section 75Required disclosure of rating practices to consumer
Section 77Initial filing requirements
Section 80Prohibition of post-claims underwriting
Section 90Minimum standards for home health care benefits in long-term care insurance policies
Section 100Requirement to offer inflation protection
Section 110Requirements for application forms and replacement coverage
Section 120Reporting requirements
Section 130Discretionary powers of commission
Section 140Reserve standards
Section 150Loss ratio
Section 153Premium rate schedule increases
Section 155Filing requirement
Section 160Filing requirements for advertising
Section 170Standards for marketing
Section 175Suitability
Section 180[Repealed]
Section 181Availability of new services or providers
Section 183Right to reduce coverage and lower premiums
Section 185Nonforfeiture benefit requirement
Section 187Standards for benefit triggers
Section 190Prohibition against preexisting conditions and probationary periods in replacement policies or certificates
Section 200Standard format outline of coverage
Section 201Requirement to deliver shopper's guide
Section 205State Long-Term Care Insurance Partnership Program
Section 210Severability
FORMSFORMS (14VAC5-200)



Chapter 210RULES GOVERNING HEALTH MAINTENANCE ORGANIZATIONS [REPEALED] (create report)
Section 10[Repealed]



Chapter 211RULES GOVERNING HEALTH MAINTENANCE ORGANIZATIONS (create report)
Section 10Applicability and scope
Section 20Definitions
Section 30Covered and uncovered expenses
Section 40Surplus notes
Section 50Financial projections
Section 60Filing requirements
Section 70Conversion of coverage
Section 80Coordination of benefits
Section 90Copayments
Section 100Deductibles
Section 110Description of providers
Section 120Description of service area
Section 130Extension of benefits for total disability
Section 140Freedom of choice
Section 150Complaint and appeals procedure
Section 160Basic health care services
Section 170Supplemental health care services
Section 180Out-of-area services
Section 190Limited health care services
Section 200Essential and standard benefit plans
Section 210Disclosure requirements
Section 220Exclusions for preexisting conditions
Section 230Reasons for termination or rescission
Section 240Unfair discrimination
Section 250Conformity with state law
Section 260Penalties
Section 270Controversies involving contracts
Section 280Severability
DIBRDOCUMENTS INCORPORATED BY REFERENCE (14VAC5-211)



Chapter 215RULES GOVERNING INDEPENDENT EXTERNAL REVIEW OF FINAL ADVERSE UTILIZATION REVIEW DECISIONS [REPEALED] (create report)
Section 10[Repealed]
Section 20[Repealed]
Section 30[Repealed]
Section 40[Repealed]
Section 50[Repealed]
Section 60[Repealed]
Section 70[Repealed]
Section 80[Repealed]
Section 90[Repealed]
Section 100[Repealed]
Section 110[Repealed]
Section 120[Repealed]
Section 130[Repealed]
FORMS[Repealed]



Chapter 216RULES GOVERNING INTERNAL APPEAL AND EXTERNAL REVIEW (create report)
Section 10Scope and purpose
Section 20Definitions
Section 30General requirements
Section 40Minimum appeal requirements
Section 45Exhaustion
Section 50Urgent care appeals
Section 60Concurrent review decisions
Section 70Notification requirements
Section 80Incomplete or ineligible determinations
Section 90Expedited external review
Section 100Qualifications for independent review organizations
Section 110External review reporting requirements
Section 120Funding of external review
Section 130Self-insured plans
FORMSFORMS (14VAC5-216)



Chapter 220RULES GOVERNING PRIVATE REVIEW AGENTS [REPEALED] (create report)
Section 10[Repealed]



Chapter 230RULES GOVERNING CREDIT LIFE INSURANCE AND CREDIT ACCIDENT AND SICKNESS INSURANCE [REPEALED] (create report)
Section 10[Repealed]



Chapter 232[RESERVED] (create report)
Section 10[Reserved]



Chapter 234RULES GOVERNING ESSENTIAL AND STANDARD HEALTH BENEFIT PLAN CONTRACTS (create report)
Section 10Purpose
Section 20Scope
Section 30Definitions
Section 40General requirements
Section 50Minimum standards for benefits for the Essential Benefit Plan Contracts
Section 60Minimum standards for benefits for the Standard Benefit Plan Contracts
Section 70Limitations and exclusions
Section 80Cost-sharing requirements
Section 90Required disclosure provisions
Section 100Severability
FORMSFORMS (14VAC5-234)



Chapter 240RULES AND REGULATIONS REGARDING PROXIES, CONSENTS AND AUTHORIZATIONS OF DOMESTIC STOCK INSURERS (create report)
Section 10Application of regulation
Section 20Proxies, consents and authorizations
Section 30Disclosure of equivalent information
Section 40Definitions
Section 50Information to be furnished to security holders
Section 60Requirements as to proxy and information statement
Section 70Material required to be filed
Section 80False or misleading statements
Section 90Prohibition of certain solicitations
Section 100Special provisions applicable to election contests
Section 100:1SCHEDULE A. INFORMATION REQUIRED IN PROXY STATEMENT OR INFORMATION STATEMENT
Section 100:2SCHEDULE B. INFORMATION TO BE INCLUDED IN STATEMENTS FILED BY OR ON BEHALF OF A PARTICIPANT (OTHER THAN THE INSURER) IN A PROXY SOLICITATION IN AN ...



Chapter 250RULES, REGULATIONS AND FORMS RELATING TO RESTRICTIONS ON THE PURCHASE AND SALE OF EQUITY SECURITIES OF DOMESTIC STOCK INSURANCE COMPANIES (create report)
Section 10Definitions
Section 20Transactions exempted from the operation of subsection B of the Act
Section 30Filing of statements
Section 40Ownership of more than 10% of an equity security
Section 50Disclaimer of beneficial ownership
Section 60Exemptions from subsections A and B of the Act
Section 70Exemption from the act of securities purchased or sold by odd-lot dealers
Section 80Certain transactions subject to subsection A of the Act
Section 90Ownership of securities held in trust
Section 100Exemption for small transactions
Section 110Exemption from subsection B of the Act of transactions which need not be reported under subsection A of the Act
Section 120Exemption from subsection B of the Act of certain transactions effected in connection with a distribution
Section 130Exemption from subsection B of the Act of acquisitions of shares of stock and stock options under certain stock bonus, stock option or similar plans
Section 140Exemption from subsection B of the Act of certain transactions in which securities are received by redeeming other securities
Section 150Exemption of long term profits incident to sales within six months of the exercise of an option
Section 160Exemption from subsection B of the Act of certain acquisitions and dispositions of securities pursuant to merger or consolidations
Section 170Exemption from subsection B of the Act of transactions involving the deposit or withdrawal of equity securities under a voting trust or deposit ...
Section 180Exemption from subsection B of the Act of certain transactions involving the conversion of equity securities
Section 190Exemption from subsection B of the Act of certain transactions involving the sale of subscription rights
Section 200Exemption of certain securities from subsection C of the Act
Section 210Exemption from subsection C of the Act of certain transactions effected in connection with distribution
Section 220Exemption from subsection C of the Act of sales of securities to be acquired
Section 230Arbitrage transactions under subsection E of the Act
Section 240Penalty provision
FORMSFORMS (14VAC5-250)



Chapter 260RULES GOVERNING INSURANCE HOLDING COMPANIES (create report)
Section 10Applicability
Section 20[Repealed]
Section 30Definitions
Section 40Acquisition of control; approval of applications
Section 50Acquisitions involving insurers not otherwise covered
Section 60Annual registration of insurers; registration statement filings and amendments
Section 70Disclaimers and termination of registration
Section 80Transactions subject to prior notice filing
Section 90Dividends and other distributions
Section 100Management of controlled insurers and standards for transactions with affiliates
Section 110Severability clause
FORMSFORMS (14VAC5-260)



Chapter 270RULES GOVERNING ANNUAL FINANCIAL REPORTING (create report)
Section 10Purpose
Section 20Applicability
Section 30Scope
Section 40Definitions
Section 50General requirements related to filing and extensions for filing of annual Audited Financial Reports and Audit Committee appointment
Section 60Contents of annual Audited Financial Report
Section 70Designation of independent certified public accountant
Section 80Qualifications of accountant
Section 90Consolidated or combined audits
Section 100Scope of audit and report of independent certified public accountant
Section 110Notification of adverse financial condition
Section 120Communicating internal control related matters noted in an audit
Section 130Accountant's letter of qualifications
Section 140Availability and maintenance of independent certified public accountant workpapers
Section 144Requirements for Audit Committees
Section 146Conduct of insurer in connection with the preparation of required reports and documents
Section 148Management's Report of Internal Control over Financial Reporting
Section 150Exemptions
Section 160[Repealed]
Section 170Canadian and British companies
Section 174Retention of independent certified public accountant on or after January 1, 2010, and other effective dates
Section 180Severability
FORMSFORMS (14VAC5-270)
DIBRDOCUMENTS INCORPORATED BY REFERENCE (14VAC5-270)



Chapter 280RULES ESTABLISHING STANDARDS FOR LIFE, ANNUITY, AND ACCIDENT AND SICKNESS REINSURANCE AGREEMENTS (create report)
Section 10Definitions
Section 20Purpose
Section 30Scope
Section 40Accounting and actuarial requirements
Section 50Written agreements
Section 60Existing agreements
Section 70Severability
Section 70:1EXHIBIT 1. SIGNIFICANT RISKS TABLE
Section 70:2EXHIBIT 2. SAMPLE FORMULA FOR DETERMINING RESERVE INTEREST RATE ADJUSTMENT



Chapter 290RULES ESTABLISHING STANDARDS FOR COMPANIES DEEMED TO BE IN HAZARDOUS FINANCIAL CONDITION (create report)
Section 10Purpose
Section 20Applicability and scope
Section 30Standards
Section 40Commission's authority
Section 50Severability



Chapter 300RULES GOVERNING CREDIT FOR REINSURANCE (create report)
Section 10Purpose
Section 20[Repealed]
Section 30Applicability and scope
Section 40Definitions
Section 50[Repealed]
Section 60Credit for reinsurance; reinsurer licensed in this Commonwealth
Section 70Credit for reinsurance; accredited reinsurers
Section 80Credit for reinsurance; reinsurer domiciled and licensed in another state, and neither licensed nor accredited in Virginia
Section 90Credit for reinsurance; reinsurers maintaining trust funds
Section 95Credit for reinsurance; certified reinsurers
Section 100Credit for reinsurance required by law
Section 110Asset or reduction from liability for reinsurance ceded to an assuming insurer not meeting the requirements of 14VAC5-300-60 through 14VAC5-300-100
Section 120Trust agreements qualified under 14VAC5-300-110 and subdivision 2 of 38.2-1316.4 of the Act
Section 130Letters of credit qualifying for 38.2-1316.4 credit under 14VAC5-300-110
Section 140Other security
Section 150Reinsurance contract
Section 160Contracts affected
Section 170Severability
FORMSFORMS
DIBRDOCUMENTS INCORPORATED BY REFERENCE



Chapter 310RULES GOVERNING ACTUARIAL OPINIONS AND MEMORANDA (create report)
Section 10Purpose
Section 20Authority; effective date
Section 30Scope
Section 40Definitions
Section 50General requirements for actuarial opinions
Section 60[Repealed]
Section 80Statement of actuarial opinion based on an asset adequacy analysis
Section 90Description of actuarial memorandum issued for an asset adequacy analysis and regulatory asset adequacy issues summary
Section 100Record retention
Section 105Notification of an opinion in error; amended opinion
Section 110[Repealed]
Section 120Severability



Chapter 319LIFE INSURANCE RESERVES (create report)
Section 10Definitions
Section 20Purpose
Section 30Applicability
Section 40General calculation requirements for basic reserves and premium deficiency reserves
Section 50Calculation of minimum valuation standard for policies with guaranteed nonlevel gross premiums or guaranteed nonlevel benefits (other than ...
Section 60Calculation of minimum valuation standard for flexible premium and fixed premium universal life insurance policies that contain provisions ...
Section 70Twenty-year select mortality factors
Section 80Severability



Chapter 320RULES ESTABLISHING MINIMUM RESERVE STANDARDS FOR INDIVIDUAL AND GROUP ACCIDENT AND SICKNESS INSURANCE CONTRACTS (create report)
Section 10Purpose
Section 20General
Section 30Claim reserves
Section 40Premium reserves
Section 50Contract reserves
Section 60Reinsurance
Section 70Severability
Section 70:1APPENDIX A. SPECIFIC STANDARDS FOR MORBIDITY, INTEREST AND MORTALITY
Section 70:2APPENDIX B. GLOSSARY OF TECHNICAL TERMS USED
Section 70:3APPENDIX C. RESERVES FOR WAIVER OF PREMIUM



Chapter 321USE OF THE 2001 CSO MORTALITY TABLE IN DETERMINING RESERVE LIABILITIES AND NONFORFEITURE BENEFITS (create report)
Section 10Authority
Section 20Definitions
Section 302001 CSO Mortality Table
Section 40Conditions
Section 50Applicability of the 2001 CSO Mortality Table to 14VAC5-319
Section 60Gender-blended tables
Section 70Severability clause
DIBRDOCUMENTS INCORPORATED BY REFERENCE (14VAC5-321)



Chapter 322USE OF THE 2001 CSO PREFERRED CLASS STRUCTURE MORTALITY TABLE IN DETERMINING RESERVE LIABILITIES (create report)
Section 10Authority
Section 20Definitions
Section 302001 CSO Preferred Class Structure Mortality Table
Section 40Conditions
Section 50Severability clause
DIBRDOCUMENTS INCORPORATED BY REFERENCE (14VAC5-322)



Chapter 323RULES GOVERNING PRENEED LIFE INSURANCE MINIMUM STANDARDS FOR DETERMINING RESERVE LIABILITIES AND NONFORFEITURE VALUES (create report)
Section 10Authority
Section 20Definitions
Section 30Minimum valuation mortality standards
Section 40Minimum valuation interest rate standards
Section 50Minimum valuation method standards
Section 60Transition provisions
Section 70Severability



Chapter 330REPORTING OF SALVAGE AND SUBROGATION RECOVERIES [REPEALED] (create report)
Section 10[Repealed]



Chapter 335RULES GOVERNING CLAIMS-MADE LIABILITY INSURANCE POLICIES (create report)
Section 10Scope
Section 20Definitions
Section 30Insurers to offer extended reporting period coverage
Section 40Extended reporting period requirements
Section 50Prohibitions
Section 60Severability



Chapter 340RULES GOVERNING STANDARDS FOR THE CONTENT OF FIRE INSURANCE OR FIRE INSURANCE IN COMBINATION WITH OTHER COVERAGES (create report)
Section 10Scope and purpose
Section 20Standards for content of policies
Section 30Certification
Section 40Dwelling buildings and contents policy; basic form
Section 50Dwelling buildings and contents policy; broad form
Section 60Dwelling buildings and contents policy; special form
Section 70Homeowners policy; basic form
Section 80Homeowners policy; broad form
Section 90Homeowners policy; special form
Section 100Homeowners policy; comprehensive form
Section 110Homeowners policy; condominium unit-owners form
Section 120Market value policy
Section 130Severability
Section 140Advertisement
Section 150Effective date
Section 150:1EXHIBIT 1. MINIMUM STANDARDS OF CONTENT FOR A DWELLING BUILDING(S) AND CONTENTS -- BASIC FORM (SEASONAL PROPERTY SHALL BE SO DESCRIBED IN THIS POLICY)
Section 150:2EXHIBIT 2. MINIMUM STANDARDS OF CONTENT FOR A DWELLING BUILDING(S) AND CONTENTS - BROAD FORM
Section 150:3EXHIBIT 3. MINIMUM STANDARDS OF CONTENT FOR A DWELLING BUILDING(S) AND CONTENTS - SPECIAL FORM
Section 150:4EXHIBIT 4. MINIMUM STANDARDS OF CONTENT FOR A HOMEOWNERS POLICY - BASIC FORM
Section 150:5EXHIBIT 5. MINIMUM STANDARDS OF CONTENT FOR A HOMEOWNERS POLICY - BROAD FORM
Section 150:6EXHIBIT 6. MINIMUM STANDARDS OF CONTENT FOR A HOMEOWNERS POLICY - SPECIAL FORM
Section 150:7EXHIBIT 7. MINIMUM STANDARDS OF CONTENT FOR A HOMEOWNERS POLICY - COMPREHENSIVE FORM
Section 150:8EXHIBIT 8. MINIMUM STANDARDS OF CONTENT FOR A HOMEOWNERS POLICY - CONDOMINIUM UNIT-OWNERS FORM
Section 150:9EXHIBIT 9. MINIMUM STANDARDS OF CONTENT FOR A MARKET VALUE POLICY



Chapter 350RULES GOVERNING SURPLUS LINES INSURANCE [REPEALED] (create report)
Section 10[Repealed]
Section 20[Repealed]
Section 30[Repealed]
Section 40[Repealed]
Section 85[Repealed]
Section 90[Repealed]
Section 95[Repealed]
Section 100[Repealed]
Section 110[Repealed]
Section 150[Repealed]
Section 155[Repealed]
Section 160[Repealed]
Section 165[Repealed]
Section 170[Repealed]
Section 190[Repealed]
Section 200[Repealed]
Section 210[Repealed]
Section 220[Repealed]
Section 230[Repealed]
FORMS[Repealed]



Chapter 360RULES GOVERNING LOCAL GOVERNMENT GROUP SELF-INSURANCE POOLS (create report)
Section 10Purpose
Section 20Definitions
Section 30Application for license as group self-insurance pool; requirements; approval; review
Section 40Application for license; additional requirements
Section 45Security deposit requirement
Section 50Investments
Section 60Filing of reports; examination by commission
Section 70Reserves
Section 80Responsibilities of members' supervisory board
Section 90Contribution requirements
Section 100Distribution of surplus funds
Section 110Member agreement
Section 120Servicing of pool
Section 130Handling of pool deficit
Section 140Termination of pool members
Section 150Terms of license; voluntary dissolution of pool; mergers
Section 160Revocation or suspension of self-insurance license
Section 170Application of Unfair Trade Practices Act; Insurance Information and Privacy Protection Act
Section 180Penalties
Section 190Severability



Chapter 370RULES GOVERNING GROUP SELF-INSURERS OF LIABILITY UNDER THE VIRGINIA WORKERS' COMPENSATION ACT (create report)
Section 10Purpose
Section 20Definitions
Section 30Application for license as group self-insurance association requirements; approval; review
Section 40Application for license as group self-insurance association; additional requirements
Section 50Approval of members of association
Section 60Security deposit and surety bond requirement
Section 70Investment
Section 80Filing of reports
Section 90Contracts for excess insurance
Section 100Responsibilities of members' supervisory board
Section 110Advance contribution requirements and distribution of surplus funds
Section 120Indemnity agreement and power of attorney
Section 130Servicing of association
Section 140Termination of members of association
Section 145Mergers
Section 150Revocation of self-insurance license
Section 160Penalties
Section 170Examination of association
Section 180Severability
FORMSFORMS (14VAC5-370)



Chapter 380RULES GOVERNING UNDERGROUND STORAGE TANK OWNERS AND OPERATORS GROUP SELF-INSURANCE POOLS (create report)
Section 10Purpose
Section 20Definitions
Section 30Application for license as group self-insurance pool; requirements; approval; review
Section 40Application for license; additional requirements
Section 50Security deposit and bond requirements
Section 60Filing of reports; examination by the Commission
Section 70Reserves
Section 80Responsibilities of members' supervisory board
Section 90Contribution requirements and distribution of surplus funds
Section 100Member agreement
Section 110Servicing of pool
Section 120Termination of pool members
Section 130Revocation of license; voluntary dissolution of pool; merger of pools
Section 140Penalties
Section 150Severability



Chapter 385RULES GOVERNING ABOVEGROUND STORAGE TANK AND PIPELINE OPERATORS GROUP SELF-INSURANCE POOLS (create report)
Section 10Purpose
Section 20Definitions
Section 30Application for license as group self-insurance pool; requirements; approval; review
Section 40Application for license; additional requirements
Section 50Security deposit
Section 60Filing of reports; examination by the commission
Section 70Reserves
Section 80Responsibilities of members' supervisory board
Section 90Contribution requirements and distribution of surplus funds
Section 100Member agreement
Section 110Servicing of pool
Section 120Termination of pool members
Section 130Revocation of license; voluntary dissolution of pool; merger of pools
Section 140Penalties
Section 150Severability



Chapter 390RULES GOVERNING INSURANCE PREMIUM FINANCE COMPANIES (create report)
Section 10Licensing
Section 20Forms
Section 30Records
Section 40Cancellation of insurance
Section 50Surety bond
Section 60Annual report
Section 70Miscellaneous
FORMSFORMS (14VAC5-390)



Chapter 395RULES GOVERNING SETTLEMENT AGENTS (create report)
Section 10Purpose
Section 20Definitions
Section 25Lay real estate settlement agents
Section 30Registration
Section 40Insurance and bonding requirements
Section 50Audits
Section 60Separate fiduciary trust account
Section 70Access to records
Section 80Violations
Section 90Severability
DIBRDOCUMENTS INCORPORATED BY REFERENCE (14VAC5-395)



Chapter 400RULES GOVERNING UNFAIR CLAIM SETTLEMENT PRACTICES (create report)
Section 10Scope
Section 20Definitions
Section 30File and record documentation
Section 40Misrepresentation of policy provisions
Section 50Failure to acknowledge pertinent communications
Section 60Standards for prompt investigation of claims
Section 70Standards for prompt, fair and equitable settlement of claims applicable to all insurers
Section 80Standards for prompt, fair and equitable settlements applicable to automobile insurance



Chapter 402[RESERVED] (create report)
Section 10[Reserved]



Chapter 410RULES GOVERNING MULTIPLE EMPLOYER WELFARE ARRANGEMENTS (create report)
Section 10Purpose
Section 20Applicability and scope
Section 30Definitions
Section 40Licensing and filing requirements
Section 50Licensing of persons soliciting, negotiating, procuring, or effecting applications for coverage
Section 60Violations
Section 70Service of process
Section 80Severability
FORMSFORMS (14VAC5-410)



Chapter 420RULES GOVERNING MILITARY SALES PRACTICES (create report)
Section 10Purpose and scope
Section 20Definitions
Section 30Exemptions
Section 40Prohibited practices on a military installation
Section 50Prohibited practices regardless of location
Section 60Severability
FORMSFORMS (14VAC5-420)
DIBRDOCUMENTS INCORPORATED BY REFERENCE (14VAC5-420)