# Va. Code Ann. § 38.2-3430.4: Special rules for network plans

> Virginia · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.4

## Section

- **Citation:** Va. Code Ann. § 38.2-3430.4
- **Heading:** Special rules for network plans
- **Jurisdiction:** Virginia
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Virginia Code / Title 38.2 / Chapter 34 / Article 4.1 / Section 38.2-3430.4

## Text

A health insurance issuer that offers health insurance coverage in the individual market may:

1. Limit the eligible individuals who may be enrolled under such coverage to those who live, reside, or work within the service area for such network plan;

2. Within the service area of such plan, deny such coverage to such individuals if the health insurance issuer has demonstrated to the Commission that: (i) it will not have the capacity to deliver services adequately to additional individual enrollees because of its obligations to existing group contract holders, enrollees and enrollees covered under individual contracts; and (ii) it is applying this section uniformly to individuals without regard to any health status-related factor of such individuals and without regard to whether the individuals are eligible individuals;

3. A health insurance issuer, upon denying health insurance coverage in any service area in accordance with subdivision 2, may not offer coverage in the individual market within such service area for a period of 180 days after such coverage is denied.

1997, cc. 807 , 913 ; 1998, c. 24 .

## Nearby sections

- [Va. Code Ann. § 38.2-3430.1 Application of article](https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.1.md)
- [Va. Code Ann. § 38.2-3430.1:1 Health insurance coverage not required](https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.1%3A1.md)
- [Va. Code Ann. § 38.2-3430.2 Definitions](https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.2.md)
- [Va. Code Ann. § 38.2-3430.3 Guaranteed availability of individual health insurance coverage to certain individuals with prior group coverage](https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.3.md)
- [Va. Code Ann. § 38.2-3430.4 Special rules for network plans](https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.4.md)
- [Va. Code Ann. § 38.2-3430.5 Application of financial capacity limits](https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.5.md)
- [Va. Code Ann. § 38.2-3430.6 Market requirements](https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.6.md)
- [Va. Code Ann. § 38.2-3430.7 Renewability of individual health insurance coverage](https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.7.md)
- [Va. Code Ann. § 38.2-3430.8 Certification of coverage](https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.8.md)
- [Va. Code Ann. § 38.2-3430.9 Regulations establishing standards](https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.9.md)
- [Va. Code Ann. § 38.2-3430.10 Effective date](https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.10.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_VA_T38.2_C34_A4.1_S38.2-3430.4. Check the current official text before relying on it. Not legal advice.