# W. Va. Code § 33-25A-5: Powers of health maintenance organizations

> West Virginia · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S5

## Section

- **Citation:** W. Va. Code § 33-25A-5
- **Heading:** Powers of health maintenance organizations
- **Jurisdiction:** West Virginia
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** WV Code / Chapter 33 / Article 25A / Section 5

## Text

(a) Upon obtaining a certificate of authority as required under this article, a health maintenance organization may enter into health maintenance contracts in this state and engage in any activities, consistent with the purposes and provisions of this article, which are necessary to the performance of its obligations under such contracts, subject to the limitations provided in this article. A health maintenance organization may offer to its enrollees in conjunction with the benefits provided to them through their contractual arrangement for health services with the health maintenance organization a point of service option to be provided either by the health maintenance organization directly or by an insurance carrier licensed in this state with which the health maintenance organization has a contractual arrangement. Benefits for health care services within the health maintenance organization's contracted provider panel shall comply with all other provisions of this article.

(b) The commissioner shall propose rules for legislative approval in accordance with the provisions of article three, chapter twenty-nine-a of this code limiting or regulating the powers of health maintenance organizations which the commissioner finds to be in the public interest. The commissioner may promulgate emergency rules pursuant to the provisions of section fifteen, article three, chapter twenty-nine-a of this code to implement standards and requirements for a point of service option.

## Nearby sections

- [W. Va. Code § 33-25A-1 §33-25A-1. Short title and purpose.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S1.md)
- [W. Va. Code § 33-25A-2 §33-25A-2. Definitions.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S2.md)
- [W. Va. Code § 33-25A-3 §33-25A-3. Application for certificate of authority.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S3.md)
- [W. Va. Code § 33-25A-3A §33-25A-3a. Conditions precedent to issuance or maintenance of a certificate of authority; renewal of certificate of authority; effect of bankruptcy proceedings.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S3A.md)
- [W. Va. Code § 33-25A-4 §33-25A-4. Issuance of certificate of authority.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S4.md)
- [W. Va. Code § 33-25A-5 §33-25A-5. Powers of health maintenance organizations.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S5.md)
- [W. Va. Code § 33-25A-6 §33-25A-6. Governing body.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S6.md)
- [W. Va. Code § 33-25A-7 §33-25A-7. Fiduciary responsibilities of officers; fidelity bond; approval of contracts by commissioner.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S7.md)
- [W. Va. Code § 33-25A-7A §33-25A-7a. Provider contracts.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S7A.md)
- [W. Va. Code § 33-25A-7B §33-25A-7b. Loss ratio.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S7B.md)
- [W. Va. Code § 33-25A-8 §33-25A-8. Evidence of coverage; charges for health care services; review of enrollee records; cancellation of contract by enrollee.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S8.md)
- [W. Va. Code § 33-25A-8A §33-25A-8a. Third party reimbursement for mammography, pap smear or human papilloma virus testing.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S8A.md)
- [W. Va. Code § 33-25A-8B §33-25A-8b. Third party reimbursement for rehabilitation services.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S8B.md)
- [W. Va. Code § 33-25A-8C §33-25A-8c. Third party payment for child immunization services.](https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S8C.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S5. Check the current official text before relying on it. Not legal advice.