# W. Va. Code § 33-25A-7B: Loss ratio

> West Virginia · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_WV_C33_A25A_S7B

## Section

- **Citation:** W. Va. Code § 33-25A-7B
- **Heading:** Loss ratio
- **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 7B

## Text

If a health maintenance organization considers a loss ratio at the time of renewal of a policy, plan, or contract, the health maintenance organization shall, upon request of a subscriber, provide the loss ratio and the components of the loss ratio calculation to the subscriber no more than 90 days but no less than 60 days before the renewal date of the policy, plan, or contract. For purposes of this section, "loss ratio" means the total losses paid out in medical claims divided by the total earned premiums: Provided, however , That medical claims do not include dental only or vision only coverage. For purposes of this section, "subscriber" does not include a subscriber or beneficiary of any policy, plan, or contract approved by the Bureau of Medical Services and entered into by a health maintenance organization with Medicaid or the Children’s Health Insurance Program.

## 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_S7B. Check the current official text before relying on it. Not legal advice.