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West Virginia Code Chapter 33. Insurance § 33-54-4. Health benefit plan issuer reporting requirements

Current as of January 01, 2024 | Updated by FindLaw Staff

No later than March 1 of each calendar year, each health benefit plan issuer shall submit to the Auditor a report providing the following information for the immediately preceding calendar year: Provided, That nothing in this article should be construed as to requiring a health benefit plan issuer to disclose confidential health information protected by the Health Insurance Portability and Accountability Act:

(1) The names of the 25 most frequently prescribed prescription drugs across all plans;

(2) The percent increase in annual net spending for prescription drugs across all plans;

(3) The percent increase in premiums that were attributable to prescription drugs across all plans;

(4) The percentage of specialty drugs with utilization management requirements across all plans; and

(5) The premium reductions that were attributable to specialty drug utilization management.

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Cite this article: FindLaw.com - West Virginia Code Chapter 33. Insurance § 33-54-4. Health benefit plan issuer reporting requirements - last updated January 01, 2024 | https://codes.findlaw.com/wv/chapter-33-insurance/wv-code-sect-33-54-4/

Read this complete West Virginia Code Chapter 33. Insurance § 33-54-4. Health benefit plan issuer reporting requirements on Westlaw

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