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Virginia regulations · Through 2026 Regular Session (effective July 1, 2026)

14VAC5-141-130: Similar supplemental coverage

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Where this section sits in the code
  1. Title 14. Insurance
  2. Agency 5. State Corporation Commission, Bureau of Insurance
  3. Chapter 141. Rules Governing Accident and Sickness Excepted Benefits Policies; Short-Term Limited Duration Insurance

A. Similar supplemental coverage that qualifies as excepted benefits is coverage that supplements and fills gaps in a group health plan. The supplemental coverage shall:

1. Cover benefits that are not covered by the primary coverage and are not essential health benefits as described in § 38.2-3451 of the Code of Virginia; or

2. Fill gaps in cost-sharing for primary coverage, including copayments, coinsurance, and deductibles.

B. Similar supplemental coverage shall be provided under a separate policy.

C. Similar supplemental coverage does not include coverage that becomes secondary or supplemental only under a coordination of benefits provision.

Collected 2026-09-14T04:51:52Z. Source file · JSON

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