{"data":{"id":"us-va/14vac5-211-165","jurisdiction":"us-va","citation":"14VAC5-211-165","heading":"Point-of-service benefits","body":"A. A health maintenance organization shall offer point-of-service benefits to its enrollees in the large group market in accordance with the provisions of § 38.2-3407.12 of the Code of Virginia.\n\nB. If point-of-service benefits are chosen, a description of the procedure for obtaining point-of-service benefits and notification requirements before obtaining these benefits shall be included in the evidence of coverage as well as a description of the restrictions or limitations on such benefits.","path":["Title 14. Insurance","Agency 5. State Corporation Commission, Bureau of Insurance","Chapter 211. Rules Governing Health Maintenance Organizations","Part IV. Services"],"source_url":"https://law.lis.virginia.gov/admincode/title14/agency5/chapter211/section165/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:51:54Z","sha256":"928dd9cde3900ed2ba198c2e32b47eeb192a021c80ab44e40e0dc390da6121c6","source_id":"us-va-vac","stale":false,"prev":"us-va/14vac5-211-160","next":"us-va/14vac5-211-170"},"notice":"GroundRules: Original legal text. Not legal advice."}