{"data":{"id":"us-va/va.-code-38.2-3430.4","jurisdiction":"us-va","citation":"Va. Code § 38.2-3430.4","heading":"Special rules for network plans","body":"A health insurance issuer that offers health insurance coverage in the individual market may:1. Limit the eligible individuals who may be enrolled under such coverage to those who live, reside, or work within the service area for such network plan;2. Within the service area of such plan, deny such coverage to such individuals if the health insurance issuer has demonstrated to the Commission that: (i) it will not have the capacity to deliver services adequately to additional individual enrollees because of its obligations to existing group contract holders, enrollees and enrollees covered under individual contracts; and (ii) it is applying this section uniformly to individuals without regard to any health status-related factor of such individuals and without regard to whether the individuals are eligible individuals;3. A health insurance issuer, upon denying health insurance coverage in any service area in accordance with subdivision 2, may not offer coverage in the individual market within such service area for a period of 180 days after such coverage is denied.1997, cc. 807, 913; 1998, c. 24.","path":["Title 38.2. INSURANCE","Chapter 34. PROVISIONS RELATING TO ACCIDENT AND SICKNESS INSURANCE","Article 4.1. INDIVIDUAL HEALTH INSURANCE COVERAGE"],"source_url":"https://law.lis.virginia.gov/vacode/38.2-3430.4/","current_through":"9/4/2026","vintage":"","retrieved_at":"2026-09-04T15:16:05Z","sha256":"37b2fb29afc5251cf42c9617a54f2f9983cb2d615685f00da18ec1adeda409df","source_id":"us-va","stale":true,"prev":"us-va/va.-code-38.2-3430.3-1","next":"us-va/va.-code-38.2-3430.5"},"notice":"GroundRules: Original legal text. Not legal advice."}