Offices of the Insurance Commissioner
Allan L. McVey
Insurance Commissioner
Health Benefit Plan Network Access

The West Virginia Health Benefit Plan Network Access and Adequacy Act requires insurers that maintain a network of health care providers for its insureds to ensure that the network is sufficient in numbers and has appropriate types of providers in order for all covered services to be accessible without unreasonable travel or delay.   The Act is applicable for plans beginning January 1, 2022.  

No Annual Report is required.

Network Access Plan Compliance Checklist

Instructions to File Network Access Plans

West Virginia Network Access Plan forms need to be filed.  Please read Legislative Rule 114-100,

If you should have any questions you may contact us at OICNetworkAdequacy@wv.gov

  1. 1-All documentation and templates should be submitted through SERFF. 
  2. 2-An explanatory cover letter is required with each submission/resubmission.
  3. 3-Inventory list that enumerates each supporting document with a high level summary of the document's purpose/function must be included with each submission/resubmission.
  4. 4-Attach the completed templates in excel format in SERFF (do not change to PDF).
  5. 5-Attach the sample contracts in SERFF.
  6. 6-Please choose the Health, Dental only or Vision only forms below.

Once submitted in SERFF, an email with the SERFF tracking number must be sent to OICNetworkAdequacy@wv.gov .

Dental Only Network Access Plans
Vision Only Network Access Plan