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, and the Rule with updated standards is applicable for plans beginning on or after January 1, 2025. All plans must file updated network information by July 1st, 2024.

Once the company network is approved, only material changes should be filed with the OIC. There is no annual reporting requirement.

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 to OICNetworkAdequacy@wv.gov
  2. 2- An explanatory cover letter is required with each submission/resubmission.
  3. 3- Attach the completed templates in excel format (do not change to PDF).
  4. 4- Attach the sample contracts.
  5. 5- Please choose the Health, Dental only or Vision only forms below.
If you do not meet the qualifications, you must complete the Network Access and Adequacy Attestation and submit it to OICNetworkAdequacy@wv.gov
Health Network Access Plans

Dental Only Network Access Plans
Vision Only Network Access Plan