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WEST VIRGINIA
Offices of the Insurance Commissioner
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Allan L. McVey
Insurance Commissioner
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2025 Individual Health Insurance
Open Enrollment begins November 1, 2025, and runs through January 15, 2026.
West Virginia has two companies offering health insurance through the Marketplace:
CareSource WV 1-855-202-0622
Highmark WV 1-855-329-1758
 
To determine if you can receive advanced premium tax credits (APTCs) and/or cost sharing reductions (CSR), consumer need to apply online through healthcare.gov. Below are lists of local trained Agents, Assisters and Navigators that can help you enroll and answer questions you may have. The following lists are by county:
Certified Assisters and Navigators
Certified Agents
 
You may also contact our Consumer Services Division at:  1-800-435-7381 or 1-304-414-8452

Health Insurance Information for Consumers
  • 2024 West Virginia Health Insurance Marketplace Data
  • No Surprises Act
  • Need Help With Health Insurance? Contact a local WV Assister or Navigator
  • External Review Instructions & Request Form
  • Health Insurance Resource Guide
  • Getting Ready for Open Enrollment
  • Short Term verses Qualified Health Plan Brochure
  • "Understanding Short-Term Limited Duration Health Insurance"
  • Children's Health Insurance Progam (CHIP)
  • Individual Health Insurance Comparison Tool - Fillable Form
Health Insurance Information for Insurance Agents & Assisters
  • 2026 Assister Training Book
  • 2026 Agent Meeting Book
  • 2025 Assister/Navigator Training Booklet - 10/16/2024
  • Advisory on New Federal Rules on Health Reimbursment Arrangements (HRA)
  • Link to "Agents' Resources for the Marketplace" on the CMS website
  • Medicare Supplement Enforcement Notice - MACRA
Dental Loss Ratios
  • Dental Loss Ratios
Contact Information

Telephone:
  (304) 720-8584
Facsimile:
  (304) 558-4965

Email:
   OICHealthPolicy@wv.gov
Correspondence:
  Health Policy Division
  PO Box 50540
  Charleston, West Virginia 25305-0540
Physical Address:
  900 Pennsylvania Ave.
  Charleston, West Virginia 25302
Business Hours
  (Mon-Fri) 8:30 am - 4:30 pm
  Eastern Standard Time

Discount Prescription Drug Plan Organizations
  • DPDPO Registering Instructions
  • DPDPO Registration Form (DPDP-1)
  • DPDPO Renewal Instructions
  • DPDPO Renewal Form (DPDP-2)
  • Discount Organization Modification Form
  • Online Payment Portal
Discount Medical Plan Organizations (DMPO)
  • DMPO Licensing Instructions
  • DMPO Application (DMP-1)
  • DMPO Surety Bond (DMP-2)
  • DMPO Renewing Instructions
  • Discount Organization Modification Form
  • Online Payment Portal
Pharmacy Auditing Entity
  • Pharmacy Auditing Entity Registration Application
  • Pharmacy Auditing Entity Registration Instructions
  • Pharmacy Auditing Entity Renewal Application
  • Online Payment Portal
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