CHAPTER 120
An Act to amend and reenact § 38.2-3431 of the Code of Virginia, relating to benefits consortium; sponsoring association.
[H 353]
Approved April 6, 2026
Be it enacted by the General Assembly of Virginia:
1. That § 38.2-3431 of the Code of Virginia is amended and reenacted as follows:
§ 38.2-3431 . Application of article; definitions.
A. This article applies to group health plans and to health insurance issuers offering group health insurance coverage, and individual policies offered to employees of small employers.
Each insurer proposing to issue individual or group accident and sickness insurance policies providing hospital, medical and surgical or major medical coverage on an expense incurred basis, each corporation providing individual or group accident and sickness subscription contracts, and each health maintenance organization or multiple employer welfare arrangement providing health care plans for health care services that offers individual or group coverage to the small employer market in the Commonwealth shall be subject to the provisions of this article. Any issuer of individual coverage to employees of a small employer shall be subject to the provisions of this article if any of the following conditions are met:
1. Any portion of the premiums or benefits is paid by or on behalf of the employer;
2. The eligible employee or dependent is reimbursed, whether through wage adjustments or otherwise, by or on behalf of the employer for any portion of the premium;