Sunday, December 04, 2016
Call us at (800) 940-3002
Virginia State Corporation Commission Bureau of Insurance
1300 E. Main St.
Richmond, Virginia 23219
Toll Free Phone: (Virginia Only) 1-800-552-7945
TDD Phone: 804-371-9206
The Life and Health Market Regulation Division monitors the market activities of
companies within the Life and Health classes of insurance and monitors agents in
all classes of insurance. There are six functional sections, whose responsibilities
are described below:
Consumer Services: This section logs, investigates and works toward resolution
of complaints about agents, agencies and companies. They make recommendations for
disciplinary action where necessary. Consumer Services representatives also provide
consumers with information and answer insurance-related questions.
Market Conduct: This section performs field examinations of insurance companies
to ensure their business practices are in compliance with Virginia’s insurance laws
Forms and Rates: This section reviews policies and contracts to ensure they
are in compliance with statutory and regulatory requirements. They also review and,
for certain lines, may approve premium rates.
Research: This section assesses the impact of major issues affecting the
insurance industry, develops regulations and proposes legislation relative to the
issues. They participate in legislative studies, undertake consumer research projects
and develop guidebooks to promote awareness of insurance issues and standards.
the Managed Care Ombudsman: This section helps consumers who have Managed
Care Health Insurance Plan (MCHIPs) products understand their rights of appeal of
adverse decisions by MCHIPs.
Outreach Coordinator: Insurance Consumer Outreach serves and protects by
providing education, information, and assistance to consumers. This section accomplishes
this mission by coordinating all life and health consumer outreach programs, including
special programs for senior citizens.
Appeals: In addition to the traditional services provided by this division,
Life and Health Market Regulation also has a section dedicated to the external review
of final adverse decisions rendered by managed care health insurance plans.
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