State IDR guide
Virginia Independent Dispute Resolution Guide
- Responsible agency
- Virginia State Corporation Commission, Bureau of Insurance
- Review date
Virginia is a bifurcated state. State arbitration may apply to protected emergency and certain facility-based services under regulated plans and self-funded plans that opt in.
Plan and jurisdiction considerations
Confirm Virginia jurisdiction or a documented self-funded election, along with service and facility scope. Non-opted-in ERISA self-funded plans ordinarily remain federal.
Federal fallback
Federal IDR generally applies to eligible self-funded claims without a Virginia opt-in and other state-law gaps.
Timing and fees
Virginia requires a good-faith effort before arbitration and uses state-specific deadlines, forms, and cost rules. Confirm current SCC materials.
Air ambulance considerations
Air ambulance disputes generally use Federal IDR if eligible.
Not legal advice. This guide is general information. Consult current agency instructions and qualified counsel for legal interpretation.