TITLE 2. AGRICULTURE
STATE BOARD OF AGRICULTURE AND CONSUMER SERVICES
Proposed Regulation
        REGISTRAR’S NOTICE: The  State Board of Agriculture is claiming an exemption from the Administrative  Process Act in accordance with § 2.2-4002 A 13 of the Code of Virginia,  which excludes the Board of Agriculture and Consumer Services when promulgating  regulations pursuant to § 3.2-5121, which conform, insofar as practicable,  with the federal Food and Drug Administration's Food Code. Pursuant to  § 3.2-5121 C of the Code of Virginia, this regulatory action is exempt  from portions of the Administrative Process Act provided the State Board of  Health adopts the same version and both agency’s regulations have the same  effective date. Both agencies are working toward that goal.
         Title of Regulation: 2VAC5-585. Retail Food  Establishment Regulations (amending 2VAC5-585-40, 2VAC5-585-60,  2VAC5-585-70, 2VAC5-585-80, 2VAC5-585-90, 2VAC5-585-100, 2VAC5-585-140, 2VAC5-585-180,  2VAC5-585-360, 2VAC5-585-370, 2VAC5-585-400, 2VAC5-585-410, 2VAC5-585-430,  2VAC5-585-440, 2VAC5-585-450, 2VAC5-585-490, 2VAC5-585-500, 2VAC5-585-540,  2VAC5-585-570, 2VAC5-585-680, 2VAC5-585-700, 2VAC5-585-730, 2VAC5-585-740,  2VAC5-585-760, 2VAC5-585-780, 2VAC5-585-790, 2VAC5-585-800, 2VAC5-585-820,  2VAC5-585-830, 2VAC5-585-850, 2VAC5-585-860, 2VAC5-585-870, 2VAC5-585-900,  2VAC5-585-950, 2VAC5-585-980, 2VAC5-585-1200, 2VAC5-585-1230, 2VAC5-585-1260,  2VAC5-585-1310, 2VAC5-585-1420, 2VAC5-585-1550, 2VAC5-585-1560, 2VAC5-585-1690,  2VAC5-585-1980, 2VAC5-585-2040, 2VAC5-585-2190, 2VAC5-585-2230, 2VAC5-585-2280,  2VAC5-585-2310, 2VAC5-585-2520, 2VAC5-585-2630, 2VAC5-585-2790, 2VAC5-585-2810,  2VAC5-585-2920, 2VAC5-585-2950, 2VAC5-585-2960, 2VAC5-585-3020, 2VAC5-585-3030,  2VAC5-585-3040, 2VAC5-585-3045, 2VAC5-585-3080, 2VAC5-585-3180, 2VAC5-585-3240,  2VAC5-585-3360, 2VAC5-585-3460, 2VAC5-585-3860, 2VAC5-585-4040, 2VAC5-585-4050,  2VAC5-585-4070; repealing 2VAC5-585-110, 2VAC5-585-120, 2VAC5-585-150, 2VAC5-585-750,  2VAC5-585-1020, 2VAC5-585-1030, 2VAC5-585-1440, 2VAC5-585-1880, 2VAC5-585-2510,  2VAC5-585-2590, 2VAC5-585-3010, 2VAC5-585-3050, 2VAC5-585-3060, 2VAC5-585-3110,  2VAC5-585-3120, 2VAC5-585-3160).
    Statutory Authority: § 3.2-5121 of the Code of  Virginia.
    Public Hearing Information:
    May 21, 2009 - 10 a.m. - Virginia Department of  Agriculture and Consumer Services, Oliver Hill Bldg., 2nd Floor, Board Room,  Richmond, Virginia.
    Public Comments: Public comments may be submitted until  July 10, 2009.
    Agency Contact: Ryan Davis, Program Manager, Office of  Dairy and Foods, Department of Agriculture and Consumer Services, P.O. Box  1163, Richmond, VA 23218, telephone (804) 786-8910, FAX (804) 371-7792, TTY  (800) 828-1120, or email ryan.davis@vdacs.virginia.gov.
    Basis: Section 3.2-5121 of the Code of Virginia provides  the legal basis for the promulgation of this proposed regulation. Specifically,  subsections B and C identify the authority and certain requirements for the  expedited adoption of the FDA’s Food Code.
    Purpose: This proposed regulatory action is essential  to the protection of the health and welfare of citizens in that it sets the  necessary standards of operation for the retail segment of Virginia’s food  industry to (i) provide a system of prevention and overlapping safeguards  designed to minimize foodborne illness; (ii) ensure employee health, industry  manager knowledge, safe food, nontoxic and cleanable equipment and acceptable  levels of sanitation on food establishment premises; and (iii) promote fair dealings  with the consumer.
    The first goal of the amended regulation is to maintain a  scientifically sound basis for regulation of the retail food industry. The  proposed amended regulation contains certain additions and modifications that  reflect current science and additional provisions that address new, emerging  food safety issues that have surfaced since the regulation was previously  adopted. Adoption of the amended regulation will thus enable the Virginia  Department of Agriculture and Consumer Services (VDACS) to provide regulations  to the retail food industry that are based on the most current, sound science  available.
    The second goal of the proposed amended regulation is to  ensure a regulatory approach that is uniform throughout the retail segment of  Virginia’s food industry by administering standards that are equivalent to  those administered by the Virginia Department of Health (VDH) in restaurants  and food service establishments. In years past, VDH have enforced different  regulations in similar types of food establishments. Although the basic  requirements of those regulations were the same, there were enough differences  in the regulations to sometimes be confusing to the retail segment of the food  industry. The previous, simultaneous adoption of our current regulation (a  modified version of FDA’s 2001 Model Food Code and 2003 Supplement) in October  2007 resolved these concerns. In order to continue to provide uniform  regulations, both VDACS and VDH are on course to concurrently adopt these  proposed amended regulations. Once both regulations are finalized, they will  have the same effective date, and at that point VDACS and VDH will be  administering the same food safety standards within all portions of the retail  segment of Virginia’s food industry.
    Foodborne disease in the United States is a major cause of  personal distress, preventable death, and avoidable economic burden. The U.S.  Centers for Disease Control and Prevention estimate that foodborne diseases  cause approximately 76 million illnesses, 325,000 hospitalizations, and 5,000  deaths in the United States each year. Adoption of these amended regulations  will help to ensure that food provided to consumers in Virginia is safe and  does not become a vehicle in a disease outbreak or in the transmission of communicable  disease.
    Adoption of these proposed, amended regulations will have no  environmental impact.
    Substance: The proposed regulation contains the  latest science relative to food safety and addresses newer food safety issues  that have emerged since the adoption of the previous regulation. It contains  additional interventions to reduce foodborne disease risk factors and provides  for more flexibility for the retail segment of the food industry in how they  choose to alleviate food safety problems or foodborne disease risk factors.
    Substantive changes include:
    1. A revised, more inclusive definition of potentially  hazardous foods that includes any food product that requires time/temperature  control for safety (TCS) to limit pathogenic microorganism growth or toxin  formation.
    2. A definition of food allergen that is now consistent with  the Food Allergen Labeling and Consumer Protection Act of 2004.
    3. The inclusion of the viral pathogen Norovirus in the list  of diseases that require a food employee to be excluded from a food  establishment as well as the inclusion of Norovirus in the list of employee  diseases that food establishment managers or owners must report to the  regulatory authority.
    4. Amended handwashing procedures including new protocols  relative to the washing of hands as well as protocols to avoid recontamination  of the hands after handwashing. The new procedures are now consistent with the  recommended handwashing procedures in CDC's Hygienic Practice Guidelines for  Health Care Workers.
    5. Refocused date-marking provisions on foods that present a  higher risk of contamination. Deli salads (e.g., ham, chicken, egg, seafood,  pasta, potato and macaroni) prepared and packaged in a food processing plant as  well as cultured dairy products and certain types of hard and semi-soft cheeses  will now be exempt from date marking.
    6. Amended procedures for reduced oxygen packaging (ROP). New  requirements have been added relative to specific temperature controls for  cook-chill and sous vide packaging.
    7. Additional labeling requirements for food products packaged  in a food establishment.  Labels on foods packaged in a food establishment  will include the name of each major food allergen contained in the food, unless  it is already part of the common name or ingredients.
    8. Additional options for freezing to control parasites as  well as exemptions for certain fish that are aqua cultured.
    9. Additional provisions allowing time to be used as a food  safety control measure for six hours if certain requirements are met.
    10. The addition of sprouted beans or seeds to the list of  products that require a HACCP plan if the products are sprouted at the retail  establishment.
    Issues: 
    Public. The proposed amended regulation will enhance the safety  of food products sold through the retail segment of the food industry. Because  the proposal is based on the most current sound science and addresses newer  food safety issues and concerns that have surfaced since adoption of the prior  regulations, consumers purchasing food products from retail establishments  should develop greater confidence in the safety of the retail food supply.
    There are no disadvantages to the public.
    Regulated Entities. This amended regulation is an advantage to  the industry in that it contains well written, easily understandable and  scientifically sound retail food safety requirements. The regulation is  significantly educational in nature and provides the industry with knowledge  sufficient to ensure that food products processed, held and/or offered for sale  are safe. Additionally, the regulation allows the industry additional options  and greater flexibility with respect to both food processing (souse-vide and  cook-chill) and date marking as well as parasite control. Updated employee  health provisions including better ways to protect public health, based on new  science on pathogens that are most likely to be transmitted from an infected  worker through food products are also provided so that the retail industry can  ensure the safety of the foods it produces. This proposed amended regulation is  an important part of the strategy for achieving uniform standards both within  the Commonwealth as well as the nation.
    The primary disadvantage of this proposal to the retail food  segment of the food industry is the need to understand, implement, and conform  to both modified and new requirements, which may require additional training of  employees as well as periodic monitoring to ensure adherence to the new  requirements.
    Commonwealth. This amended regulation will be an advantage to  the Commonwealth in that it will be able to provide safe and wholesome food  products for the citizens of Virginia. Ensuring the safety of the food supply  and reducing the level of foodborne illness will ensure a greater degree of  health and safety for the citizens of Virginia.
    There are no disadvantages to the Commonwealth.
    The Department of Planning and Budget's Economic Impact  Analysis:
    Summary of the Proposed Amendments to Regulation. The current  Retail Food Establishment Regulations are based on the federal Food and Drug  Administration’s (FDA) 2001 Food Code and the 2003 Food Code Supplement.   The Virginia Department of Agriculture and Consumer Services (VDACS)  proposes several changes to these regulations for consistency with the current  2005 FDA Food Code, as well as the 2007 Food Code Supplement.
    Result of Analysis. The benefits likely exceed the costs for  all proposed changes.
    Estimated Economic Impact. The U.S. Centers for Disease Control  and Prevention estimate that food borne diseases cause approximately 76 million  illnesses, 325,000 hospitalizations, and 5,000 deaths in the United States each  year.1 These comprehensive regulations establish minimum sanitary  standards for retail food establishments such as supermarkets, grocery stores,  and convenience stores.  These standards address such topics as the safe  and sanitary maintenance, storage, operation, and use of equipment, the safe  preparation, handling, protection, and preservation of food including necessary  refrigeration or heating methods, procedures for vector and pest control,  requirements for toilet and hand washing facilities for employees, requirements  for appropriate lighting and ventilation, requirements for an approved water  supply and sewage disposal system, personal hygiene standards for employees,  and the appropriate use of precautions to prevent the transmission of  communicable diseases.
    VDACS proposes to add sprouted beans or seeds to the list of  products that require a HACCP plan if the products are sprouted at the retail  establishment. The regulations define HACCP plan as a written document that  delineates the formal procedures for following the Hazard Analysis Critical  Control Point principles developed by the National Advisory Committee on  Microbiological Criteria for Foods. The FDA has found that there are  significant health risks due to the ingestion of products such as bean sprouts  if correct procedures are not followed. The FDA and VDACS believe that the  development of the HACCP plan by retail establishments which sprout such products  will significantly reduce the health risk.  Less than five of the  approximately 4,804 of retail food stores in Virginia sprout beans or seeds.  VDACS estimates that it would cost less than $100 for each establishment to pay  for an outside entity to prepare an HACCP, or less than one day of research and  writing for establishments to produce their own HACCP. Since it is likely that  the benefits of producing the HACCP plan are relatively significant and the  costs are relatively small, the proposal to require the HACCP plan likely  produces a net benefit.
    Advances in scientific research have enabled the FDA to  determine that certain reductions in restrictions can be made without  significant health risks.  This includes exempting deli salads prepared  and packaged in a food processing plant as well as cultured dairy products and  certain types of hard and semi-soft cheeses from the date-marking requirements.  Also, VDACS proposes per the FDA Food Code to allow additional options for  freezing to control parasites as well as exemptions for certain fish that are  aqua cultured. These reductions in restrictions will lower costs for retailers  while to the best of our knowledge will not significantly add to health risks.  Thus, these proposed amendments will also likely be net beneficial for the  public.
    VDACS also proposes additional labeling requirements for food  products packaged in a food establishment. Under the proposed regulations  labels on foods packaged in a food establishment will include the name of each  major food allergen contained in the food, unless it is already part of the  common name or ingredients. This may involve a small initial time cost for  retailers, but will likely reduce the incidence of individuals accidentally  consuming foods for which they know they are allergic.  Food allergies can  induce anaphylactic shock, which is potentially fatal. Given the potentially  large benefit of preventing seriously adverse health results for some members  of the public and fairly small time costs in adding information to labels, this  proposed change produces a net benefit.
    Businesses and Entities Affected. The proposed amendments  affect the 8,932 retail food stores in the Commonwealth and their  customers.  Approximately 4,804 of the retail food stores are small  businesses.2
    Localities Particularly Affected. The proposed amendments do  not disproportionately affect particular localities.
    Projected Impact on Employment. None of the proposed amendments  are likely to significantly affect employment.
    Effects on the Use and Value of Private Property. Some of the  proposes changes such as exempting deli salads prepared and packaged in a food  processing plant as well as cultured dairy products and certain types of hard  and semi-soft cheeses from the date-marking requirements and allowing  additional options for freezing to control parasites will allow retailers to  change some of their procedures, resulting in moderate cost savings and a  commensurate moderate increase in value. Other proposed amendments such as  requiring more extensive allergen labeling will modestly increase costs. None  of the proposed changes are expected to produce large changes in the value of  private property.
    Small Businesses: Costs and Other Effects. Some of the proposes  changes such as exempting deli salads prepared and packaged in a food  processing plant as well as cultured dairy products and certain types of hard  and semi-soft cheeses from the date-marking requirements and allowing  additional options for freezing to control parasites will allow small retailers  to change some of their procedures, resulting in moderate cost savings.   Other proposed amendments such as requiring more extensive allergen labeling  will modestly increase costs.
    Small Businesses: Alternative Method that Minimizes Adverse  Impact. Most of the proposed amendments are either beneficial or neutral to  small businesses. The few changes that moderately increase costs, such as  requiring more extensive allergen labeling or requiring a HACCP plan for  retailers who sprout beans or seeds at their establishment, produce significant  benefit for the public.  There is no apparent alternative method that  would produce this benefit at a lower cost.
    Real Estate Development Costs. The proposed amendments are  unlikely to significantly affect real estate development costs.
    Legal Mandate. The Department of Planning and Budget (DPB) has  analyzed the economic impact of this proposed regulation in accordance with  § 2.2-4007.04 of the Administrative Process Act and Executive Order Number  36 (06). Section 2.2-4007.04 requires that such economic impact analyses  include, but need not be limited to, the projected number of businesses or  other entities to whom the regulation would apply, the identity of any  localities and types of businesses or other entities particularly affected, the  projected number of persons and employment positions to be affected, the  projected costs to affected businesses or entities to implement or comply with  the regulation, and the impact on the use and value of private property.   Further, if the proposed regulation has adverse effect on small businesses,  § 2.2-4007.04 requires that such economic impact analyses include (i) an  identification and estimate of the number of small businesses subject to the  regulation; (ii) the projected reporting, recordkeeping, and other  administrative costs required for small businesses to comply with the  regulation, including the type of professional skills necessary for preparing  required reports and other documents; (iii) a statement of the probable effect  of the regulation on affected small businesses; and (iv) a description of any  less intrusive or less costly alternative methods of achieving the purpose of  the regulation.  The analysis presented above represents DPB’s best  estimate of these economic impacts.
    __________________________
    1 Source: Virginia Department of Agriculture and Consumer  Services
    2 Data source: Virginia Department of Agriculture and  Consumer Services
    Agency's Response to the Department of Planning and Budget's  Economic Impact Analysis: The agency concurs with the economic impact  analysis submitted by the Department of Planning and Budget.
    Summary:
    The Retail Food Establishment Regulations establish minimum  sanitary standards for retail food establishments such as supermarkets, grocery  stores, and convenience stores. Those standards include the safe and sanitary  maintenance, storage, operation, and use of equipment; the safe preparation,  handling, protection, and preservation of food including necessary  refrigeration or heating methods; procedures for vector and pest control;  requirements for toilet and handwashing facilities for employees, appropriate  lighting and ventilation, and an approved water supply and sewage disposal  system; personal hygiene standards for employees, and the appropriate use of  precautions to prevent the transmission of communicable diseases. The current  regulations are based on the Food and Drug Administrations (FDA) 2001 Food Code  and the 2003 Food Code Supplement.
    The proposed amendments update the regulations to provide  consistency with the current 2005 FDA Food Code and the 2007 Food Code  Supplement. Significant changes include:
    1. Revising the definition of "potentially hazardous  foods" to make it more inclusive by including any food product that  requires time/temperature control for safety (TCS) to limit pathogenic  microorganism growth or toxin formation;
    2. Defining "food allergen" for consistency with  the Food Allergen Labeling and Consumer Protection Act of 2004;
    3. Including the viral pathogen Norovirus in the list of diseases  that require a food employee to be excluded from a food establishment as well  as including Norovirus in the list of employee diseases that food establishment  managers or owners must report to the regulatory authority;
    4. Amending handwashing procedures to include new protocols  relative to the washing of hands and protocols to avoid recontamination of the  hands after handwashing, which will provide consistency with the recommended  handwashing procedures in the Center for Disease Control's Hygienic Practice  Guidelines for Health Care Workers;
    5. Amending the date-marking provisions on foods that  present a higher risk of contamination, and exempting deli salads (e.g., ham,  chicken, egg, seafood, pasta, potato and macaroni) prepared and packaged in a  food processing plant, as well as cultured dairy products and certain types of  hard and semi-soft cheeses, from date marking;
    6. Amending procedures for reduced oxygen packaging (ROP)  by adding requirements relative to specific temperature controls for cook-chill  and sous vide packaging;
    7. Expanding the labeling requirements for food products  packaged in a food establishment to require such labels to include the name of  each major food allergen contained in the food, unless it is already part of  the common name or ingredients;
    8. Adding options for freezing to control parasites as well  as exemptions for certain fish that are aquacultured;
    9. Allowing time to be used as a food safety control  measure for six hours if certain requirements are met; and 
    10. Adding sprouted beans or seeds to the list of products  that require a HACCP plan if the products are sprouted at the retail  establishment. 
    Article 2 
  Definitions 
    2VAC5-585-40. Definitions.
    The following words and terms when used in this regulation  shall have the following meanings unless the context clearly indicates  otherwise:
    "Accredited program" means a food protection  manager certification program that has been evaluated and listed by an  accrediting agency as conforming to national standards for organizations that  certify individuals. "Accredited program" refers to the certification  process and is a designation based upon an independent evaluation of factors  such as the sponsor's mission; organizational structure; staff resources;  revenue sources; policies; public information regarding program scope,  eligibility requirements, recertification, discipline and grievance procedures;  and test development and administration. "Accredited program" does  not refer to training functions or educational programs.
    "Additive" means either a (i) "food  additive" having the meaning stated in the Federal Food, Drug, and  Cosmetic Act, 21 USC § 321(s) and 21 CFR Part 170 or (ii) "color  additive" having the meaning stated in the Federal Food, Drug, and  Cosmetic Act, 21 USC § 321(t) and 21 CFR Part 70.
    "Adulterated" has the meaning stated in the Federal  Food, Drug, and Cosmetic Act, 21 USC § 342.
    "Approved" means acceptable to the department based  on a determination of conformity with principles, practices, and generally  recognized standards that protect public health.
    "Asymptomatic" means without obvious symptoms;  not showing or producing indication of a disease or other medical condition,  such as an individual infected with a pathogen but not exhibiting or producing  any signs or symptoms of vomiting, diarrhea, or jaundice. Asymptomatic includes  not showing symptoms because symptoms have resolved or subsided, or because  symptoms never manifested.
    "aw" means water activity that is a  measure of the free moisture in a food, is the quotient of the water vapor  pressure of the substance divided by the vapor pressure of pure water at the  same temperature, and is indicated by the symbol aw.
    "Balut" means an embryo inside a fertile egg  that has been incubated for a period sufficient for the embryo to reach a  specific stage of development after which it is removed from incubation before  hatching.
    "Beverage" means a liquid for drinking, including  water.
    "Board" means the Board of Agriculture and Consumer  Services.
    "Bottled drinking water" means water that is sealed  in bottles, packages, or other containers and offered for sale for human  consumption, including bottled mineral water.
    "Casing" means a tubular container for sausage  products made of either natural or artificial (synthetic) material.
    "Certification number" means a unique combination  of letters and numbers assigned by a shellfish control authority to a molluscan  shellfish dealer according to the provisions of the National Shellfish  Sanitation Program.
    "CIP" means cleaned in place by the circulation or  flowing by mechanical means through a piping system of a detergent solution,  water rinse, and sanitizing solution onto or over equipment surfaces that  require cleaning, such as the method used, in part, to clean and sanitize a  frozen dessert machine. "CIP" does not include the cleaning of  equipment such as band saws, slicers or mixers that are subjected to in-place  manual cleaning without the use of a CIP system.
    "CFR" means Code of Federal Regulations. Citations  in this regulation to the CFR refer sequentially to the title, part, and  section numbers, such as 21 CFR 178.1010 refers to Title 21, Part 178, Section  1010.
    "Code of Federal Regulations" means the compilation  of the general and permanent rules published in the Federal Register by the  executive departments and agencies of the federal government that:
    1. Is published annually by the U.S. Government Printing  Office; and
    2. Contains FDA rules in 21 CFR, USDA rules in 7 CFR and  9 CFR, EPA rules in 40 CFR, and Wildlife and Fisheries rules in 50 CFR.
    "Commingle" means:
    1. To combine shellstock harvested on different days or from  different growing areas as identified on the tag or label; or
    2. To combine shucked shellfish from containers with different  container codes or different shucking dates.
    "Comminuted" means reduced in size by methods  including chopping, flaking, grinding, or mincing. "Comminuted"  includes fish or meat products that are reduced in size and restructured or  reformulated such as gefilte fish, gyros, ground beef, and sausage; and a  mixture of two or more types of meat that have been reduced in size and  combined, such as sausages made from two or more meats.
    "Commissioner" means the Commissioner of  Agriculture and Consumer Services, his duly designated officer or his agent.
    "Conditional employee" means a potential food  employee to whom a job offer is made, conditional on responses to subsequent  medical questions or examinations designed to identify potential food employees  who may be suffering from a disease that can be transmitted through food and  done in compliance with Title 1 of the Americans with Disabilities Act of 1990.
    "Confirmed disease outbreak" means a foodborne  disease outbreak in which laboratory analysis of appropriate specimens  identifies a causative organism or chemical and epidemiological analysis  implicates the food as the source of the illness.
    "Consumer" means a person who is a member of the  public, takes possession of food, is not functioning in the capacity of an  operator of a food establishment or food processing plant, and does not offer  the food for resale.
    "Corrosion-resistant materials" means a material  that maintains acceptable surface cleanability characteristics under prolonged  influence of the food to be contacted, the normal use of cleaning compounds and  sanitizing solutions, and other conditions of the use environment.
    "Counter-mounted equipment" means equipment that  is not easily movable and is designed to be mounted off the floor on a table,  counter, or shelf.
    "Critical control point" means a point or procedure  in a specific food system where loss of control may result in an unacceptable  health risk.
    "Critical item" means a provision of this  regulation that, if in noncompliance, is more likely than other violations to  contribute to food contamination, illness, or environmental health hazard.  "Critical item" is an item that is denoted in this regulation with an  asterisk (*).
    "Critical limit" means the maximum or minimum value  to which a physical, biological, or chemical parameter must be controlled at a  critical control point to minimize the risk that the identified food safety  hazard may occur.
    "Dealer" means a person who is authorized by a  shellfish control authority for the activities of a shellstock shipper,  shucker-packer, repacker, reshipper, or depuration processor of molluscan  shellfish according to the provisions of the National Shellfish Sanitation  Program.
    "Department" means the Virginia Department of  Agriculture and Consumer Services.
    "Disclosure" means a written statement that clearly  identifies the animal-derived foods that are, or can be ordered, raw,  undercooked, or without otherwise being processed to eliminate pathogens in  their entirety, or items that contain an ingredient that is raw, undercooked,  or without otherwise being processed to eliminate pathogens.
    "Drinking water" means water that meets the  "water quality standards" requirements for bacteria and nitrates of  the Virginia Waterworks Regulations (12VAC5-590). Drinking water is  traditionally known as "potable water." Drinking water includes the  term water except where the term used connotes that the water is not potable,  such as "boiler water," "mop water," "rainwater,"  "wastewater," and "nondrinking" water.
    "Dry storage area" means a room or area designated  for the storage of packaged or containerized bulk food that is not potentially  hazardous and dry goods such as single-service items.
    "Easily cleanable" means a characteristic of a  surface that:
    1. Allows effective removal of soil by normal cleaning  methods;
    2. Is dependent on the material, design, construction, and  installation of the surface; and
    3. Varies with the likelihood of the surface's role in  introducing pathogenic or toxigenic agents or other contaminants into food  based on the surface's approved placement, purpose, and use.
    "Easily cleanable" includes a tiered application of  the criteria that qualify the surface as easily cleanable as specified above in  this definition to different situations in which varying degrees of  cleanability are required such as:
    1. The appropriateness of stainless steel for a food  preparation surface as opposed to the lack of need for stainless steel to be  used for floors or for tables used for consumer dining; or
    2. The need for a different degree of cleanability for a  utilitarian attachment or accessory in the kitchen as opposed to a decorative  attachment or accessory in the consumer dining area.
    "Easily movable" means:
    1. Portable; mounted on casters, gliders, or rollers; or  provided with a mechanical means to safely tilt a unit of equipment for  cleaning; and
    2. Having no utility connection, a utility connection that  disconnects quickly, or a flexible utility connection line of sufficient length  to allow the equipment to be moved for cleaning of the equipment and adjacent  area.
    "Egg" means the shell egg of the domesticated  chicken, turkey, duck, goose, or guinea avian species such as chicken,  duck, goose, guinea, quail, ratites, or turkey. Egg does not include a balut,  egg of the reptile species such as alligator, or an egg product.
    "Egg product" means all, or a portion of, the  contents found inside eggs separated from the shell and pasteurized in a food  processing plant, with or without added ingredients, intended for human  consumption, such as dried, frozen, or liquid eggs. Egg product does not  include food that contains eggs only in a relatively small proportion such as  cake mixes.
    "Employee" means the person in charge, person  having supervisory or management duties, person on the payroll, family member,  volunteer, person performing work under contractual agreement, or other person  working in a food establishment.
    "Enterohemorrhagic Escherichia coli  (EHEC)" means E. coli, which cause hemorrhagic colitis, meaning  bleeding enterically or bleeding from the intestine. The term is typically used  in association with E. coli that have the capacity to produce Shiga  toxins and to cause attaching and effacing lesion in the intestine. EHEC is a  subset of Shiga toxin-producing Escherichia coli (STEC), whose members produce  additional virulence factors. Infections with EHEC may be asymptomatic but are  classically associated with bloody diarrhea (hemorrhagic colitis) and hemolytic  euremic syndrome (HUS) or thrombotic thrombocytopenic purpura (TTP). Examples  of serotypes of EHEC include: E. coli O157:H7; E. coli O157:NM; E.  coli O26:H11; E. coli O145:NM; E. coli O103:H2; or E. coli  O111:NM. Also see Shiga toxin-producing E. coli.
    "EPA" means the U.S. Environmental Protection  Agency.
    "Equipment" means an article that is used in the  operation of a food establishment. "Equipment" includes, but is not  limited to, items such as a freezer, grinder, hood, ice maker, meat block,  mixer, oven, reach-in refrigerator, scale, sink, slicer, stove, table,  temperature measuring device for ambient air, vending machine, or warewashing  machine.
    "Equipment" does not include items used for  handling or storing large quantities of packaged foods that are received from a  supplier in a cased or overwrapped lot, such as hand trucks, forklifts,  dollies, pallets, racks and skids.
    "Exclude" means to prevent a person from working as  a food employee in a food establishment or entering a food establishment  except for those areas open to the general public as an employee.
    "°F" means degrees Fahrenheit.
    "FDA" means the U.S. Food and Drug Administration.
    "Fish" means fresh or saltwater finfish,  crustaceans, and other forms of aquatic life (including alligator, frog,  aquatic turtle, jellyfish, sea cucumber, and sea urchin and the roe of such  animals) other than birds or mammals; all mollusks, if such animal life is  intended for human consumption; and includes any edible human food product  derived in whole or in part from fish, including fish that has been processed  in any manner.
    "Food" means a raw, cooked, or processed edible  substance, ice, beverage, or ingredient used or intended for use or for sale in  whole or in part for human consumption.
    "Foodborne disease outbreak" means the occurrence  of two or more cases of a similar illness resulting from the ingestion of a  common food.
    "Food-contact surface" means a surface of equipment  or a utensil with which food normally comes into contact, or a surface of  equipment or a utensil from which food may drain, drip, or splash into a food,  or onto a surface normally in contact with food.
    "Food employee" means an individual working with  unpackaged food, food equipment or utensils, or food-contact surfaces.
    "Food establishment," as used in this regulation,  means an operation that stores, prepares, packages, serves, vends, or otherwise  offers for retail sale food for human consumption (i) such as a market;  restaurant; satellite or catered feeding location; catering operation if the  operation provides food directly to a consumer or to a conveyance used to  transport people; market; vending location; conveyance used to transport  people; institution; or food bank and (ii) that relinquishes possession of a  food to a consumer directly, or indirectly through a delivery service such as  home delivery of grocery orders or restaurant take out orders, or delivery  service that is provided by common carriers.
    "Food establishment," as used in this regulation,  includes (i) an element of the operation such as a transportation vehicle or a  central preparation facility that supplies a vending location or satellite  feeding location and (ii) an operation that is conducted in a mobile,  stationary, temporary, or permanent facility or location, where consumption is  on or off the premises.
    "Food establishment," as used in this regulation,  does not include:
    1. An establishment that offers only prepackaged foods that  are not potentially hazardous;
    2. A produce stand that only offers whole, uncut fresh fruits  and vegetables;
    3. A food processing plant;
    4. A food warehouse;
    5. A kitchen in a private home;
    6. A private home that receives catered or home delivered  food.
    "Food processing plant" means a commercial  operation that manufactures, packages, labels, or stores food for human  consumption and does not provide food directly to a consumer provides  food for sale or distribution to other business entities such as food  processing plants or food establishments. "Food processing plant"  does not include a "food establishment" as previously defined in this  section.
    "Game animal" means an animal, the products of  which are food, that is not classified as cattle, sheep, swine, goat, horse,  mule, or other equine in 9 CFR Part 301, Definitions, as Poultry in 9 CFR Part  381, Poultry Products Inspection Regulations, or as fish as previously defined  in this section. "Game animal" includes mammals such as reindeer,  elk, deer, antelope, water buffalo, bison, rabbit, squirrel, opossum, raccoon,  nutria, or muskrat, and nonaquatic reptiles such as land snakes. "Game  animal" does not include ratites such as ostrich, emu, and rhea.
    "General use pesticide" means a pesticide that is  not classified by EPA for restricted use as specified in 40 CFR 152.175.
    "Grade A standards" means the requirements of the  United States Public Health Service/FDA "Grade A Pasteurized Milk  Ordinance (2003)" and "Grade A Condensed and Dry Milk  Ordinance (1995)" with which certain fluid and dry milk and milk  products comply.
    "HACCP Plan" means a written document that  delineates the formal procedures for following the Hazard Analysis Critical  Control Point principles developed by the National Advisory Committee on  Microbiological Criteria for Foods.
    "Handwashing sink" means a lavatory, a basin or  vessel for washing, a wash basin, or a plumbing fixture especially placed for  use in personal hygiene and designed for the washing of hands. Handwashing sink  includes an automatic handwashing facility.
    "Hazard" means a biological, chemical, or physical  property that may cause an unacceptable consumer health risk.
    "Health practitioner" means a physician licensed  to practice medicine, or if allowed by law, a nurse practitioner, physician  assistant, or similar medical profession.
    "Hermetically sealed container" means a container  that is designed and intended to be secure against the entry of microorganisms  and, in the case of low acid canned foods, to maintain the commercial sterility  of its contents after processing.
    "Highly susceptible population" means persons who  are more likely than other people in the general population to experience  foodborne disease because they are (i) immunocompromised; preschool age children,  or older adults; and (ii) obtaining food at a facility that provides services  such as custodial care, health care, or assisted living, such as a child or  adult day care center, kidney dialysis center, hospital or nursing home, or  nutritional or socialization services such as a senior center.
    "Imminent health hazard" means a significant threat  or danger to health that is considered to exist when there is evidence  sufficient to show that a product, practice, circumstance, or event creates a  situation that requires immediate correction or cessation of operation to  prevent injury based on the number of potential injuries, and the nature,  severity, and duration of the anticipated injury.
    "Injected" means tenderizing a meat with deep  penetration or injecting the meat such as with juices that may be referred to  as "injecting," "pinning," or "stitch pumping."  During injection infectious or toxigenic microorganisms may be introduced from  its surface to its interior.
    "Juice," when used in the context of food safety,  "Juice" means the aqueous liquid expressed or extracted from  one or more fruits or vegetables, purées of the edible portions of one or more  fruits or vegetables, or any concentrate of such liquid or purée. Juice includes  juice as a whole beverage, an ingredient of a beverage and a purée as an  ingredient of a beverage does not include, for purposes of HACCP,  liquids, purées, or concentrates that are not used as beverages or ingredients  of beverages.
    "Kitchenware" means food preparation and storage utensils.
    "Law" means applicable local, state, and federal  statutes, regulations, and ordinances.
    "Linens" means fabric items such as cloth hampers,  cloth napkins, table cloths, wiping cloths, and work garments, including cloth  gloves.
    "Major food allergen" means milk, egg, fish  (such as bass, flounder, cod, and including crustacean shellfish such as crab,  lobster, or shrimp), tree nuts (such as almonds, pecans, or walnuts), wheat,  peanuts, and soybeans; or a food ingredient that contains protein derived from  one of these foods. Major food allergen does not include any highly refined oil  derived from a major food allergen in this definition and any ingredient  derived from such highly refined oil; or any ingredient that is exempt under  the petition or notification process specified in the Food Allergen Labeling  and Consumer Protection Act of 2004 (P. L. 108-282, Title II, Sec. 201).
    "Meat" means the flesh of animals used as food  including the dressed flesh of cattle, swine, sheep, or goats and other edible  animals, except fish, poultry, and wild game animals as specified under  2VAC5-585-330 A 3 and 4.
    "mg/L" means milligrams per liter, which is the  metric equivalent of parts per million (ppm).
    "Molluscan shellfish" means any edible species of  fresh or frozen oysters, clams, mussels, and scallops or edible portions  thereof, except when the scallop product consists only of the shucked adductor  muscle.
    "Operator" means the entity that is legally  responsible for the operation of the food establishment such as the owner, the  owner's agent, or other person.
    "Packaged" means bottled, canned, cartoned,  securely bagged, or securely packaged in a food establishment or a food  processing plant. "Packaged" does not include a wrapper, carry-out  box, or other nondurable container used to containerize food with the purpose  of facilitating food protection during service and receipt of the food by the  consumer.
    "Person" means an association, a corporation,  individual, partnership, other legal entity, government, or governmental subdivision  or agency.
    "Person in charge" means the individual present at  a food establishment who is responsible for the operation at the time of  inspection.
    "Personal care items" means items or substances  that may be poisonous, toxic, or a source of contamination and are used to  maintain or enhance a person's health, hygiene, or appearance. Personal care  items include items such as medicines; first aid supplies; and other items such  as cosmetics, and toiletries such as toothpaste and mouthwash.
    "pH" means the symbol for the negative logarithm of  the hydrogen ion concentration, which is a measure of the degree of acidity or  alkalinity of a solution.
    "Physical facilities" means the structure and  interior surfaces of a food establishment including accessories such as soap  and towel dispensers and attachments such as light fixtures and heating or air  conditioning system vents.
    "Plumbing fixture" means a receptacle or device  that is permanently or temporarily connected to the water distribution system  of the premises and demands a supply of water from the system or discharges  used water, waste materials, or sewage directly or indirectly to the drainage  system of the premises.
    "Plumbing system" means the water supply and  distribution pipes; plumbing fixtures and traps; soil, waste, and vent pipes;  sanitary and storm sewers and building drains, including their respective  connections, devices, and appurtenances within the premises; and water-treating  equipment.
    "Poisonous or toxic materials" means substances  that are not intended for ingestion and are included in four categories:
    1. Cleaners and sanitizers, which include cleaning and  sanitizing agents and agents such as caustics, acids, drying agents, polishes,  and other chemicals;
    2. Pesticides, which include substances such as insecticides  and rodenticides;
    3. Substances necessary for the operation and maintenance of  the establishment such as nonfood grade lubricants, paints, and personal care  items that may be deleterious to health; and
    4. Substances that are not necessary for the operation and  maintenance of the establishment and are on the premises for retail sale, such  as petroleum products and paints.
    "Potentially hazardous food" means a food that  is natural or synthetic and that requires temperature control because it is in  a form capable of supporting:
    1. The rapid and progressive growth of infectious or  toxigenic microorganisms;
    2. The growth and toxin production of Clostridium  botulinum; or
    3. In raw shell eggs, the growth of Salmonella enteritidis.
    "Potentially hazardous food" includes an animal  food (a food of animal origin) that is raw or heat-treated; a food of plant  origin that is heat-treated or consists of raw seed sprouts; cut melons; and  garlic-in-oil mixtures that are not acidified or otherwise modified at a food  processing plant in a way that results in mixtures that do not support growth  as specified above in this definition.
    "Potentially hazardous food" does not include:
    1. An air-cooled hard-boiled egg with shell intact or a  shell egg that is not hard-boiled, but has been treated to destroy all viable  Salmonellae;
    2. A food with an aw value of 0.85 or less;
    3. A food with a pH level of 4.6 or below when measured at  75°F (24°C);
    4. A food in an unopened hermetically sealed container that  is commercially processed to achieve and maintain commercial sterility under  conditions of nonrefrigerated storage and distribution;
    5. A food for which laboratory evidence demonstrates that  the rapid and progressive growth of infectious and toxigenic microorganisms or  the growth of Salmonella enteritidis in eggs or Clostridium botulinum cannot  occur, such as a food that has an aw and a pH that are above the levels  specified in this definition and that may contain a preservative, other barrier  to the growth of microorganisms, or a combination of barriers that inhibit the  growth of microorganisms; or
    6. A food that does not support the growth of  microorganisms as specified above in this definition even though the food may  contain an infectious or toxigenic microorganism or chemical or physical  contaminant at a level sufficient to cause illness.
    "Potentially hazardous food (time/temperature control  for safety food)" means a food that requires time/temperature control for  safety (TCS) to limit pathogenic microorganism growth or toxin formation: 
    1. Potentially hazardous food (time/temperature control for  safety food) includes an animal food that is raw or heat-treated; a plant food  that is heat-treated or consists of raw seed sprouts, cut melons, cut tomatoes,  or mixtures of cut tomatoes that are not modified in a way so that they are  unable to support pathogenic microorganism growth or toxin formation, or  garlic-in-oil mixtures that are not modified in a way that results in mixtures  that do not support pathogenic microorganism growth or toxin formation; and  except as specified in subdivision 2 of this definition, a food that because of  the interaction of its Aw and pH values is designated as Product  Assessment Required (PA) in Table A or B of this definition:
           |      Table A. Interaction of pH and Aw for control of spores    in food heat treated to destroy vegetative cells and subsequently packaged.      |    
       |      Aw values      |          pH values      |    
       |      4.6 or less      |          >4.6-5.6      |          >5.6      |    
       |      <0.92      |          non-PHF*/non-TCS food**      |          non-PHF/non-TCS food      |          non-PHF/non-TCS food      |    
       |      >0.92-0.95      |          non-PHF/non-TCS food      |          non-PHF/non-TCS food      |          PA***      |    
       |      >0.95      |          non-PHF/non-TCS food      |          PA      |          PA      |    
       |      *PHF means Potentially    Hazardous Food     **TCS means    Time/Temperature Control for Safety Food     ***PA means Product    Assessment required      |    
  
     
           |      Table B. Interaction of pH and Aw for control of    vegetative cells and spores in food not heat treated or heat treated but not    packaged.      |    
       |      Aw values      |          pH values      |    
       |      <4.2      |          4.2- 4.6      |          >4.6-5.0      |          >5.0      |    
       |      <0.88      |          non-PHF*/     non-TCS food**      |          non-PHF/     non-TCS food      |          non-PHF/     non-TCS food      |          non-PHF/     non-TCS food      |    
       |      0.88-0.90      |          non-PHF/     non-TCS food      |          non-PHF/     non-TCS food      |          non-PHF/     non-TCS food      |          PA***      |    
       |      >0.90-0.92      |          non-PHF/     non-TCS food      |          non-PHF/     non-TCS food      |          PA      |          PA      |    
       |      >0.92      |          non-PHF/     non-TCS food      |          PA      |          PA      |          PA      |    
       |      *PHF means Potentially Hazardous Food     **TCS means Time/Temperature Control for Safety Food     ***PA means Product Assessment required      |    
  
    2. Potentially hazardous food (time/temperature control for  safety food) does not include:
    a. An air-cooled hard-boiled egg with shell intact, or an  egg with shell intact that is not hard boiled, but has been pasteurized to  destroy all viable Salmonellae;
    b. A food in an unopened hermetically sealed container that  is commercially processed to achieve and maintain commercial sterility under  conditions of nonrefrigerated storage and distribution;
    c. A food that because of its pH or Aw value, or  interaction of Aw and pH values, is designated as a non-PHF/non-TCS  food in Table A or B of this definition;
    d. A food that is designated as Product Assessment required  (PA) in Table A or B of this definition and has undergone a Product Assessment  showing that the growth or toxin formation of pathogenic microorganisms that  are reasonably likely to occur in that food is precluded due to:
    (1) Intrinsic factors including added or natural  characteristics of the food such as preservatives, antimicrobials, humectants,  acidulants, or nutrients;
    (2) Extrinsic factors including environmental or  operational factors that affect the food such as packaging, modified atmosphere  such as reduced oxygen packaging, shelf-life and use, or temperature range of  storage and use; or
    (3) A combination of intrinsic and extrinsic factors; or
    e. A food that does not support the growth or toxin  formation of pathogenic microorganisms in accordance with one of the  subdivisions 2 a through 2 d of this definition even though the food may  contain a pathogenic microorganism or chemical or physical contaminant at a  level sufficient to cause illness or injury.
    "Poultry" means any domesticated bird (chickens,  turkeys, ducks, geese, or guineas), whether live or dead, as defined in 9 CFR  Part 381, Poultry Products Inspection Regulations, and any migratory waterfowl,  game bird, or squab such as pheasant, partridge, quail, grouse, or guineas, or  pigeon or squab, whether live or dead, as defined in 9 CFR Part 362, Voluntary  Poultry Inspection Regulations. "Poultry" does not include ratites.
    "Premises" means the physical facility, its  contents, and the contiguous land or property under the control of the operator  or person in charge.
    "Primal cut" means a basic major cut into which  carcasses and sides of meat are separated, such as a beef round, pork loin,  lamb flank or veal breast.
    "Public water system" has the meaning stated in 40  CFR Part 141, National Primary Drinking Water Regulations.
    "Ratite" means a flightless bird such as an emu,  ostrich, or rhea.
    "Ready-to-eat food" means food that:
    1. (i) Is in a form that is edible without additional  preparation to achieve food safety, as specified under subsections A through C  of 2VAC5-585-700 or 2VAC5-585-710 or 2VAC5-585-730; (ii) is a raw or partially  cooked animal food and the consumer is advised as specified under subdivisions  D 1 and D 2 of 2VAC5-585-700; or (iii) is prepared in accordance with a  variance that is granted as specified under subdivisions D 1 and D 3 of  2VAC5-585-700; and
    2. May receive additional preparation for palatability or  aesthetic, epicurean, gastronomic, or culinary purposes.
    "Ready-to-eat food" includes:
    1. Raw animal food that is cooked as specified under  2VAC5-585-700 or 2VAC5-585-710, or frozen as specified under 2VAC5-585-730;
    2. Raw fruits and vegetables that are washed as specified  under 2VAC5-585-510;
    3. Fruits and vegetables that are cooked for hot holding, as  specified under 2VAC5-585-720;
    4. All potentially hazardous food that is cooked to the  temperature and time required for the specific food under Article 4  (2VAC5-585-700 et seq.) of Part III of this regulation and cooled as specified  in 2VAC5-585-800;
    5. Plant food for which further washing, cooking, or other  processing is not required for food safety, and from which rinds, peels, husks,  or shells, if naturally present, are removed;
    6. Substances derived from plants such as spices, seasonings,  and sugar;
    7. A bakery item such as bread, cakes, pies, fillings, or  icing for which further cooking is not required for food safety;
    8. The following products that are produced in accordance with  USDA guidelines and that have received a lethality treatment for pathogens:  dry, fermented sausages, such as dry salami or pepperoni; salt-cured meat and  poultry products, such as prosciutto ham, country cured ham, and Parma ham; and  dried meat and poultry products, such as jerky or beef sticks; and
    9. Food manufactured according to 21 CFR Part 113, Thermally  Processed Low-Acid Foods Packaged in Hermetically Sealed Containers.
    "Reduced oxygen packaging" means (i) the reduction  of the amount of oxygen in a package by removing oxygen; displacing oxygen and  replacing it with another gas or combination of gases; or otherwise controlling  the oxygen content to a level below that normally found in the surrounding,  21% oxygen atmosphere (approximately 21% at sea level); and (ii) a  process as specified in clause (i) of this definition that involves a food for  which Clostridium botulinum is identified as a microbiological hazard in the  final packaged form the hazards Clostridium botulinum or Listeria  monocytogenes require control in the final packaged form.
    "Reduced oxygen packaging" includes:
    1. Vacuum packaging, in which air is removed from a package of  food and the package is hermetically sealed so that a vacuum remains inside the  package, such as sous vide;
    2. Modified atmosphere packaging, in which the atmosphere of a  package of food is modified so that its composition is different from air but  the atmosphere may change over time due to the permeability of the packaging  material or the respiration of the food. Modified atmosphere packaging includes  reduction in the proportion of oxygen, total replacement of oxygen, or an  increase in the proportion of other gases such as carbon dioxide or nitrogen;  and
    3. Controlled atmosphere packaging, in which the atmosphere of  a package of food is modified so that until the package is opened, its  composition is different from air, and continuous control of that atmosphere is  maintained, such as by using oxygen scavengers or a combination of total  replacement of oxygen, nonrespiring food, and impermeable packaging material.;
    4. Cook chill packaging, in which cooked food is hot filled  into impermeable bags that have the air expelled and are then sealed or crimped  closed. The bagged food is rapidly chilled and refrigerated at temperatures  that inhibit the growth of psychotrophic pathogens; or
    5. Sous vide packaging, in which raw or partially cooked  food is placed in a hermetically sealed, impermeable bag, cooked in the bag,  rapidly chilled, and refrigerated at temperatures that inhibit the growth of  psychotrophic pathogens.
    "Refuse" means solid waste not carried by water  through the sewage system.
    "Regulatory authority" means local, state, or  federal enforcement body or their authorized representative having jurisdiction  over the food establishment.
    "Reminder" means a written statement concerning the  health risk of consuming animal foods raw, undercooked, or without being  processed to eliminate pathogens.
    "Reservice" means the transfer of food that is  unused and returned by a consumer after being served or sold and in the  possession of the consumer, to another person.
    "Restrict" means to limit the activities of a food  employee so that there is no risk of transmitting a disease that is transmissible  through food and the food employee does not work with exposed food, clean  equipment, utensils, linens, and unwrapped single-service or single-use  articles.
    "Restricted egg" means any check, dirty egg,  incubator reject, inedible, leaker, or loss as defined in 9 CFR Part 590.
    "Restricted use pesticide" means a pesticide  product that contains the active ingredients specified in 40 CFR 152.175  (pesticides classified for restricted use) and that is limited to use by or  under the direct supervision of a certified applicator.
    "Risk" means the likelihood that an adverse health  effect will occur within a population as a result of a hazard in a food.
    "Safe material" means an article manufactured from  or composed of materials that may not reasonably be expected to result,  directly or indirectly, in their becoming a component or otherwise affecting  the characteristics of any food; an additive that is used as specified in § 409  or 706 of the Federal Food, Drug, and Cosmetic Act (21 USC §§ 348 and 376); or  other materials that are not additives and that are used in conformity with  applicable regulations of the Food and Drug Administration.
    "Sanitization" means the application of cumulative  heat or chemicals on cleaned food contact surfaces that, when evaluated for  efficacy, yield a reduction of five logs, which is equal to a 99.999%  reduction, of representative disease microorganisms of public health  importance.
    "Sealed" means free of cracks or other openings  that permit the entry or passage of moisture.
    "Service animal" means an animal such as a guide  dog, signal dog, or other animal individually trained to provide assistance to  an individual with a disability.
    "Servicing area" means an operating base location  to which a mobile food establishment or transportation vehicle returns  regularly for such things as vehicle and equipment cleaning, discharging liquid  or solid wastes, refilling water tanks and ice bins, and boarding food.
    "Sewage" means liquid waste containing animal or  vegetable matter in suspension or solution and may include liquids containing  chemicals in solution.
    "Shellfish control authority" means a state,  federal, foreign, tribal, or other government entity legally responsible for  administering a program that includes certification of molluscan shellfish  harvesters and dealers for interstate commerce.
    "Shellstock" means raw, in-shell molluscan  shellfish.
    "Shiga toxin-producing Escherichia coli" (STEC)  means any E. coli capable of producing Shiga toxins (also called verocytotoxins  or "Shiga-like" toxins). This includes, but is not limited to, E.  coli reported as serotype O157:H7, O157:NM, and O157:H-. Examples of  serotypes of STEC include both O157 and non-O157 E. coli. Also see  Enterohemorrhagic Escherichia coli.
    "Shucked shellfish" means molluscan shellfish that  have one or both shells removed.
    "Single-service articles" means tableware,  carry-out utensils, and other items such as bags, containers, placemats,  stirrers, straws, toothpicks, and wrappers that are designed and constructed  for one time, one person use after which they are intended for discard.
    "Single-use articles" means utensils and bulk food  containers designed and constructed to be used once and discarded. Single-use  articles includes items such as wax paper, butcher paper, plastic wrap, formed  aluminum food containers, jars, plastic tubs or buckets, bread wrappers, pickle  barrels, ketchup bottles, and number 10 cans that do not meet the materials,  durability, strength and cleanability specifications under 2VAC5-585-960,  2VAC5-585-1080, and 2VAC5-585-1100 for multiuse utensils.
    "Slacking" means the process of moderating the  temperature of a food such as allowing a food to gradually increase from a  temperature of -10°F (-23°C) to 25°F (-4°C) in preparation for deep-fat frying  or to facilitate even heat penetration during the cooking of previously  block-frozen food such as spinach.
    "Smooth" means a food-contact surface having a  surface free of pits and inclusions with a cleanability equal to or exceeding  that of (100 grit) number three stainless steel; a nonfood-contact surface of  equipment having a surface equal to that of commercial grade hot-rolled steel  free of visible scale; and a floor, wall, or ceiling having an even or level  surface with no roughness or projections that render it difficult to clean.
    "Table-mounted equipment" means equipment that  is not easily movable and is designed to be mounted off the floor on a table,  counter, or shelf.
    "Tableware" means eating, drinking, and serving  utensils for table use such as flatware including forks, knives, and spoons;  hollowware including bowls, cups, serving dishes, and tumblers; and plates.
    "Temperature measuring device" means a thermometer,  thermocouple, thermistor, or other device that indicates the temperature of  food, air, or water.
    "Temporary food establishment" means a food  establishment that operates for a period of no more than 14 consecutive days in  conjunction with a single event or celebration.
    "USDA" means the U.S. Department of Agriculture.
    "Utensil" means a food-contact implement or  container used in the storage, preparation, transportation, dispensing, sale,  or service of food, such as kitchenware or tableware that is multiuse, single  service, or single use; gloves used in contact with food; temperature sensing  probes of food temperature measuring devices; and probe-type price or  identification tags used in contact with food.
    "Variance" means a written document issued by the  department that authorizes a modification or waiver of one or more requirements  of this chapter if, in the opinion of the department, a health hazard or  nuisance will not result from the modification or waiver.
    "Vending machine" means a self-service device that,  upon insertion of a coin, paper currency, token, card, or key, or by optional  manual operation, dispenses unit servings of food in bulk or in packages  without the necessity of replenishing the device between each vending  operation.
    "Vending machine location" means the room,  enclosure, space, or area where one or more vending machines are installed and  operated and includes the storage and servicing areas on the premises that are  used in conjunction with the vending machines.
    "Warewashing" means the cleaning and sanitizing of  food-contact surfaces of equipment and utensils.
    "Whole-muscle, intact beef" means whole muscle beef  that is not injected, mechanically tenderized, reconstructed, or scored and  marinated, from which beef steaks may be cut.
    2VAC5-585-60. Demonstration.*
    Based on the risks of foodborne illness inherent to the food  operation, during inspections and upon request the person in charge shall  demonstrate to the department knowledge of foodborne disease prevention,  application of the Hazard Analysis Critical Control Point principles, and the  requirements of this regulation. The person in charge shall demonstrate this  knowledge by:
    1. Complying with this regulation by having no violations  during the current inspection;
    2. Being a certified food protection manager who has shown  proficiency of required information through passing a test that is part of an  accredited program; or
    3. Responding correctly to the inspector's questions as they  relate to the specific food operation. The areas of knowledge include:
    a. Describing the relationship between the prevention of  foodborne disease and the personal hygiene of a food employee;
    b. Explaining the responsibility of the person in charge for  preventing the transmission of foodborne disease by a food employee who has a  disease or medical condition that may cause foodborne disease;
    c. Describing the symptoms associated with the diseases that  are transmissible through food;
    d. Explaining the significance of the relationship between  maintaining the time and temperature of potentially hazardous food (time/temperature  control for safety food) and the prevention of foodborne illness;
    e. Explaining the hazards involved in the consumption of raw  or undercooked meat, poultry, eggs, and fish;
    f. Stating the required food temperatures and times for safe  cooking of potentially hazardous food (time/temperature control for safety  food) including meat, poultry, eggs, and fish;
    g. Stating the required temperatures and times for the safe  refrigerated storage, hot holding, cooling, and reheating of potentially  hazardous food (time/temperature control for safety food);
    h. Describing the relationship between the prevention of  foodborne illness and the management and control of the following:
    (1) Cross contamination;
    (2) Hand contact with ready-to-eat foods;
    (3) Handwashing; and
    (4) Maintaining the food establishment in a clean condition  and in good repair;
    i. Describing the foods identified as major food allergens  and the symptoms that a major food allergen could cause in a sensitive  individual who has an allergic reaction;
    i. j. Explaining the relationship between food  safety and providing equipment that is:
    (1) Sufficient in number and capacity; and
    (2) Properly designed, constructed, located, installed,  operated, maintained, and cleaned;
    j. k. Explaining correct procedures for cleaning  and sanitizing utensils and food-contact surfaces of equipment;
    k. l. Identifying the source of water used and  measures taken to ensure that it remains protected from contamination such as  providing protection from backflow and precluding the creation of cross  connections;
    l. m. Identifying poisonous or toxic materials  in the food establishment and the procedures necessary to ensure that they are  safely stored, dispensed, used, and disposed of according to law;
    m. n. Identifying critical control points in the  operation from purchasing through sale or service that when not controlled may  contribute to the transmission of foodborne illness and explaining steps taken  to ensure that the points are controlled in accordance with the requirements of  this regulation;
    n. o. Explaining the details of how the person  in charge and food employees comply with the HACCP plan if a plan is required  by the law, this regulation, or an agreement between the department and the  establishment; and
    o. p. Explaining the responsibilities, rights,  and authorities assigned by this regulation to the:
    (1) Food employee;
    (2) Person in charge; and
    (3) Department.
    q. Explaining how the person in charge, food employees, and  conditional employees comply with reporting responsibilities and the exclusion  or restriction of food employees.
    2VAC5-585-70. Person Duties of person in charge.
    The person in charge shall ensure that:
    1. Food establishment operations are not conducted in a  private home or in a room used as living or sleeping quarters as specified under  2VAC5-585-2990;
    2. Persons unnecessary to the food establishment operation are  not allowed in the food preparation, food storage, or warewashing areas, except  that brief visits and tours may be authorized by the person in charge if steps  are taken to ensure that exposed food; clean equipment, utensils, and linens;  and unwrapped single-service and single-use articles are protected from  contamination;
    3. Employees and other persons such as delivery and  maintenance persons and pesticide applicators entering the food preparation,  food storage, and warewashing areas comply with this regulation;
    4. Employees are effectively cleaning their hands, by  routinely monitoring the employees' handwashing;
    5. Employees are visibly observing foods as they are received to  determine that they are from approved sources, delivered at the required  temperatures, protected from contamination, unadulterated, and accurately  presented, by routinely monitoring the employees' observations and periodically  evaluating foods upon their receipt;
    6. Employees are properly cooking potentially hazardous food,  being particularly careful in cooking those foods known to cause severe  foodborne illness and death, such as eggs and comminuted meats, through daily  oversight of the employees' routine monitoring of the cooking temperatures  using appropriate temperature measuring devices properly scaled and calibrated  as specified under 2VAC5-585-1180 and 2VAC5-585-1730 B;
    7. Employees are using proper methods to rapidly cool  potentially hazardous foods that are not held hot or are not for consumption  within four hours, through daily oversight of the employees' routine monitoring  of food temperatures during cooling;
    8. Consumers who order raw or partially cooked ready-to-eat  foods of animal origin are informed as specified under 2VAC5-585-930 that the  food is not cooked sufficiently to ensure its safety;
    9. Employees are properly sanitizing cleaned multiuse  equipment and utensils before they are reused, through routine monitoring of  solution temperature and exposure time for hot water sanitizing, and chemical  concentration, pH, temperature, and exposure time for chemical sanitizing;
    10. Consumers are notified that clean tableware is to be used  when they return to self-service areas such as salad bars and buffets as  specified under 2VAC5-585-590;
    11. Except when otherwise approved as specified in  2VAC5-585-450 B, employees are preventing cross-contamination of ready-to-eat  food with bare hands by properly using suitable utensils such as deli tissue,  spatulas, tongs, single-use gloves, or dispensing equipment; and
    12. Employees are properly trained in food safety as it  relates to their assigned duties.; and
    13. Food employees and conditional employees are informed  of their responsibility to report in accordance with law, to the person in  charge, information about their health and activities as they relate to  diseases that are transmissible through food, as specified under 2VAC5-585-80.
    Article 2 
  Employee Health 
    2VAC5-585-80. Responsibility of the person in charge to  require reporting by food employees and applicants and conditional  employees.*
    A. The person in charge shall require food employee  applicants to whom a conditional offer of employment is made and food employees  and conditional employees to report to the person in charge,  information about their health and activities as they relate to diseases that  are transmissible through food. A food employee or applicant conditional  employee shall report the information in a manner that allows the person in  charge to prevent the likelihood reduce the risk of foodborne  disease transmission, including providing necessary additional information,  such as the date of onset of jaundice or of symptoms and an  illness specified in subdivision 3 of this section, or of a diagnosis  without symptoms, if the food employee or applicant conditional  employee:
    1. Is diagnosed with an illness due to:
    a. Salmonella typhi;
    b. Shigella spp.;
    c. Shiga toxin-producing Escherichia coli; or
    d. Hepatitis A virus;
    2. Has a symptom caused by illness, infection, or other  source that is:
    a. Associated with an acute gastrointestinal illness such  as:
    (1) Diarrhea;
    (2) Fever;
    (3) Vomiting;
    (4) Jaundice; or
    (5) Sore throat with fever; or
    b. A lesion containing pus such as a boil or infected wound  that is open or draining and is:
    (1) On the hands or wrists, unless an impermeable cover  such as a finger cot or stall protects the lesion and a single-use glove is  worn over the impermeable cover;
    (2) On exposed portions of the arms, unless the lesion is  protected by an impermeable cover; or
    (3) On other parts of the body, unless the lesion is  covered by a dry, durable, tight-fitting bandage;
    3. Had a past illness from:
    a. S. typhi within the past three months;
    b. Shigella spp. within the past month;
    c. Shiga Toxin-Producing Escherichia coli, within the past  month; or
    d. Hepatitis A virus;
    4. Meets one or more of the following high-risk conditions:
    a. Is suspected of causing, or being exposed to, a  confirmed disease outbreak caused by S. typhi, Shigella spp., Shiga  toxin-producing Escherichia coli, or hepatitis A virus including an outbreak at  an event such as a family meal, church supper, or festival because the food  employee or applicant:
    (1) Prepared food implicated in the outbreak;
    (2) Consumed food implicated in the outbreak; or
    (3) Consumed food at the event prepared by a person who is  infected or ill with the infectious agent that caused the outbreak or who is  suspected of being a shedder of the infectious agent;
    b. Lives in the same household as a person who is diagnosed  with a disease caused by S. typhi, Shigella spp., Shiga Toxin-Producing  Escherichia coli, or hepatitis A virus; or
    c. Lives in the same household as a person who attends or  works in a setting where there is a confirmed disease outbreak caused by S.  typhi, Shigella spp., Shiga toxin-producing Escherichia coli, or hepatitis A  virus.
    1. Has any of the following symptoms:
    a. Vomiting;
    b. Diarrhea;
    c. Jaundice; 
    d. Sore throat with fever; or 
    e. A lesion containing pus such as a boil or infected wound  that is open or draining and is:
    (1) On the hands or wrists, unless an impermeable cover  such as a finger cot or stall protects the lesion and a single-use glove is  worn over the impermeable cover, 
    (2) On exposed portions of the arms, unless the lesion is  protected by an impermeable cover, or 
    (3) On other parts of the body, unless the lesion is  covered by a dry, durable, tight-fitting bandage;
    2. Has an illness diagnosed by a health practitioner due  to:
    a. Norovirus;
    b. Hepatitis A virus;
    c. Shigella spp.;
    d. Enterohemorrhagic or Shiga-toxin producing Escherichia  coli; or
    e. Salmonella Typhi;
    3. Had a previous illness, diagnosed by a health  practitioner, within the past three months due to Salmonella Typhi, without  having received antibiotic therapy, as determined by a health practitioner;
    4. Has been exposed to, or is the suspected source of, a  confirmed disease outbreak, because the food employee or conditional employee  consumed or prepared food implicated in the outbreak, or consumed food at an  event prepared by a person who is infected or ill with:
    a. Norovirus within the past 48 hours of the last exposure;  
    b. Enterohemorrhagic or Shiga-toxin producing Escherichia  coli, or Shigella spp. within the past three days of the last exposure; 
    c. Salmonella Typhi within the past 14 days of the last  exposure; or
    d. Hepatitis A virus within the past 30 days of the last  exposure; or
    5. Has been exposed by attending or working in a setting  where there is a confirmed disease outbreak, or living in the same household  as, and has knowledge about an individual who works or attends a setting where  there is a confirmed disease outbreak, or living in the same household as, and  has knowledge about, an individual diagnosed with an illness caused by:
    a. Norovirus within the past 48 hours of exposure;
    b. Enterohemorragic or Shiga-toxin producing Escherichia  coli, or Shigella spp. within the past three days of the last exposure; 
    c. Salmonella Typhi within the past 14 days of the last  exposure; or
    d. Hepatitis A virus within the past 30 days of the last  exposure.
    B. The person in charge shall notify the regulatory  authority when a food employee is:
    1. Jaundiced; or
    2. Diagnosed with an illness due to a pathogen as specified  under subdivisions A 2 a through e of this section.
    C. The person in charge shall ensure that a conditional  employee:
    1. Who exhibits or reports a symptom, or who reports a  diagnosed illness as specified under subdivisions A 2 a through e of this section,  is prohibited from becoming a food employee until the conditional employee  meets the criteria for the specific symptoms or diagnosed illness as specified  under 2VAC5-585-100; and 
    2. Who will work as a food employee in a food establishment  that serves a highly susceptible population and reports a history of exposure  as specified under subdivisions A 4 and 5 of this section, is prohibited from  becoming a food employee until the conditional employee meets the criteria  specified under subdivision 9 of 2VAC5-585-100.
    D. The person in charge shall ensure that a food employee  who exhibits or reports a symptom, or who reports a diagnosed illness or  history of exposure as specified under subdivision A 1 through 5 of this  section is:
    1. Excluded as specified under subdivisions 1 through 3 and  4 a, 5 a, 6 a, or 7 a of 2VAC5-585-90 and in compliance with the provisions  specified under subdivisions 1 through 7 of 2VAC5-585-100; or
    2. Restricted as specified under subdivisions 4 b, 5 b, 6  b, 7 b, 8, or 9 of 2VAC5-585-90 and in compliance with the provisions specified  under subdivisions 4 through 12 of 2VAC5-585-100.
    E. A food employee or conditional employee shall report to  the person in charge the information as specified under subsection A of this  section.
    F. A food employee shall:
    1. Comply with an exclusion as specified under subdivisions  1 through 3 and 4 a, 5 a, 6 a, or 7 a of 2VAC5-585-90, and with the provisions  specified under subdivisions 1 through 7 of 2VAC5-585-100; or
    2. Comply with a restriction as specified under subdivisons  4 b, 5 b, 6 b, 7 b, 8, or 9 of 2VAC5-585-90 and comply with the provisions  specified under subdivisons 4 through 12 of 2VAC5-585-100.
    2VAC5-585-90. Exclusions and restrictions.*
    A. The person in charge shall exclude a food employee from  a food establishment if the food employee is diagnosed with an infectious agent  specified in subdivision 1 of 2VAC5-585-80.
    B. Except as specified under subsection C or D of this  section, the person in charge shall restrict a food employee from working with  exposed food; clean equipment, utensils, and linens; and unwrapped  single-service and single-use articles in a food establishment if the food  employee is:
    1. Suffering from a symptom specified under subdivision 2 a  (1), (2), (3) or (5) of 2VAC5-585-80; or
    2. Not experiencing a symptom of acute gastroenteritis  specified in subdivision 2 a of 2VAC5-585-80, but has a stool that yields a  specimen culture that is positive for S. typhi, Shigella spp., or Shiga  toxin-producing Escherichia coli.
    C. If the population served is a highly susceptible  population, the person in charge shall exclude a food employee who:
    1. Is experiencing a symptom of acute gastrointestinal  illness specified under subdivisions 2 a (1), (2), (3) or (5) of 2VAC5-585-80  and meets a high-risk condition specified in subdivision 4 of 2VAC5-585-80;
    2. Is not experiencing a symptom of acute gastroenteritis  specified in subdivision 2 a of 2VAC5-585-80, but has a stool that yields a  specimen culture that is positive for S. typhi, Shigella spp., or Shiga  toxin-producing Escherichia coli;
    3. Had a past illness from S. typhi within the last three  months; or
    4. Had a past illness from Shigella spp. or Shiga  toxin-producing Escherichia coli within the last month.
    D. For a food employee who is jaundiced:
    1. If the onset of jaundice occurred within the last seven  calendar days, the person in charge shall exclude the food employee from the  food establishment; or
    2. If the onset of jaundice occurred more than seven  calendar days before, the person in charge shall:
    a. Exclude the food employee from a food establishment that  serves a highly susceptible population; or
    b. Restrict the food employee from activities specified in  subsection B of this section, if the food establishment does not serve a highly  susceptible population.
    The person in charge shall exclude or restrict a food  employee from a food establishment in accordance with the following:
    1. Except when the symptom is from a noninfectious  condition, exclude a food employee if the food employee is:
    a. Symptomatic with vomiting or diarrhea; or
    b. Symptomatic with vomiting or diarrhea and diagnosed with  an infection from Norovirus, Shigella spp., or Enterohemorrhagic or Shiga-toxin  producing Escherichia coli.
    2. Exclude a food employee who is:
    a. Jaundiced and the onset of jaundice occurred within the  last seven calendar days, unless the food employee provides to the person in  charge written medical documentation from a health practitioner specifying that  the jaundice is not caused by Hepatitis A virus or other fecal-orally  transmitted infection;
    b. Diagnosed with an infection from Hepatitis A virus  within 14 calendar days from the onset of any illness symptoms, or within seven  calendar days of the onset of jaundice; or
    c. Diagnosed with an infection from Hepatitis A virus  without developing symptoms.
    3. Exclude a food employee who is diagnosed with an  infection from Salmonella Typhi, or reports a previous infection with  Salmonella Typhi within the past three months as specified in 2VAC5-585-80 A 3.
    4. If a food employee is diagnosed with an infection from  Norovirus and is asymptomatic:
    a. Exclude the food employee who works in a food  establishment serving a highly susceptible population; or
    b. Restrict the food employee who works in a food  establishment not serving a highly susceptible population.
    5. If a food employee is diagnosed with an infection from  Shigella spp. and is asymptomatic:
    a. Exclude the food employee who works in a food  establishment serving a highly susceptible population; or
    b. Restrict the food employee who works in a food  establishment not serving a highly susceptible population.
    6. If a food employee is diagnosed with an infection from  Enterohemorrhagic or Shiga-toxin producing E. coli, and is asymptomatic:
    a. Exclude the food employee who works in a food  establishment serving a highly susceptible population; or
    b. Restrict the food employee who works in a food  establishment not serving a highly susceptible population.
    7. If a food employee is ill with symptoms of acute onset  of sore throat with fever:
    a. Exclude the food employee who works in a food  establishment serving a highly susceptible population; or
    b. Restrict the food employee who works in a food  establishment not serving a highly susceptible population.
    8. If a food employee is infected with a skin lesion  containing pus such as a boil or infected wound that is open or draining and  not properly covered as specified under 2VAC5-585-80 A 1 e, restrict the food  employee.
    9. If a food employee is exposed to a foodborne pathogen as  specified under 2VAC5-585-80 A 4 or 5, restrict the food employee who works in  a food establishment serving a highly susceptible population.
    2VAC5-585-100. Removal of exclusions and restrictions.
    A. The person in charge may remove an exclusion specified under  2VAC5-585-90 A if:
    1. The person in charge obtains approval from the  department; and
    2. The person excluded as specified under 2VAC5-585-90 A  provides to the person in charge written medical documentation from a physician  licensed to practice medicine or, if allowed by law, a nurse practitioner or  physician assistant, that specifies that the excluded person may work in an  unrestricted capacity in a food establishment, including an establishment that  serves a highly susceptible population, because the person is free of the  infectious agent of concern as specified in 2VAC5-585-4070.
    B. The person in charge may remove a restriction specified  under:
    1. Subdivision B 1 of 2VAC5-585-90 if the restricted  person:
    a. Is free of the symptoms specified under subdivision 2 a  (1), (2), (3), (5), or 2 b of 2VAC5-585-80 and no foodborne illness occurs that  may have been caused by the restricted person;
    b. Is suspected of causing foodborne illness but:
    (1) Is free of the symptoms specified under subdivision 2 a  (1), (2), (3), (5), or 2 b of 2VAC5-585-80; and
    (2) Provides written medical documentation from a physician  licensed to practice medicine or, if allowed by law, a nurse practitioner or  physician assistant, stating that the restricted person is free of the infectious  agent that is suspected of causing the person's symptoms or causing foodborne  illness, as specified in 2VAC5-585-4070; or
    c. Provides written medical documentation from a physician  licensed to practice medicine or, if allowed by law, a nurse practitioner or  physician assistant, stating that the symptoms experienced result from a  chronic noninfectious condition such as Crohn's disease, irritable bowel  syndrome, or ulcerative colitis; or
    2. Subdivision B 2 of 2VAC5-585-90 if the restricted person  provides written medical documentation from a physician, licensed to practice  medicine, or, if allowed by law, a nurse practitioner or physician assistant,  according to the criteria specified in 2VAC5-585-4070 that indicates the stools  are free of Salmonella typhi, Shigella spp., or Shiga toxin-producing  Escherichia coli, whichever is the infectious agent of concern.
    C. The person in charge may remove an exclusion specified  under 2VAC5-585-90 C if the excluded person provides written medical  documentation from a physician licensed to practice medicine or, if allowed by  law, a nurse practitioner or physician assistant:
    1. That specifies that the person is free of the infectious  agent of concern as specified in 2VAC5-585-4070; or
    2. If the person is excluded under 2VAC5-585-90 C 1, that  the symptoms experienced result from a chronic noninfectious condition such as  Crohn's disease, irritable bowel syndrome, or ulcerative colitis.
    D. The person in charge may remove an exclusion specified  under 2VAC5-585-90 D 1 and 2VAC5-585-90 D 2 a and a restriction specified under  2VAC5-585-90 D 2 b if:
    1. No foodborne illness occurs that may have been caused by  the excluded or restricted person and the person provides written medical  documentation from a physician licensed to practice medicine stating that the  person is free of hepatitis A virus as specified in subdivision 4 a of  2VAC5-585-4070; or
    2. The excluded or restricted person is suspected of  causing foodborne illness and complies with subdivisions 4 a and 4 b of  2VAC5-585-4070.
    The person in charge shall adhere to the following  conditions when removing, adjusting, or retaining the exclusion or restriction  of a food employee:
    1. Except when a food employee is diagnosed with an  infection from Hepatitis A virus or Salmonella Typhi:
    a. Reinstate a food employee who was excluded as specified  under subdivision 1 a of 2VAC5-585-90 if the food employee:
    (1) Is asymptomatic for at least 24 hours; or
    (2) Provides to the person in charge written medical  documentation from a health practitioner that states the symptom is from a  noninfectious condition.
    b. If a food employee was diagnosed with an infection from  Norovirus and excluded as specified under 2VAC5-585-90 1 b:
    (1) Restrict the food employee, who is asymptomatic for at  least 24 hours and works in a food establishment not serving a highly  susceptible population until the conditions for reinstatement as specified in  subdivision 4 a or b of this section are met; or
    (2) Retain the exclusion for the food employee, who is  asymptomatic for at least 24 hours and works in a food establishment that  serves a highly susceptible population, until the conditions for reinstatement  as specified in subdivision 4 a or b of this section are met.
    c. If a food employee was diagnosed with an infection from  Shigella spp. and excluded as specified under subdivision 1 b of 2VAC5-585-90:
    (1) Restrict the food employee, who is asymptomatic, for at  least 24 hours and works in a food establishment not serving a highly  susceptible population, until the conditions for reinstatement as specified in  subdivision 5 a or b of this section are met; or
    (2) Retain the exclusion for the food employee, who is  asymptomatic for at least 24 hours and works in a food establishment that  serves a highly susceptible population, until the conditions for reinstatement  as specified in subdivision 5 a or b, or 5 a and c (1) of this section are met.
    d. If a food employee was diagnosed with an infection from  Enterohemorrhagic or Shiga-toxin producing Escherichia coli and excluded as  specified under subdivision 1 b of 2VAC5-585-90:
    (1) Restrict the food employee, who is asymptomatic for at  least 24 hours and works in a food establishment not serving a highly  susceptible population, until the conditions for reinstatement as specified in  subdivision 6 a or b of this section are met; or
    (2) Retain the exclusion for the food employee, who is  asymptomatic for at least 24 hours and works in a food establishment that  serves a highly susceptible population, until the conditions for reinstatement  as specified in subdivision 6 a or b are met.
    2. Reinstate a food employee who was excluded as specified  under subdivision 2 of 2VAC5-585-90 if the person in charge obtains approval  from the regulatory authority and one of the following conditions is met:
    a. The food employee has been jaundiced for more than seven  calendar days;
    b. The anicteric food employee has been symptomatic with  symptoms other than jaundice for more than 14 calendar days; or
    c. The food employee provides to the person in charge  written medical documentation from a health practitioner stating that the food  employee is free of a Hepatitis A virus infection.
    3. Reinstate a food employee who was excluded as specified  under subdivision 3 of 2VAC5-585-90 if:
    a. The person in charge obtains approval from the  regulatory authority; and
    b. The food employee provides to the person in charge  written medical documentation from a health practitioner that states the  employee is free from S. Typhi infection.
    4. Reinstate a food employee who was excluded as specified  under subdivision 1 b or 4 a of 2VAC5-585-90, who was restricted under  subdivision 4 b of 2VAC5-585-90 if the person in charge obtains approval from  the regulatory authority and one of the following conditions is met:
    a. The excluded or restricted food employee provides to the  person in charge written medical documentation from a health practitioner  stating that the food employee is free of a Norovirus infection;
    b. The food employee was excluded or restricted after  symptoms of vomiting or diarrhea resolved, and more than 48 hours have passed  since the food employee became symptomatic; or
    c. The food employee was excluded or restricted and did not  develop symptoms and more than 48 hours have passed since the food employee was  diagnosed.
    5. Reinstate a food employee who was excluded as specified  under subdivision 1 b or 5 a of 2VAC5-585-90 or who was restricted under  subdivision 5 b of 2VAC5-585-90 if the person in charge obtains approval from  the regulatory authority and one of the following conditions is met:
    a. The excluded or restricted food employee provides to the  person in charge written medical documentation from a health practitioner  stating that the food employee is free of a Shigella spp. infection based on  test results showing two consecutive negative stool specimen cultures that are  taken:
    (1) Not earlier than 48 hours after discontinuance of  antibiotics; and
    (2) At least 24 hours apart;
    b. The food employee was excluded or restricted after  symptoms of vomiting or diarrhea resolved, and more than seven calendar days  have passed since the food employee became asymptomatic; or
    c. The food employee was excluded or restricted and did not  develop symptoms and more than seven calendar days have passed since the food  employee was diagnosed.
    6. Reinstate a food employee who was excluded or restricted  as specified under subdivision 1 b or 6 a of 2VAC5-585-90 or who was restricted  under subdivision 6 b of 2VAC5-585-90 if the person in charge obtains approval  from the regulatory authority and one of the following conditions is met:
    a. The excluded or restricted food employee provides to the  person in charge written medical documentation from a health practitioner  stating that the food employee is free of an infection from Enterohemorrhagic  or Shiga-toxin producing Escherichia coli based on test results that show two  consecutive negative stool specimen cultures that are taken:
    (1) Not earlier than 48 hours after the discontinuance of  antibiotics; and
    (2) At least 24 hours apart;
    b. The food employee was excluded or restricted after  symptoms of vomiting or diarrhea resolved and more than seven calendar days  have passed since the employee became asymptomatic; or
    c. The food employee was excluded or restricted and did not  develop symptoms and more than seven days have passed since the employee was  diagnosed.
    7. Reinstate a food employee who was excluded or restricted  as specified under subdivision 7 a or b of 2VAC5-585-90 if the food employee  provides to the person in charge written medical documentation from a health  practitioner stating that the food employee meets one of the following  conditions:
    a. Has received antibiotic therapy for Streptococcus  pyogenes infection for more than 24 hours;
    b. Has at least one negative throat specimen culture for  Streptococcus pyogenes infection; or
    c. Is otherwise determined by a health practitioner to be  free of Streptococcus pyogenes infection.
    8. Reinstate a food employee who was restricted as  specified under subdivision 8 of 2VAC5-585-90 if the skin, infected wound, cut,  or pustular boil is properly covered with one of the following:
    a. An impermeable cover such as a finger cot or stall and a  single-use glove over the impermeable cover if the infected wound or pustular  boil is on the hand, finger, or wrist;
    b. An impermeable cover on the arm if the infected wound or  pustular boil is on the arm; or
    c. A dry, durable, tight-fitting bandage if the infected  wound or pustular boil is on another part of the body.
    9. Reinstate a food employee who was restricted as specified  under subdivision 9 of 2VAC5-585-90 and was exposed to one of the following  pathogens as specified under 2VAC5-585-80 A 4 or 5:
    a. Norovirus and one of the following conditions is met:
    (1) More than 48 hours have passed since the last day the  food employee was potentially exposed; or
    (2) More than 48 hours have passed since the food  employee's household contact became asymptomatic.
    b. Shigella spp. or Enterohemorrhagic or Shiga-toxin  producing Escherichia coli and one of the following conditions is met:
    (1) More than three calendar days have passed since the  last day the food employee was potentially exposed; or
    (2) More than three calendar days have passed since the  food employee's household contact became asymptomatic.
    c. S. Typhi and one of the following conditions is met:
    (1) More than 14 calendar days have passed since the last  day the food employee was potentially exposed; or
    (2) More than 14 calendar days have passed since the food  employee's household contact became asymptomatic.
    d. Hepatitis A virus and one of the following conditions is  met:
    (1) The food employee is immune to Hepatitis A virus  infection because of prior illness from Hepatitis A;
    (2) The food employee is immune to Hepatitis A virus  infection because of vaccination against Hepatitis A;
    (3) The food employee is immune to Hepatitis A virus  infection because of IgG administration;
    (4) More than 30 calendar days have passed since the last  the food employee was potentially exposed;
    (5) More than 30 calendar days have passed since the food  employee's household contact became jaundiced; or
    (6) The food employee does not use an alternative procedure  that allows bare hand contact with ready-to-eat food until at least 30 days  after the potential exposure, as specified in subdivision 9 d (4) and (5) of  this section, and the food employee receives additional training about:
    (a) Hepatitis A symptoms and preventing the transmission of  infection;
    (b) Proper handwashing procedures; and
    (c) Protecting ready-to-eat food from contamination  introduced by bare hand contact.
    2VAC5-585-110. Responsibility of a food employee or an  applicant to report to the person in charge.* (Repealed.)
    A food employee or a person who applies for a job as a  food employee shall:
    1. In a manner specified under 2VAC5-585-80, report to the  person in charge the information specified under subdivisions 1 through 4 of  2VAC5-585-80; and
    2. Comply with exclusions and restrictions that are  specified under subsections A through D of 2VAC5-585-90.
    2VAC5-585-120. Reporting by the person in charge.* (Repealed.)
    The person in charge shall notify the department that a  food employee is diagnosed with an illness due to Salmonella typhi, Shigella  spp., Shiga toxin-producing Escherichia coli, or hepatitis A virus.
    2VAC5-585-140. Cleaning procedure of hands and arms.*
    A. Except as specified in subsection B D of  this section, food employees shall clean their hands and exposed portions of  their arms (or surrogate prosthetic devices for hands or arms) for at least 20  seconds, using a cleaning compound in a lavatory that is equipped as specified  under 2VAC5-585-2190.
    B. Food employees shall use the following cleaning procedure in  the order stated to clean their hands and exposed portions of their arms,  including surrogate prosthetic devices for hands and arms:
    1. Vigorous friction on the surfaces of the lathered  fingers, finger tips, areas between the fingers, hands and arms (or by  vigorously rubbing the surrogate prosthetic devices for hands or arms) for at  least 10 to 15 seconds, followed by;
    2. Thorough rinsing under clean, running warm water; and
    3. Immediately follow the cleaning procedure with thorough  drying of cleaned hands and arms (or surrogate prosthetic devices) using a  method as specified under 2VAC5-585-3030.
    1. Rinse under clean, running warm water;
    2. Apply an amount of cleaning compound recommended by the  cleaning compound manufacturer;
    3. Rub together vigorously for at least 10 to 15 seconds  while:
    a. Paying particular attention to removing soil from  underneath the fingernails during the cleaning procedure; and
    b. Creating friction on the surfaces of the hands and arms  or surrogate prosthetic devices for hands and arms, finger tips, and areas  between the fingers;
    4. Thoroughly rinsing under clean, running warm water; and
    5. Immediately follow the cleaning procedure with thorough  drying using a method as specified under 2VAC5-585-3030.
    C. Food employees shall pay particular attention to the  areas underneath the fingernails during the cleaning procedure.
    C. To avoid recontaminating their hands or surrogate  prosthetic devices, food employees may use disposable paper towels or similar  clean barriers when touching surfaces such as manually operated faucet handles  on a handwashing sink or the handle of a restroom door.
    D. If approved and capable of removing the types of soils  encountered in the food operations involved, an automatic handwashing facility  may be used by food employees to clean their hands.
    2VAC5-585-150. (Reserved.) (Repealed.)
    2VAC5-585-180. Hand sanitizers antiseptics.
    A. A hand sanitizer and a chemical hand sanitizing  solution antiseptic used as a topical application, a hand antiseptic  solution used as a hand dip, or a hand antiseptic soap shall:
    1. Comply with one of the following:
    a. Be an approved drug that is listed in the FDA publication  Approved Drug Products with Therapeutic Equivalence Evaluations as an approved  drug based on safety and effectiveness; or
    b. Have active antimicrobial ingredients that are listed in  the FDA tentative final monograph for over the counter (OTC)  Health-Care Antiseptic Drug Products, 59 FR 31402-31452 (June 17, 1994)  as an antiseptic handwash; and
    2. Consist of components that are Comply with one of  the following:
    a. Listed for such use in contact with food in 21 CFR Part  178, Indirect Food Additives: Adjuvants, Production Aids, and Sanitizers; or
    b. Exempt from regulation as food additives under 21 CFR  170.39, Threshold of Regulation for Substances Used in Food-Contact Articles;  or
    c. Generally recognized as safe (GRAS) for the intended use  in contact with food within the meaning of the Federal Food, Drug and Cosmetic  Act (FFDCA); or
    d. Permitted for such use by an effective Food Contact  Substance Notification as defined by paragraph 409(h) of the FFDCA and listed  in FDA's Inventory of Effective Premarket Notifications for Food Contact  Substances; and
    a. Have components that are exempted from the requirement  of being listed in the federal Food Additive regulations as specified in 21 CFR  170.39 Threshold of regulation for substances used in food-contact articles; or
    b. Comply with and be listed in:
    (1) 21 CFR Part 178, Indirect Food Additives: Adjuvants,  Production Aids, and Sanitizers as regulated for use as a food additive with  conditions of safe use; or
    (2) 21 CFR Part 182, Substances Generally Recognized as  Safe; 21 CFR Part 184, Direct Food Substances Affirmed as Generally Recognized  as Safe; or 21 CFR Part 186, Indirect Food Substances Affirmed as Generally  Recognized as Safe for use in contact with food; and
    3. Be applied only to hands that are cleaned as specified  under 2VAC5-585-140.
    B. If a hand sanitizer or a chemical hand sanitizing antiseptic  or a hand antiseptic solution used as a hand dip does not meet the criteria  specified under subdivision A 2 of this section, use shall be:
    1. Followed by thorough hand rinsing in clean water before  hand contact with food or by the use of gloves; or
    2. Limited to situations that involve no direct contact with  food by the bare hands.
    C. A chemical hand sanitizing hand antiseptic  solution used as a hand dip shall be maintained clean and at a strength  equivalent to 100 ppm (mg/l) chlorine or above.
    2VAC5-585-360. Shell eggs.*
    Shell eggs shall be received clean and sound and may not  exceed the restricted egg tolerances for U.S. Consumer Grade B as specified in 7  CFR Part 56, Regulations Governing the Grading of Shell Eggs and U.S.  Standards, Grades, and Weight Classes for Shell Eggs, and 7 CFR Part 59,  Regulations Governing the Inspection of Eggs and Egg Products United  States Standards, Grades, and Weight Classes for Shell Eggs, AMS 56.200 et  seq., administered by the Agricultural Marketing Service of USDA.
    2VAC5-585-370. Eggs and milk products, pasteurized.*
    A. Liquid, frozen, and dry eggs and egg Egg  products shall be obtained pasteurized.
    B. Fluid and dry milk and milk products complying with  Grade A standards as specified in law shall be obtained pasteurized. shall:
    1. Be obtained pasteurized; and
    2. Comply with Grade A standards as specified in law.
    C. Frozen milk products, such as ice cream, shall be obtained  pasteurized in accordance with 21 CFR Part 135, Frozen Desserts.
    D. Cheese shall be obtained pasteurized unless alternative  procedures to pasteurization are provided for in the Code of Federal  Regulations, such as 21 CFR Part 133, Cheeses and Related Cheese Products, for  curing certain cheese varieties.
    2VAC5-585-400. Shucked shellfish, packaging and identification.
    A. Raw shucked shellfish shall be obtained in nonreturnable  packages that bear a legible label that identifies the:
    1. Name, address, and certification number of the shucker-packer  shucker, packer, or repacker of the molluscan shellfish; and
    2. The "sell by" or "best if used by"  date for packages with a capacity of less than one-half gallon (1.87 L) or the  date shucked for packages with a capacity of one-half gallon (1.87 L) or more.
    B. A package of raw shucked shellfish that does not bear a  label or which bears a label that does not contain all the information as  specified under subsection A of this section shall be subject to a hold order,  as allowed by law, or seizure and destruction in accordance with 21 CFR  1240.60(d), Subpart D, Specific Administrative Decisions Regarding Interstate  Shipments.
    2VAC5-585-410. Shellstock identification.*
    A. Shellstock shall be obtained in containers bearing legible  source identification tags or labels that are affixed by the harvester and each  dealer that depurates, ships, or reships the shellstock, as specified in the  National Shellfish Sanitation Program Manual of Operations, Part II  Sanitation of the Harvesting, Processing and Distribution of Shellfish, 1995  Revision, Guide for the Control of Molluscan Shellfish (2007) and  that list:
    1. Except as specified under subsection C of this section, on  the harvester's tag or label, the following information in the following order:
    a. The harvester's identification number that is assigned by  the shellfish control authority;
    b. The date of harvesting;
    c. The most precise identification of the harvest location or  aquaculture site that is practicable based on the system of harvest area  designations that is in use by the shellfish control authority and including  the abbreviation of the name of the state or country in which the shellfish are  harvested;
    d. The type and quantity of shellfish; and
    e. The following statement in bold, capitalized type:  "This tag is required to be attached until container is empty or retagged  and thereafter kept on file for 90 days"; and
    2. Except as specified under subsection D of this section, on  each dealer's tag or label, the following information in the following order:
    a. The dealer's name and address, and the certification number  assigned by the shellfish control authority;
    b. The original shipper's certification number including the  abbreviation of the name of the state or country in which the shellfish are  harvested;
    c. The same information as specified for a harvester's tag  under subdivisions 1 b through d of this subsection; and
    d. The following statement in bold, capitalized type: "This  tag is required to be attached until container is empty and thereafter kept on  file for 90 days." "THIS TAG IS REQUIRED TO BE ATTACHED UNTIL  CONTAINER IS EMPTY AND THEREAFTER KEPT ON FILE FOR 90 DAYS."
    B. A container of shellstock that does not bear a tag or  label or that bears a tag or label that does not contain all the information as  specified under subsection A of this section shall be subject to a hold order,  as allowed by law, or seizure and destruction in accordance with 21 CFR  1240.60(d), Subpart D, Specific Administrative Decisions Regarding Interstate  Shipments.
    C. If a place is provided on the harvester's tag or label for  a dealer's name, address, and certification number, the dealer's information  shall be listed first.
    D. If the harvester's tag or label is designed to accommodate  each dealer's identification as specified under subdivisions A 2 a and b of  this section, individual dealer tags or labels need not be provided.
    2VAC5-585-430. Molluscan shellfish; original container.
    A. Except as specified in subsections B and C of this  section, molluscan shellfish may not be removed from the container in which  they were received other than immediately before sale or preparation for  service.
    B. For display purposes, shellstock may be removed from the  container in which they are received, displayed on drained ice, or held in a  display container, and a quantity specified by a consumer may be removed from  the display or display container and provided to the consumer if:
    1. The source of the shellstock on display is identified as  specified under 2VAC5-585-410 and recorded as specified under 2VAC5-585-440;  and
    2. The shellstock are protected from contamination.
    C. Shucked shellfish may be removed from the container in  which they were received and held in a display container from which individual  servings are dispensed upon a consumer's request if:
    1. The labeling information for the shellfish on display as  specified under 2VAC5-585-400 is retained and correlated to the date when, or  dates during which, the shellfish are sold or served; and
    2. The shellfish are protected from contamination.
    D. Shucked shellfish may be removed from the container in  which they were received and repacked in consumer self-service containers where  allowed by law if:
    1. The labeling information for the shellfish is on each  consumer self-service container as specified under 2VAC5-585-400 and  2VAC5-585-900 A and B 1 through 5;
    2. The labeling information as specified under  2VAC5-585-400 is retained and correlated with the date when, or dates during  which, the shellfish are sold or served;
    3. The labeling information and dates specified under  subdivision 2 of this subsection are maintained for 90 days; and 
    4. The shellfish are protected from contamination.
    2VAC5-585-440. Shellstock; maintaining identification.*
    A. Except as specified under subdivision B C 2  of this section, shellstock tags or labels shall remain attached to the  container in which the shellstock are received until the container is empty.
    B. The date when the last shellstock from the container is  sold or served shall be recorded on the tag or label.
    B. C. The identity of the source of shellstock  shellfish that are sold or served shall be maintained by retaining  shellstock tags or labels for 90 calendar days from the date the container  is emptied that is recorded on the tag or label as specified in  subsection B of this section by:
    1. Using an approved recordkeeping system that keeps the tags  or labels in chronological order correlated to the date when, or dates  during which, the shellstock are sold or served that is recorded on the  tag or label, as specified under subsection B of this section; and
    2. If shellstock are removed from their its  tagged or labeled container:
    a. Preserving source identification by using a recordkeeping  system as specified under subdivision 1 of this subsection; and
    b. Ensuring that shellstock from one tagged or labeled  container are not commingled with shellstock from another container with  certification numbers; different harvest dates; or different growing areas as  identified on the tag or label before being ordered by the consumer.
    Article 3 
  Protection from Contamination after Receiving 
    2VAC5-585-450. Preventing contamination from hands.*
    A. Food employees shall wash their hands as specified under  2VAC5-585-140.
    B. Except when washing fruits and vegetables as specified  under 2VAC5-585-510 or as specified in subsection C of this section, food  employees may not contact exposed, ready-to-eat food with their bare hands and  shall use suitable utensils such as deli tissue, spatulas, tongs, single-use gloves,  or dispensing equipment.
    C. When otherwise approved, food employees not serving a  highly susceptible population may contact exposed, ready-to-eat food with their  bare hands.
    D. C. Food employees shall minimize bare hand  and arm contact with exposed food that is not in a ready-to-eat form.S
    D. Food employees not serving a highly susceptible  population may contact exposed, ready-to-eat food with their bare hands if:
    1. The operator obtains prior approval from the regulatory  authority;
    2. Written procedures are maintained in the food  establishment and made available to the regulatory authority upon request that  include:
    a. For each bare hand contact procedure, a listing of the  specific ready-to-eat foods that are touched by bare hands.
    b. Diagrams and other information showing that handwashing  facilities, installed, located, equipped, and maintained as specified under  2VAC5-585-2230, 2VAC5-585-2280, 2VAC5-585-2310, 2VAC5-585-3020, 2VAC5-585-3030,  and 2VAC5-585-3045, are in an easily accessible location and in close proximity  to the work station where the bare hand contact procedure is conducted;
    3. A written employee health policy that details how the  food establishment complies with 2VAC5-585-80, 2VAC5-585-90, and 2VAC5-585-100  including:
    a. Documentation that the food employees and conditional  employees acknowledge that they are informed to report information about their  health and activities as they relate to gastrointestinal symptoms and diseases  that are transmittable through food as specified under 2VAC5-585-80 A; 
    b. Documentation that food employees and conditional  employees acknowledge their responsibilities as specified under 2VAC5-585-80 E  and F; and
    c. Documentation that the person in charge acknowledges the  responsibilities as specified under 2VAC5-585-80 B, C, and D, 2VAC5-585-90, and  2VAC5-585-100;
    4. Documentation that the food employees acknowledge that  they have received training in:
    a. The risks of contacting the specific ready-to-eat foods  with their bare hands,
    b. Proper handwashing as specified under 2VAC5-585-140,
    c. When to wash their hands as specified under  2VAC5-585-160,
    d. Where to wash their hands as specified under  2VAC5-585-170,
    e. Proper fingernail maintenance as specified under  2VAC5-585-190,
    f. Prohibition of jewelry as specified under 2VAC5-585-200,  and
    g. Good hygienic practices as specified under 2VAC5-585-220  and 2VAC5-585-230;
    5. Documentation that hands are washed before food  preparation and as necessary to prevent cross-contamination by food employees  as specified under 2VAC5-585-130, 2VAC5-585-140, 2VAC5-585-160, and  2VAC5-585-170 during all hours of operation when the specific ready-to-eat  foods are prepared;
    6. Documentation that food employees contacting  ready-to-eat food with bare hands use two or more of the following control  measures to provide additional safeguards to hazards associated with bare hand  contact:
    a. Double handwashing,
    b. Nail brushes,
    c. A hand antiseptic after handwashing as specified under  2VAC5-585-180,
    d. Incentive programs such as paid sick leave that assist  or encourage food employees not to work when they are ill, or 
    e. Other control measures approved by the regulatory  authority; and
    7. Documentation that corrective action is taken when  subdivisions 1 through 6 of this subsection are not followed.
    2VAC5-585-490. Pasteurized eggs; substitute for raw shell eggs  for certain recipes and populations.*
    Pasteurized eggs or egg products shall be substituted for raw  shell eggs in the preparation of foods such as Caesar salad, hollandaise or  béarnaise sauce, mayonnaise, meringue, and egg-fortified beverages that  are not:
    1. Cooked as specified under subdivisions A 1 or 2 of  2VAC5-585-700; or
    2. Included in 2VAC5-585-700 D.
    2VAC5-585-500. Protection from unapproved additives.*
    A. As specified in 2VAC5-585-350, food Food  shall be protected from contamination that may result from the addition of,  as specified in 2VAC5-585-350:
    1. Unsafe or unapproved food or color additives; and
    2. Unsafe or unapproved levels of approved food and color  additives.
    B. A food employee may not:
    1. Apply sulfiting agents to fresh fruits and vegetables  intended for raw consumption or to a food considered to be a good source of  vitamin B1; or
    2. Serve Except for grapes, serve or sell food  specified in subdivision 1 of this subsection that is treated with sulfiting  agents before receipt by the food establishment, except that grapes need not  meet the provisions of this subsection.
    2VAC5-585-540. Food contact with equipment and utensils.*
    Food shall only contact surfaces of equipment and utensils  that are cleaned as specified under 2VAC5-585-1770 through 2VAC5-585-1870 and  sanitized as specified under 2VAC5-585-1880 through 2VAC5-585-1900.:
    1. Equipment and utensils that are cleaned as specified  under 2VAC5-585-1770 through 2VAC5-595-1870 and sanitized as specified under  2VAC5-585-1890 through 2VAC5-585-1900; or
    2. Single-service and single-use articles.
    2VAC5-585-570. Wiping cloths, use limitation.
    A. Cloths that are in use for wiping food spills shall  be used for no other purpose from tableware and carry-out containers  that occur as food is being served shall be:
    1. Maintained dry; and
    2. Used for no other purpose.
    B. Cloths used in use for wiping food spills  shall be counters and other equipment surfaces shall be:
    1. Dry and used for wiping food spills from tableware and  carry-out containers; or Held between uses in a chemical sanitizer  solution at a concentration specified in 2VAC5-585-3380; and
    2. Wet and cleaned as specified under 2VAC5-585-1920 D,  stored in a chemical sanitizer at a concentration specified in 2VAC5-585-1700,  and used for wiping spills from food-contact and nonfood-contact surfaces of  equipment Laundered daily as specified under 2VAC5-585-1920 D.
    C. Dry or wet cloths that are used with raw animal foods  shall be kept separate from cloths used for other purposes, and moist cloths  used with raw animal foods shall be kept in a separate sanitizing solution Cloths  in use for wiping surfaces in contact with raw animal foods shall be kept  separate from other cloths used for other purposes.
    D. Wet wiping cloths used with a freshly made sanitizing  solution and dry wiping cloths and the chemical sanitizing solutions  specified in subdivision B 1 of this section in which wet wiping cloths are  held between uses shall be free of food debris and visible soil.
    E. Working containers of sanitizing solutions for storage  of in-use wiping cloths may be placed above the floor and used in a manner to  prevent Containers of chemical sanitizing solutions specified in  subdivision B 1 of this section in which wet wiping cloths are held between  uses shall be stored off the floor and used in a manner that prevents  contamination of food, equipment, utensils, linens, single-service, or single-use  articles.
    F. Single-use disposable sanitizer wipes shall be used in  accordance with EPA-approved manufacturer's label use instructions.
    2VAC5-585-680. Returned food and reservice of food.*
    A. Except as specified under subsection B of this section,  after being served or sold and in the possession of a consumer, food that is  unused or returned by the consumer may not be offered as food for human  consumption.
    B. A Except as specified in subdivision 8 of  2VAC5-585-950, a container of food that is not potentially hazardous (time/temperature  control for safety food) may be transferred re-served from  one consumer to another if:
    1. The food is dispensed so that it is protected from  contamination and the container is closed between uses such as a narrow-neck  bottle containing catsup, steak sauce, or wine; or
    2. The food, such as crackers, salt or pepper, is in an  unopened original package and maintained in sound condition.
    Article 4 
  Destruction of Organisms of Public Health Concern 
    2VAC5-585-700. Raw animal foods.*
    A. Except as specified in subsections B, C, and D of this  section, raw animal foods such as eggs, fish, meat, poultry, and foods  containing these raw animal foods shall be cooked to heat all parts of the food  to a temperature and for a time that complies with one of the following methods  based on the food that is being cooked:
    1. 145°F (63°C) or above for 15 seconds for:
    a. Raw shell eggs that are broken and prepared in response to  a consumer's order and for immediate service; and
    b. Except as specified under subdivisions A 2 and 3 and subsection  subsections B and C of this section, fish and meat including game  animals commercially raised for food as specified under 2VAC5-585-330 A 1 and  game animals under a voluntary inspection program as specified under  2VAC5-585-330 A 2;
    2. 155°F (68°C) for 15 seconds or the temperature specified in  the following chart that corresponds to the holding time for ratites and  injected meats; the following if they are comminuted: fish, meat, game animals  commercially raised for food as specified under 2VAC5-585-330 A 1, and game  animals under a voluntary inspection program as specified under 2VAC5-585-330 A  2; and raw eggs that are not prepared as specified under subdivision A 1 a of  this section:
           |      Minimum      |    
       |      Temperature °F (°C)      |          Time      |    
       |      145 (63)      |          3 minutes      |    
       |      150 (66)      |          1 minute      |    
       |      158 (70)      |          <1 second (instantaneous)      |    
  
    3. 165°F (74°C) or above for 15 seconds for poultry, wild game  animals as specified under 2VAC5-585-330 A 3, stuffed fish, stuffed meat,  stuffed pasta, stuffed poultry, stuffed ratites, or stuffing containing fish,  meat, or poultry.
    B. Whole beef roasts and corned beef roasts, pork roasts,  meat roasts including beef, corned beef, lamb, pork, and cured pork  roasts such as ham shall be cooked:
    1. In an oven that is preheated to the temperature specified  for the roast's weight in the following chart and that is held at that  temperature; and
           |      Oven Type      |          Oven Temperature Based on    Roast Weight      |    
       |      Less than 10 lbs (4.5 kg)      |          10 lbs (4.5 kg) or more      |    
       |      Still Dry      |          350°F (177°C) or more      |          250°F (121°C) or more      |    
       |      Convection      |          325°F (163°C) or more      |          250°F (121°C) or more      |    
       |      High Humidity1      |          250°F (121°C) or less      |          250°F (121°C) or less      |    
       |      1Relative humidity greater than 90% for at least one    hour as measured in the cooking chamber or exit of the oven; or in a    moisture-impermeable bag that provides 100% humidity      |    
  
    2. As specified in the following chart, to heat all parts of  the food to a temperature and for the holding time that corresponds to that  temperature.
           |      Temperature     °F (°C)      |          Time1 in Minutes      |          Temperature     °F (°C)      |          Time1 in Seconds      |    
       |      130 (54.4)      |          112      |          147 (63.9)      |          134      |    
       |      131 (55.0)      |          89      |          149 (65.0)      |          85      |    
       |      133 (56.1)      |          56      |          151 (66.1)      |          54      |    
       |      135 (57.2)      |          36      |          153 (67.2)      |          34      |    
       |      136 (57.8)      |          28      |          155 (68.3)      |          22      |    
       |      138 (58.9)      |          18      |          157 (69.4)      |          14      |    
       |      140 (60.0)      |          12      |          158 (70.0)      |          0      |    
       |      142 (61.1)      |          8      |                 |                 |    
       |      144 (62.2)      |          5      |                 |                 |    
       |      145 (62.8)      |          4      |                 |                 |    
       |      1Holding    time may include postoven heat rise.      |    
  
    C. A raw or undercooked whole-muscle, intact beef steak may  be served or offered for sale in a ready-to-eat form if:
    1. The food establishment serves a population that is not a  highly susceptible population;
    2. The steak is labeled, as specified under 2VAC5-585-270 E,  to indicate that it meets the definition of "whole-muscle, intact  beef"; and
    3. The steak is cooked on both the top and bottom to a surface  temperature of 145°F (63°C) or above and a cooked color change is achieved on  all external surfaces.
    D. A raw animal food such as raw egg, raw fish, raw-marinated  fish, raw molluscan shellfish, or steak tartare, or a partially cooked food  such as lightly cooked fish, soft cooked eggs, or rare meat other than  whole-muscle, intact beef steaks as specified in subsection C of this section,  may be served or offered for sale in a ready-to-eat form if:
    1. As specified under subdivisions 3 a and 3 b of 2VAC5-585-950,  the food establishment serves a population that is not a highly susceptible  population; and
    2. The consumer is informed as specified under 2VAC5-585-930  that to ensure its safety, the food should be cooked as specified under  subsection A or B of this section; or
    3. The department grants a variance from subsection A or B of  this section as specified in 2VAC5-585-3540 based on a HACCP plan that:
    a. Is submitted by the operator and approved as specified  under 2VAC5-585-3541;
    b. Documents scientific data or other information that shows  that a lesser time and temperature regimen results in a safe food; and
    c. Verifies that equipment and procedures for food preparation  and training of food employees at the food establishment meet the conditions of  the variance.
    2VAC5-585-730. Parasite destruction.*
    A. Except as specified in subsection B of this section,  before service or sale in ready-to-eat form, raw, raw-marinated, partially  cooked, or marinated-partially cooked fish other than molluscan shellfish  shall be:
    1. Frozen and stored at a temperature of -4°F (-20°C) or below  for a minimum of 168 hours (seven days) in a freezer; or
    2. Frozen at -31°F (-35°C) or below until solid and stored at  -31°F (-35°C) or below for a minimum of 15 hours; or
    3. Frozen at -31°F (-35°C) or below until solid and stored  at -4°F (-20°C) or below for a minimum of 24 hours.
    B. If the fish are tuna of the species Thunnus alalunga,  Thunnus albacares (Yellowfin tuna), Thunnus atlanticus, Thunnus maccoyii  (Bluefin tuna, Southern), Thunnus obesus (Bigeye tuna), or Thunnus thynnus  (Bluefin tuna, Northern), the fish may be served or sold in a raw,  raw-marinated, or partially cooked ready-to-eat form without freezing as  specified under subsection A of this section.
    B. Subsection A of this section does not apply to:
    1. Molluscan shellfish,
    2. Tuna of the species Thunnus alalunga, Thunnus albacares  (Yellowfin tuna), Thunnus atlanticus, Thunnus maccoyii (Bluefin tuna,  Southern), Thunnus obesus (Bigeye tuna), or Thunnus thynnus (Bluefin,  Northern); or
    3. Aquacultured fish, such as salmon, that:
    a. If raised in open water, are raised in net pens, or 
    b. Are raised in land-based operations such as ponds or  tanks, and
    c. Are fed formulated feed, such as pellets, that contains  no live parasites infective to the aquacultured fish.
    2VAC5-585-740. Records; creation and retention.
    A. Except as specified in 2VAC5-585-730 B and subsection B of  this section, if raw, marinated, raw-marinated, partially cooked, or  marinated-partially cooked fish are served or sold in ready-to-eat form, the  person in charge shall record the freezing temperature and time to which the  fish are subjected and shall retain the records at the food establishment for  90 calendar days beyond the time of service or sale of the fish.
    B. If the fish are frozen by a supplier, a written agreement  or statement from the supplier stipulating that the fish supplied are frozen to  a temperature and for a time specified under 2VAC5-585-730 may substitute for  the records specified under subsection A of this section.
    C. If raw, raw-marinated, partially cooked, or  marinated-partially cooked fish are served or sold in ready-to-eat form, and  the fish are raised and fed as specified in 2VAC5-585-730 B 3, a written  agreement or statement from the supplier or aquaculturist stipulating that the  fish were raised and fed as specified in 2VAC5-585-730 B 3 shall be obtained by  the person in charge and retained in the records of the food establishment for  90 calendar days beyond the time of service or sale of the fish.
    2VAC5-585-750. Reheating; preparation for immediate service.  (Repealed.)
    Cooked and refrigerated food that is prepared for  immediate service in response to an individual consumer order, such as a roast  beef sandwich au jus, may be served at any temperature.
    2VAC5-585-760. Reheating for hot holding.*
    A. Except as specified under subsections B, C and E of this  section, potentially hazardous food (time/temperature control for safety  food) that is cooked, cooled, and reheated for hot holding shall be  reheated so that all parts of the food reach at least 165°F (74°C) for 15  seconds.
    B. Except as specified under subsection C of this section,  potentially hazardous food (time/temperature control for safety food)  reheated in a microwave oven for hot holding shall be reheated so that all  parts of the food reach a temperature of at least 165°F (74°C) and the food is  rotated or stirred, covered, and allowed to stand covered two minutes after  reheating.
    C. Ready-to-eat food taken from a commercially processed,  hermetically sealed container, or from an intact package from a food processing  plant that is inspected by the food regulatory authority that has jurisdiction  over the plant, shall be heated to a temperature of at least 135°F (57°C) for  hot holding.
    D. Reheating for hot holding shall be done rapidly and the  time the food is between the temperature specified under 2VAC5-585-820 A 2 and 165°F  (74°C) the temperatures specified under subsections A through C of this  section may not exceed two hours.
    E. Remaining unsliced portions of meat roasts that are  cooked as specified under 2VAC5-585-700 B may be reheated for hot holding using  the oven parameters and minimum time and temperature conditions specified under  2VAC5-585-700 B.
    2VAC5-585-780. Potentially hazardous food, slacking.
    Frozen potentially hazardous food (time/temperature  control for safety food) that is slacked to moderate the temperature shall  be held:
    1. Under refrigeration that maintains the food temperature at  41°F (5°C) or less, or at 45°F (7°C) or less as specified under 2VAC5-585-820 A  2 b; or
    2. At any temperature if the food remains frozen.
    2VAC5-585-790. Thawing.
    Except as specified in subdivision 4 of this section,  potentially hazardous food (time/temperature control for safety food)  shall be thawed:
    1. Under refrigeration that maintains the food temperature at  41°F (5°C) or less, or at 45°F (7°C) or less as specified under 2VAC5-585-820 A  2 b; or
    2. Completely submerged under running water:
    a. At a water temperature of 70°F (21°C) or below;
    b. With sufficient water velocity to agitate and float off  loose particles in an overflow; and
    c. For a period of time that does not allow thawed portions of  ready-to-eat food to rise above 41°F (5°C), or 45°F (7°C) as specified under  2VAC5-585-820 A 2 b; or
    d. For a period of time that does not allow thawed portions of  a raw animal food requiring cooking as specified under 2VAC5-585-700 A or B to  be above 41°F (5°C), or 45°F (7°C) as specified under 2VAC5-585-820 A 2 b, for  more than four hours including:
    (1) The time the food is exposed to the running water and the  time needed for preparation for cooking; or
    (2) The time it takes under refrigeration to lower the food  temperature to 41°F (5°C), or 45°F (7°C) as specified under 2VAC5-585-820 A 2  b;
    3. As part of a cooking process if the food that is frozen is:
    a. Cooked as specified under 2VAC5-585-700 A or B or  2VAC5-585-710; or
    b. Thawed in a microwave oven and immediately transferred to  conventional cooking equipment, with no interruption in the process; or
    4. Using any procedure if a portion of frozen ready-to-eat  food is thawed and prepared for immediate service in response to an individual  consumer's order.
    2VAC5-585-800. Cooling.*
    A. Cooked potentially hazardous food (time/temperature  control for safety food) shall be cooled:
    1. Within two hours, from 135°F (57°C) to 70°F (21°C); and
    2. Within a total of six hours, from 135°F (57°C) to 41°F  (5°C) or less, or to 45°F (7°C) or less as specified under 2VAC5-585-820 A 2 b.
    B. Potentially hazardous food (time/temperature control  for safety food) shall be cooled within four hours to 41°F (5°C) or less,  or to 45°F (7°C) or less as specified under 2VAC5-585-820 A 2 b if prepared  from ingredients at ambient temperature, such as reconstituted foods and canned  tuna.
    C. Except as specified in subsection D of this section, a  potentially hazardous food (time/temperature control for safety food)  received in compliance with laws allowing a temperature above 41°F (5°C) during  shipment from the supplier as specified in 2VAC5-585-340 B, shall be cooled  within four hours to 41°F (5°C) or less, or 45°F (7°C) or less as specified  under of 2VAC5-585-820 A 2 b.
    D. Raw shell eggs shall be received as specified under  2VAC5-585-340 C and immediately placed in refrigerated equipment that maintains  an ambient air temperature of 45°F (7°C) or less.
    2VAC5-585-820. Potentially hazardous food; hot and cold  holding.*
    A. Except during preparation, cooking, or cooling, or when  time is used as the public health control as specified under 2VAC5-585-850,  potentially hazardous food (time/temperature control for safety food)  shall be maintained:
    1. At 135°F (57°C) or above, except that roasts cooked to a  temperature and for a time specified in 2VAC5-585-700 B or reheated as  specified in 2VAC5-585-760 E may be held at a temperature of 130°F (54°C) or  above; or
    2. At a temperature specified in the following:
    a. 41°F (5°C) or less; or
    b. 45°F (7°C) or between 45°F (7°C) and 41°F (5°C) in existing  refrigeration equipment that is not capable of maintaining the food at 41°F  (5°C) or less if:
    (1) The equipment is in place and in use in the food  establishment; and
    (2) Before January 1, 2012, the equipment is upgraded or  replaced to maintain food at a temperature of 41°F (5°C) or less.
    B. Shell eggs that have not been treated to destroy all  viable Salmonellae shall be stored in refrigerated equipment that maintains an  ambient air temperature of 45°F (7°C) or less.
    C. Potentially hazardous food (time/temperature control  for safety food) in a homogenous liquid form may be maintained outside the  temperature control requirements, as specified in subsection A of this section,  while contained within specially designed equipment that complies with the  design and construction requirements as specified under subdivision 5 of  2VAC5-585-1230.
    2VAC5-585-830. Ready to eat, potentially hazardous food; date  marking.*
    A. Except when packaging food using a reduced oxygen  packaging method as specified under 2VAC5-585-870 and except as specified  in subsection subsections D and E of this section,  refrigerated, ready‑to‑eat, potentially hazardous food (time/temperature  control for safety food) prepared and held in a food establishment for more  than 24 hours shall be clearly marked to indicate the date or day by which the  food shall be consumed on the premises, sold, or discarded based on the  temperature and time combinations specified below. The day of preparation shall  be counted as Day 1.
    1. 41°F (5°C) or less for a maximum of seven days; or
    2. 45°F (7°C) or between 41°F (5°C) and 45°F (7°C) for a  maximum of four days in existing refrigeration equipment that is not capable of  maintaining the food at 41°F (5°C) or less if:
    a. The equipment is in place and in use in the food  establishment; and
    b. Before January 1, 2012, the equipment is upgraded or  replaced to maintain food at a temperature of 41°F (5°C) or less.
    B. Except as specified in subsections D and E through  F of this section, refrigerated, ready-to-eat, potentially hazardous food (time/temperature  control for safety food) prepared and packaged by a food processing plant  shall be clearly marked, at the time the original container is opened in a food  establishment and if the food is held for more than 24 hours, to indicate the  date or day by which the food shall be consumed on the premises, sold, or  discarded, based on the temperature and time combinations specified in  subsection A of this section and:
    1. The day the original container is opened in the food  establishment shall be counted as Day 1; and
    2. The day or date marked by the food establishment may not  exceed a manufacturer's use-by date if the manufacturer determined the use-by  date based on food safety.
    C. A refrigerated, ready-to-eat potentially hazardous food that  is frequently rewrapped, such as lunchmeat or a roast, or for which date  marking is impractical, such as soft serve mix or milk in a dispensing machine,  may be marked as specified in subsection A or B of this section, or by an  alternative method acceptable to the department (time/temperature  control for safety food) ingredient or a portion of a refrigerated,  ready-to-eat, potentially hazardous food (time/temperature control for safety  food) that is subsequently combined with additional ingredients or portions of  food shall retain the date marking of the earliest-prepared or first-prepared  ingredient.
    D. Subsections A and B of this section do not apply to  individual meal portions served or repackaged for sale from a bulk container  upon a consumer's request.
    E. Subsection B of this section does not apply to the following  when the face has been cut, but the remaining portion is whole and intact:
    1. Fermented sausages produced in a federally inspected  food processing plant that are not labeled "Keep Refrigerated" and  that retain the original casing on the product;
    2. Shelf stable, dry, fermented sausages; and
    3. Shelf stable salt-cured products such as prosciutto and  Parma (ham) produced in a federally inspected food processing plant that are  not labeled "Keep Refrigerated."
    F. A refrigerated, ready-to-eat, potentially hazardous  food ingredient or a portion of a refrigerated, ready-to-eat, potentially  hazardous food that is subsequently combined with additional ingredients or  portions of food shall retain the date marking of the earliest-prepared or  first-prepared ingredient.
    D. A date marking system that meets the criteria specified  in subsections A and B of this section may include:
    1. Using a method approved by the regulatory authority for  refrigerated, ready-to-eat potentially hazardous food (time/temperature control  for safety food) that is frequently rewrapped, such as lunchmeat or a roast, or  for which date marking is impractical, such as soft-serve mix or milk in a  dispensing machine;
    2. Marking the date or day of preparation, with a procedure  to discard the food on or before the last date or day by which the food must be  consumed on the premises, sold, or discarded as specified in subsection A of  this section;
    3. Marking the date or day the original container is opened  in a food establishment, with a procedure to discard the food on or before the  last date of day by which the food must be consumed on the premises, sold, or  discarded as specified under subsection B of this section; or
    4. Using calendar dates, days of the week, color-coded  marks, or other effective marking methods, provided that the marking system is  disclosed to the regulatory authority upon request.
    E. Subsections A and B of this section do not apply to  individual meal portions served or repackaged for sale from a bulk container  upon a consumer's request.
    F. Subsection B of this section does not apply to the  following foods prepared and packaged by a food processing plant inspected by a  regulatory authority:
    1. Deli salads, such as ham salad, seafood salad, chicken  salad, egg salad, pasta salad, potato salad, and macaroni salad, manufactured  in accordance with 21 CFR Part 110, Current good manufacturing practice in  manufacturing, packing, or holding human food;
    2. Hard cheeses containing not more than 39% moisture as  defined in 21 CFR Part 133, Cheeses and related cheese products, such as  cheddar, gruyere, parmesan and reggiano, and romano;
    3. Semi-soft cheese containing more than 39% moisture, but  not more than 50% moisture, as defined in 21 CFR Part 133, Cheeses and related  cheese products, such as blue, edam, gorgonzola, gouda, and Monterey jack;
    4. Cultured dairy products as defined in 21 CFR Part 131,  Milk and cream, such as yogurt, sour cream, and buttermilk;
    5. Preserved fish products, such as pickled herring and  dried or salted cod, and other acidified fish products as defined in 21 CFR  Part 114, Acidified foods;
    6. Shelf stable, dry fermented sausages, such as pepperoni  and Genoa salami that are not labeled "Keep Refrigerated" as  specified in 9 CFR Part 317, Labeling, marking devices, and containers, and  which retain the original casing on the product; and
    7. Shelf stable salt-cured products such as prosciutto and  Parma (ham) that are not labeled "Keep Refrigerated" as specified in  9 CFR Part 317, Labeling, marking devices, and containers.
    2VAC5-585-850. Time as a public health control.*
    A. Except as specified under subsection B D of  this section, if time only, rather than time in conjunction with  temperature, without temperature control is used as the public  health control for a working supply of potentially hazardous food (time/temperature  control for safety food) before cooking, or for ready-to-eat potentially  hazardous food (time/temperature control for safety food) that is  displayed or held for sale or service for immediate consumption:
    1. Written procedures shall be prepared in advance,  maintained in the food establishment, and made available to the regulatory  authority upon request that specify:
    a. Methods of compliance with subdivision B 1 through 4 or  C 1 through 5 of this section; and 
    b. Methods of compliance with 2VAC5-585-800 for food that  is prepared, cooked, and refrigerated before time is used as a public health  control.
    B. If time without temperature control is used as the  public health control up to a maximum of 4 hours:
    1. The food shall have an initial temperature of 41°F (5°C)  or less when removed from cold holding temperature control, or 135°F (57°C) or  greater when removed from hot-holding temperature control;
    1. 2. The food shall be marked or otherwise  identified to indicate the time that is four hours past the point in time when  the food is removed from temperature control;
    2. 3. The food shall be cooked and served,  served at any temperature if ready-to-eat, or discarded, within four  hours from the point in time when the food is removed from temperature control;  and
    3. 4. The food in unmarked containers or  packages or marked to exceed a four-hour limit shall be discarded; and .
    4. Written procedures shall be maintained in the food  establishment and made available to the department upon request, that ensure  compliance with:
    a. Subdivisions 1 through 4 of this subsection; and
    b. 2VAC5-585-800 for food that is prepared, cooked, and  refrigerated before time is used as a public health control.
    B. In a food establishment that serves a highly  susceptible population, time only, rather than time in conjunction with  temperature, may not be used as the public health control for raw eggs.
    C. If time without temperature control is used as the  public health control up to a maximum of six hours:
    1. The food shall have an initial temperature of 41°F (5°C)  or less when removed from temperature control and the food temperature may not  exceed 70°F (21°C) within a maximum time period of six hours; 
    2. The food shall be monitored to ensure the warmest  portion of the food does not exceed 70°F (21°C) during the six-hour period,  unless an ambient air temperature is maintained that ensures the food does not  exceed 70°F (21°C) during the six-hour holding period;
    3. The food shall be marked or otherwise identified to  indicate:
    a. The time when the food is removed from 41°F (5°C) or  less cold holding temperature control, and
    b. The time that is six hours past the point in time when  the food is removed from 41°F (5°C) or less cold holding temperature control;
    4. The food shall be:
    a. Discarded if the temperature of the foods exceeds 70°F  (21°C), or
    b. Cooked and served, served at any temperature if  ready-to-eat, or discarded within a maximum of six hours from the point in time  when the food is removed from 41°F (5°C) or less cold holding temperature  control; and
    5. The food in unmarked containers or packages, or marked  with a time that exceeds the six-hour limit shall be discarded.
    D. A food establishment that serves a highly susceptible  population may not use time as specified under subsections A, B, or C of this  section as the public health control for raw eggs.
    2VAC5-585-860. Variance requirement.*
    A food establishment shall obtain a variance from the  department as specified in 2VAC5-585-3540 and 2VAC5-585-3541 before:
    1. Smoking food as a method of food preservation rather than  as a method of flavor enhancement;
    2. Curing food;
    3. Using food additives or adding components such as vinegar:
    a. As a method of food preservation rather than as a method of  flavor enhancement; or
    b. To render a food so that it is not potentially hazardous;
    4. Packaging food using a reduced oxygen packaging method  except as specified under 2VAC5-585-870 where a barrier to Clostridium  botulinum in addition to refrigeration exists;
    5. Operating a molluscan shellfish life-support system display  tank used to store and display shellfish that are offered for human  consumption;
    6. Custom processing animals that are for personal use as food  and not for sale or service in a food establishment; or
    7. Sprouting seeds or beans; or
    7. 8. Preparing food by another method that is  determined by the department regulatory authority to require a  variance.
    2VAC5-585-870. Reduced oxygen packaging; criteria.*
    A. Except for a food establishment that obtains a variance  as specified under 2VAC5-585-860, a food establishment that packages food using  a reduced oxygen packaging method and Clostridium botulinum is identified as a  microbiological hazard in the final packaged form shall ensure that there are  at least two barriers in place to control the growth and toxin formation of  Clostridium botulinum.
    B. A food establishment that packages food using a reduced  oxygen packaging method and Clostridium botulinum is identified as a  microbiological hazard in the final packaged form shall have a HACCP plan that  contains the information specified under subdivision 4 of 2VAC5-585-3630 and  that:
    1. Identifies the food to be packaged;
    2. Limits the food packaged to a food that does not support  the growth of Clostridium botulinum because it complies with one of the  following:
    a. Has an aw of 0.91 or less;
    b. Has a pH of 4.6 or less;
    c. Is a meat or poultry product cured at a food processing  plant regulated by the USDA using substances specified in 9 CFR 424.21, Use of  Food Ingredients and Sources of Radiation, and is received in an intact  package; or
    d. Is a food with a high level of competing organisms such  as raw meat or raw poultry;
    3. Specifies methods for maintaining food at 41°F (5°C) or  below;
    4. Describes how the packages shall be prominently and  conspicuously labeled on the principal display panel in bold type on a  contrasting background, with instructions to:
    a. Maintain the food at 41°F (5°C) or below; and
    b. For food held at refrigeration temperatures, discard the  food if within 14 calendar days of its packaging it is not served for  on-premises consumption, or consumed if served or sold for off-premises  consumption;
    5. Limits the refrigerated shelf life to no more than 14  calendar days from packaging to consumption, except the time the product is  maintained frozen, or the original manufacturer's "sell by" or  "use by" date, whichever occurs first;
    6. Includes operational procedures that:
    a. Prohibit contacting food with bare hands;
    b. Identify a designated area and the method by which:
    (1) Physical barriers or methods of separation of raw foods  and ready‑to‑eat foods minimize cross contamination; and
    (2) Access to the processing equipment is restricted to responsible  trained personnel familiar with the potential hazards of the operation; and
    c. Delineate cleaning and sanitization procedures for food‑contact  surfaces; and
    7. Describes the training program that ensures that the  individual responsible for the reduced oxygen packaging operation understands  the:
    a. Concepts required for a safe operation;
    b. Equipment and facilities; and
    c. Procedures specified under subdivision 6 of this  subsection and subdivision 4 of 2VAC5-585-3630.
    C. Except for fish that is frozen before, during, and  after packaging, a food establishment may not package fish using a reduced  oxygen packaging method.
    A. Except for a food establishment that obtains a variance  as specified under 2VAC5-585-860 and except as specified under subsections C  and E of this section, a food establishment that packages potentially hazardous  food (time/temperature control for safety food) using a reduced oxygen  packaging method shall ensure that there are at least two barriers in place to  control the growth and toxin formation of Clostridium botulinum and the growth  of Listeria monocytogenes.
    B. A food establishment that packages potentially  hazardous food (time/temperature control for safety food) using a reduced  oxygen method shall have a HACCP plan that contains the following information  specified under subdivision 4 of 2VAC5-585-3630:
    1. Identifies food to be packaged;
    2. Except as specified in subsections C and E and as  specified in subsection D of this section, requires that the packaged food  shall be maintained at 41°F (5°C) or less and meet at least one of the  following criteria:
    a. Has an Aw of 0.91 or less,
    b. Has a pH of 4.6 or less,
    c. Is a meat or poultry product cured at a food processing  plant regulated by the USDA using substances specified in 9 CFR 424.21, Use of  food ingredients and sources of radiation, and is received in an intact  package, or
    d. Is a food with a high level of competing organisms such  as raw meat or raw poultry;
    3. Describes how the package shall be prominently and  conspicuously labeled on the principal display panel in bold type on a  contrasting background, with instructions to:
    a. Maintain food at 41°F (5°C) or below, and 
    b. Discard the food within 14 calendar days of its  packaging if it is not served for on-premises consumption, or consumed if  served or sold for off-premises consumption;
    4. Limits the refrigerated shelf life to no more than 14  calendar days from packaging to consumption, except the time the product is  maintained frozen, or the original manufacturer's "sell by" or  "use by" date, whichever occurs first;
    5. Includes operational procedures that:
    a. Prohibit contacting food with bare hands;
    b. Identify a designated work area and the method by which:
    (1) Physical barriers or methods of separation of raw foods  and ready-to-eat foods minimize cross contamination, and
    (2) Access to the processing equipment is limited to  responsible trained personnel familiar with the potential hazards of the  operation; and
    c. Delineate cleaning and sanitization procedures for food  contact surfaces; and
    6. Describes the training program that ensures that the  individual responsible for the reduced oxygen packaging operation understands  the:
    a. Concepts required for safe operation;
    b. Equipment and facilities; and
    c. Procedures specified under subdivision 5 of this  subsection and 2VAC5-585-3630 D.
    C. Except for fish that is frozen before, during, and  after packaging, a food establishment may not package fish using a reduced  oxygen packaging method.
    D. Except as specified in subsection C of this section, a  food establishment may package food using a cook-chill or sous-vide process  without obtaining a variance if:
    1. The food establishment implements a HACCP plan that  contains the information as specified under 2VAC5-585-3630 D;
    2. The food is:
    a. Prepared and consumed on the premises, or prepared and  consumed off the premises but within the same business entity with no  distribution or sale of the bagged product to another business entity or the  consumer;
    b. Cooked to heat all parts of the food to a temperature  and for a time as specified under 2VAC5-585-700;
    c. Protected from contamination after cooking as specified  in 2VAC5-585-450 through 2VAC5-585-690;
    d. Placed in a package or bag with an oxygen barrier and  sealed before cooking, or placed in a package or bag and sealed immediately  after cooking, and before reaching a temperature below 135°F (57°C);
    e. Cooled to 41°F (5°C) in the sealed package or bag as  specified under 2VAC5-585-800, and subsequently;
    (1) Cooled to 34°F (1°C) within 48 hours of reaching 41°F  (5°C) and held at that temperature until consumed or discarded within 30 days  after the date of preparation;
    (2) Cooled to 34°F (1°C) within 48 hours of reaching 41°F  (5°C), removed from refrigeration equipment that maintains a 34°F (1°C) food  temperature and then held at 41°F (5°C) or less for no more than 72 hours, at  which time the food must be consumed or discarded;
    (3) Cooled to 38°F (3°C) or less within 24 hours of  reaching 41°F (5°C) and held there for no more than 72 hours from packaging, at  which time the food must be consumed or discarded; or
    (4) Held frozen with no shelf-life restriction while frozen  until consumed or used;
    g. If transported off-site to a satellite location of the  same business entity, equipped with verifiable electronic monitoring devices to  ensure that times and temperatures are monitored during transportation; and
    h. Labeled with the product name and the date packaged; and
    3. The records required to confirm that cooling and cold  holding refrigeration time/temperature parameters are required as part of the  HACCP plan, are maintained and are:
    a. Made available to the regulatory authority upon request;  and
    b. Held for six months; and
    4. Written operational procedures as specified under  subdivision B 5 of this section and a training program as specified under  subdivision B 6 of this section are implemented.
    E. A food establishment may package cheese using a reduced  oxygen packaging method without obtaining a variance:
    1. If it limits the cheeses packaged to those that are  commercially manufactured in a food processing plant with no ingredients added  in the food establishment and that meet the Standards of Identity as specified  in 21 CFR 133.150, Hard Cheeses, 21 CFR 133.169, Pasteurized process cheese, or  21 CFR 133.187, Semi-soft cheeses;
    2. If it has a HACCP plan that contains the information  specified in 2VAC5-585-3630 D;
    3. Except as specified under subdivisions B 2, B 3 b, and B  4, complies with subsection B of this section;
    4. If it labels the package on the principal display panel  with a "use by" date that does not exceed 30 days or the original  manufacturer's "sell by" or "use by" date, whichever comes  first; and
    5. If it discards the reduced oxygen packaged cheese if it  is not sold for off-premises consumption or consumed within 30 calendar days of  its packaging.
    2VAC5-585-900. Food labels.
    A. Food packaged in a food establishment shall be labeled as  specified in law, including 21 CFR Part 101, Food Labeling, and 9 CFR Part  317, Labeling, Marking Devices, and Containers.
    B. Label information shall include:
    1. The common name of the food, or absent a common name, an  adequately descriptive identity statement;
    2. If made from two or more ingredients, a list of ingredients  in descending order of predominance by weight, including a declaration of  artificial color or flavor and chemical preservatives, if contained in the  food;
    3. An accurate declaration of the quantity of contents;
    4. The name and place of business of the manufacturer, packer,  or distributor; and
    5. The name of the food source for each major food  allergen contained in the food unless the food source is already part of the  common or usual name of the respective ingredient.
    5. 6. Except as exempted in the Federal Food,  Drug, and Cosmetic Act 21 USC § 343(q) (3) through (5), nutrition labeling  as specified in 21 CFR Part 101, Food Labeling, and 9 CFR Part 317, Subpart B,  Nutrition Labeling.
    6. 7. For any salmonid fish containing  canthaxanthin as a color additive, the labeling of the bulk fish container,  including a list of ingredients, displayed on the retail container or by other  written means, such as a counter card, that discloses the use of canthaxanthin.
    C. Bulk food that is available for consumer self-dispensing  shall be prominently labeled with the following information in plain view of  the consumer:
    1. The manufacturer's or processor's label that was provided  with the food; or
    2. A card, sign, or other method of notification that includes  the information specified under subdivisions B 1, 2 and 5 of this section.
    D. Bulk, unpackaged foods such as bakery products and  unpackaged foods that are portioned to consumer specification need not be  labeled if:
    1. A health, nutrient content, or other claim is not made;
    2. There are no state or local laws requiring labeling; and
    3. The food is manufactured or prepared on the premises of the  food establishment or at another food establishment or a food processing plant  that is owned by the same person and is regulated by the food regulatory agency  that has jurisdiction.
    Article 8 
  Special Requirements for Highly Susceptible Populations 
    2VAC5-585-950. Pasteurized foods and prohibited food.*
    In a food establishment that serves a highly susceptible  population:
    1. The following criteria apply to juice:
    a. For the purposes of subdivision 1 of this section only,  children who are age 9 or less and receive food in a school, day care setting  or similar facility that provides custodial care are included as highly  susceptible populations;
    b. Prepackaged juice or a prepackaged beverage containing  juice, that bears a warning label as specified in 21 CFR 101.17(g), Food  Labeling, or packaged juice or beverage containing juice, that bears a warning  label as specified under subdivision 2 of 2VAC5-585-765 may not be served or offered  for sale; and
    c. Unpackaged juice that is prepared on the premises for  service or sale in a ready-to-eat form shall be processed under a HACCP plan  that contains the information specified in subdivisions 2 through 5 of  2VAC5-585-3630 and as specified under 21 CFR Part 120, Hazard Analysis And  Critical Control Point (HACCP) Systems, Subpart B, Pathogen Reduction, 120.24,  Process Controls.
    2. Pasteurized shell eggs or pasteurized liquid, frozen, or  dry eggs or egg products shall be substituted for raw shell eggs in the  preparation of:
    a. Foods such as Caesar salad, hollandaise or béarnaise sauce,  mayonnaise, meringue, eggnog, ice cream, and egg-fortified beverages;  and
    b. Except as specified in subdivision 5 6 of  this section, recipes in which more than one egg is broken and the eggs are  combined.
    3. The following foods may not be served or offered for sale  in a ready-to-eat form:
    a. Raw animal foods such as raw fish, raw-marinated fish, raw  molluscan shellfish, and steak tartare;
    b. A partially cooked animal food such as lightly cooked fish,  rare meat, soft-cooked eggs that are made from raw shell eggs, and meringue;  and
    c. Raw seed sprouts.
    4. Food employees may not contact ready-to-eat food as  specified in 2VAC5-585-450 B.
    5. Time only, as the public health control as specified  under 2VAC5-585-850, may not be used for raw eggs.
    5. 6. Subdivision 2 b of this section does not  apply if:
    a. The raw eggs are combined immediately before cooking for  one consumer's serving at a single meal, cooked as specified under  2VAC5-585-700 A 1, and served immediately, such as an omelet, soufflé, or  scrambled eggs;
    b. The raw eggs are combined as an ingredient immediately  before baking and the eggs are thoroughly cooked to a ready-to-eat form, such  as a cake, muffin, or bread; or
    c. The preparation of the food is conducted under a HACCP plan  that:
    (1) Identifies the food to be prepared;
    (2) Prohibits contacting ready-to-eat food with bare hands;
    (3) Includes specifications and practices that ensure:
    (a) Salmonella Enteritidis enteritidis growth is  controlled before and after cooking; and
    (b) Salmonella Enteritidis enteritidis is  destroyed by cooking the eggs according to the temperature and time specified  in 2VAC5-585-700 A 2;
    (4) d. Contains the information specified under  subdivision 4 of 2VAC5-585-3630 including procedures that:
    (a) (1) Control cross contamination of  ready-to-eat food with raw eggs; and
    (b) (2) Delineate cleaning and sanitization  procedures for food-contact surfaces; and
    (5) e. Describes the training program that  ensures that the food employee responsible for the preparation of the food  understands the procedures to be used.
    7. Except as specified in subdivision 8 of this section,  food may be reserved as specified under 2VAC5-585-680 B 1 and 2.
    8. Foods may not be reserved under the following  conditions:
    1. Any food served to patients or clients who are under  contact precautions in medical isolation or quarantine, or protective  environment isolation may not be reserved to others outside.
    2. Packages of food from any patients, clients, or other  consumers should not be reserved to persons in protective environment  isolation.
    2VAC5-585-980. Lead in ceramic, china, and crystal utensils,  use limitation.
    A. Ceramic, china, crystal utensils, and decorative  utensils such as hand-painted ceramic or china that are used in contact with  food shall be lead-free or contain levels of lead not exceeding the limits of  the following utensil categories:
           |      Utensil Category      |          Ceramic Article Description      |          Maximum Lead (mg/L)      |    
       |      Hot Beverage Mugs, Cups, Pitchers      |          Coffee Mugs      |          0.5      |    
       |      Large Hollowware (excluding pitchers)      |          Bowls >1.1 L Liter (1.16 qt) Quart)      |          1.0      |    
       |      Small Hollowware (excluding cups and mugs)      |          Bowls <1.1 L Liter (1.16 qt) Quart)      |          2.0      |    
       |      Flat Utensils Tableware      |          Plates, Saucers      |          3.0      |    
  
    B. Pewter alloys containing lead in excess of 0.05% may  not be used as a food contact surface.
    C. Solder and flux containing lead in excess of 0.2% may  not be used as a food contact surface.
    2VAC5-585-1020. Lead in pewter alloys, use limitation. (Repealed.)
    Pewter alloys containing lead in excess of 0.05% may not  be used as a food-contact surface.
    2VAC5-585-1030. Lead in solder and flux, use limitation.  (Repealed.)
    Solder and flux containing lead in excess of 0.2% may not  be used as a food-contact surface.
    2VAC5-585-1200. Pressure measuring devices, mechanical  warewashing equipment.
    Pressure measuring devices that display the pressures in the  water supply line for the fresh hot water sanitizing rinse shall have increments  of one pound per square inch (seven kilopascals) or smaller and shall be  accurate to ± two 2 pounds per square inch (± 14 kilopascals) in  the 15-25 pounds per square inch (100-170 kilopascals) range in the  range indicated on the manufacturer's data plate.
    2VAC5-585-1230. Dispensing equipment, protection of equipment  and food.
    In equipment that dispenses or vends liquid food or ice in  unpackaged form:
    1. The delivery tube, chute, orifice, and splash surfaces  directly above the container receiving the food shall be designed in a manner,  such as with barriers, baffles, or drip aprons, so that drips from condensation  and splash are diverted from the opening of the container receiving the food;.
    2. The delivery tube, chute, and orifice shall be protected  from manual contact such as by being recessed;.
    3. The delivery tube or chute and orifice of equipment used to  vend liquid food or ice in unpackaged form to self-service consumers shall be  designed so that the delivery tube or chute and orifice are protected from  dust, insects, rodents, and other contamination by a self-closing door if the  equipment is:
    a. Located in an outside area that does not otherwise afford  the protection of an enclosure against the rain, windblown debris, insects,  rodents, and other contaminants that are present in the environment; or
    b. Available for self-service during hours when it is not  under the full-time supervision of a food employee; and.
    4. The dispensing equipment actuating lever or mechanism and  filling device of consumer self-service beverage dispensing equipment shall be  designed to prevent contact with the lip-contact surface of glasses or cups  that are refilled.
    5. Dispensing equipment in which potentially hazardous food  (time/temperature control for safety food) in homogenous liquid form is  maintained outside of the temperature control requirements as specified in  2VAC5-585-820 C shall:
    a. Be specifically designed and equipped to maintain the  commercial sterility of aseptically packaged food in a homogenous liquid form for  a specified duration from the time of opening the packaging within the  equipment; and
    b. Conform to the requirements for this equipment as  specified in NSF/ANSI 18-2006 Manual Food and Beverage Dispensing Equipment.
    2VAC5-585-1260. Beverage tubing, separation.
    Beverage Except for cold plates that are  constructed integrally with an ice storage bin, beverage tubing and  cold-plate beverage cooling devices may not be installed in contact with stored  ice. This section does not apply to cold plates that are constructed  integrally with an ice storage bin.
    2VAC5-585-1310. Vending machines, automatic shutoff.*
    A. A machine vending potentially hazardous food (time/temperature  control for safety food) shall have an automatic control that prevents the  machine from vending food:
    1. If there is a power failure, mechanical failure, or other  condition that results in an internal machine temperature that cannot maintain  food temperatures as specified under Part III (2VAC5-585-260 et seq.) of this  chapter; and
    2. If a condition specified under subdivision 1 of this  subsection occurs, until the machine is serviced and restocked with food that  has been maintained at temperatures specified under Part III.
    B. When the automatic shutoff within a machine vending  potentially hazardous food (time/temperature control for safety food) is  activated:
    1. In a refrigerated vending machine, the ambient temperature  may not exceed 41°F (5°C) or 45°F (7°C) as specified under 2VAC5-585-820 A 2  for more than 30 minutes immediately after the machine is filled, serviced, or  restocked; or
    2. In a hot holding vending machine, the ambient temperature  may not be less than 135°F (57°C) for more than 120 minutes immediately after  the machine is filled, serviced, or restocked.
    2VAC5-585-1420. Case lot handling equipment apparatuses,  movability.
    Equipment Apparatuses, such as dollies,  pallets, racks, and skids used to store and transport large quantities of  packaged foods received from a supplier in a cased or overwrapped lot, shall be  designed to be moved by hand or by conveniently available equipment such as  hand trucks and forklifts.
    2VAC5-585-1440. Food equipment, certification and  classification. (Repealed.)
    Food equipment that is certified or classified for  sanitation by an American National Standards Institute (ANSI)-accredited  certification program will be deemed to comply with Articles 1 (2VAC5-585-960  et seq.) and 2 (2VAC5-585-1080 et seq.) of this part.
    2VAC5-585-1550. Fixed equipment, spacing or sealing.
    A. Equipment that is fixed because it is not easily movable  shall be installed so that it is:
    1. Spaced to allow access for cleaning along the sides,  behind, and above the equipment;
    2. Spaced from adjoining equipment, walls, and ceilings a  distance of not more than 1/32 inch or one millimeter; or
    3. Sealed to adjoining equipment or walls, if the equipment is  exposed to spillage or seepage.
    B. Table-mounted Counter-mounted equipment that  is not easily movable shall be installed to allow cleaning of the equipment and  areas underneath and around the equipment by being:
    1. Sealed to the table; or
    2. Elevated on legs as specified under 2VAC5-585-1560 D.
    2VAC5-585-1560. Fixed equipment, elevation or sealing.
    A. Except as specified in subsection subsections  B and C of this section, floor-mounted equipment that is not easily movable  shall be sealed to the floor or elevated on legs that provide at least a  six-inch (15-centimeter) clearance between the floor and the equipment.
    B. If no part of the floor under the floor-mounted equipment  is more than six inches (15 centimeters) from the point of cleaning access, the  clearance space may be only four inches (10 centimeters).
    C. This section does not apply to display shelving units,  display refrigeration units, and display freezer units located in the consumer  shopping areas of a retail food store, if the floor under the units is  maintained clean.
    D. Except as specified in subsection E of this section, table-mounted  counter-mounted equipment that is not easily movable shall be elevated  on legs that provide at least a four-inch (10-centimeter) clearance between the  table and the equipment.
    E. The clearance space between the table and table-mounted  counter-mounted equipment may be:
    1. Three inches (7.5 centimeters) if the horizontal distance  of the table top under the equipment is no more than 20 inches (50 centimeters)  from the point of access for cleaning; or
    2. Two inches (5 centimeters) if the horizontal distance of  the table top under the equipment is no more than three inches (7.5  centimeters) from the point of access for cleaning.
    2VAC5-585-1690. Mechanical warewashing equipment, sanitization  pressure.
    The flow pressure of the fresh hot water sanitizing rinse in  a warewashing machine may not be less than 15 pounds per square inch (100  kilopascals) or more than 25 pounds per square inch (170 kilopascals) as  measured in the water line immediately downstream or upstream from the fresh  hot water sanitizing rinse control valve, as measured in the water line  immediately downstream or upstream from the fresh hot water sanitizing rinse  control valve, shall be within the range specified on the machine  manufacturer's data plate and may not be less than five pounds per square inch  (35 kilopascals) or more than 30 pounds per square inch (200 kilopascals).
    Article 7 
  Sanitization of Equipment and Utensils 
    2VAC5-585-1880. Food-contact surfaces and utensils. (Repealed.)
    Equipment food-contact surfaces and utensils shall be  sanitized.
    2VAC5-585-1980. Food-contact surfaces.
    Lubricants as specified in 2VAC5-585-3420 shall be  applied to food-contact surfaces that require lubrication in a manner that does  not contaminate food-contact surfaces.
    2VAC5-585-2040. Preset tableware.
    If tableware is preset:
    1. It shall be protected from contamination by being  wrapped, covered, or inverted;
    2. Exposed, unused settings shall be removed when a  consumer is seated; or
    3. Exposed, unused settings shall be cleaned and sanitized  before further use if the settings are not removed when a consumer is seated.
    A. Tableware that is preset shall be protected from  contamination by being wrapped, covered, or inverted.
    B. When tableware is preset, exposed, unused settings  shall be:
    1. Removed when a consumer is seated; or
    2. Cleaned and sanitized before further use if the settings  are not removed when a consumer is seated.
    2VAC5-585-2190. Handwashing facility, installation sink,  water temperature, and flow.
    A. A handwashing lavatory sink shall be  equipped to provide water at a temperature of at least 100°F (38°C) through a  mixing valve or combination faucet.
    B. A steam mixing valve may not be used at a handwashing lavatory  sink.
    C. A self-closing, slow-closing, or metering faucet shall  provide a flow of water for at least 15 seconds without the need to reactivate  the faucet.
    2VAC5-585-2230. Handwashing facilities sinks, numbers  and capacities.*
    A. Except as specified in subsections B and C of this  section, at least one handwashing lavatory sink, or the number of  handwashing lavatories sinks necessary for their convenient use  by employees in areas specified under 2VAC5-585-2280, and not fewer than the  number of handwashing lavatories sinks required by law shall be  provided.
    B. If approved and capable of removing the types of soils  encountered in the food operations involved, automatic handwashing facilities  may be substituted for handwashing lavatories sinks in a food  establishment that has at least one handwashing lavatory sink.
    C. If approved, when food exposure is limited and handwashing  lavatories sinks are not conveniently available, such as in some  mobile or temporary food establishments or at some vending machine locations,  employees may use chemically-treated towelettes for handwashing.
    2VAC5-585-2280. Handwashing facilities sinks, locations.*
    A handwashing facility sink shall be located:
    1. To be readily accessible for use by employees in food  preparation, food dispensing, and warewashing areas; and
    2. In, or immediately adjacent to, toilet rooms.
    2VAC5-585-2310. Using a handwashing facility sink.
    A. A handwashing facility sink shall be  maintained so that it is accessible at all times for employee use.
    B. A handwashing facility sink may not be used  for purposes other than handwashing.
    C. An automatic handwashing facility sink shall  be used in accordance with manufacturer's instructions.
    2VAC5-585-2510. Establishment drainage system. (Repealed.)
    Food establishment drainage systems, including grease  traps, that convey sewage shall be designed and installed as specified under  2VAC5-585-2180 A.
    2VAC5-585-2520. Backflow prevention.*
    A. Except as specified in subsections B and, C,  and D of this section, a direct connection may not exist between the sewage  system and a drain originating from equipment in which food, portable  equipment, or utensils are placed.
    B. Subsection A of this section does not apply to floor  drains that originate in refrigerated spaces that are constructed as an  integral part of the building.
    B. C. If allowed by law, a warewashing machine  may have a direct connection between its waste outlet and a floor drain when  the machine is located within five feet (1.5 m) (1.5 meters) of a  trapped floor drain and the machine outlet is connected to the inlet side of a  properly vented floor drain trap.
    C. D. If allowed by law, a warewashing or  culinary sink may have a direct connection.
    Article 5 
  Refuse, Recyclables, and Returnables 
    2VAC5-585-2590. Indoor storage area. (Repealed.)
    If located within the food establishment, a storage area  for refuse, recyclables, and returnables shall meet the requirements specified  under 2VAC5-585-2790, 2VAC5-585-2810 through 2VAC5-585-2880, 2VAC5-585-2930,  and 2VAC5-585-2940.
    2VAC5-585-2630. Receptacles in vending machines.
    A Except for a receptacle for a beverage bottle  crown closures, a refuse receptacle may not be located within a vending  machine, except that a receptacle for beverage bottle crown closures may be  located within a vending machine.
    Part VI 
  Physical Facilities 
    Article 1 
  Materials for Construction and Repair 
    2VAC5-585-2790. Indoor areas; surface characteristics.
    A. Except as specified in subsection B of this section,  materials for indoor floor, wall, and ceiling surfaces under conditions of  normal use shall be:
    1. Smooth, durable, and easily cleanable for areas where food  establishment operations are conducted;
    2. Closely woven and easily cleanable carpet for carpeted  areas; and
    3. Nonabsorbent for areas subject to moisture such as food  preparation areas, walk-in refrigerators, warewashing areas, toilet rooms,  mobile food establishment servicing areas, and areas subject to flushing or  spray cleaning methods.
    B. In a temporary food establishment:
    1. A floor may be concrete, if graded to drain, machine-laid  asphalt, or dirt or gravel if it is covered with mats, removable platforms,  duckboards, or other suitable approved materials that are effectively  treated to control dust and mud; and
    2. Walls and ceilings may be constructed of a material that  protects the interior from the weather and windblown dust and debris.
    Article 2 
  Design, Construction, and Installation 
    2VAC5-585-2810. Floors, walls, and ceilings - cleanability.
    Except as specified under 2VAC5-585-2840, the floors,  floor coverings, walls, wall coverings, and ceilings shall be designed,  constructed, and installed so they are smooth and easily cleanable, except that  and except for antislip floor coverings or applications that may  be used for safety reasons, floors, floor coverings, walls, wall coverings,  and ceilings shall be designed, constructed, and installed so they are smooth  and easily cleanable.
    2VAC5-585-2920. Toilet rooms, enclosed.
    A toilet room located on the premises shall be completely  enclosed and provided with a tight-fitting and self-closing door except that  this requirement does not apply to a toilet room that is located outside a food  establishment and does not open directly into the food establishment such as a  toilet room that is provided by the management of a shopping mall.
    Except where a toilet room is located outside a food  establishment and does not open directly into the food establishment such as a  toilet room that is provided by the management of a shopping mall, a toilet  room located on the premises shall be completely enclosed and provided with a  tight-fitting and self-closing door.
    2VAC5-585-2950. Outdoor food vending areas, overhead  protection.
    If located outside, a machine used to vend food shall be  provided with overhead protection except that machines vending canned beverages  need not meet this requirement.
    Except for machines that vend canned beverages, if located  outside, a machine used to vend food shall be provided with overhead  protection.
    2VAC5-585-2960. Outdoor servicing areas, overhead protection.
    Servicing areas shall be provided with overhead protection  except that areas used only for the loading of water or the discharge of sewage  and other liquid waste, through the use of a closed system of hoses, need not  be provided with overhead protection.
    Except for areas used only for the loading of water or the  discharge of sewage or other liquid waste, through the use of a closed system  of hoses, servicing areas shall be provided with overhead protection.
    Article 3 
  Numbers and Capacities 
    2VAC5-585-3010. Handwashing lavatories, minimum number. (Repealed.)
    Handwashing lavatories shall be provided as specified  under 2VAC5-585-2230.
    2VAC5-585-3020. Handwashing cleanser, availability.
    Each handwashing lavatory sink or group of two  adjacent lavatories handwashing sinks shall be provided with a  supply of hand cleaning liquid, powder, or bar soap.
    2VAC5-585-3030. Hand drying provision.
    Each handwashing lavatory sink or group of  adjacent lavatories handwashing sinks shall be provided with:
    1. Individual, disposable towels;
    2. A continuous towel system that supplies the user with a  clean towel; or
    3. A heated-air hand drying device.
    2VAC5-585-3040. Handwashing aids and devices, use restrictions.
    A sink used for food preparation or utensil washing may not  be provided with the handwashing aids and devices required for a handwashing lavatory  sink as specified under 2VAC5-585-3020 and 2VAC5-585-3030 and  2VAC5-585-2650 C.
    2VAC5-585-3045. Handwashing signage.
    A sign or poster that notifies food employees to wash their  hands shall be provided at all handwashing lavatories sinks used  by food employees and shall be clearly visible to food employees.
    2VAC5-585-3050. Disposable towels, waste receptacle. (Repealed.)
    A handwashing lavatory or group of adjacent lavatories  that is provided with disposable towels shall be provided with a waste  receptacle as specified under 2VAC5-585-2650 C.
    2VAC5-585-3060. Toilets and urinals, minimum number. (Repealed.)
    Toilets and urinals shall be provided as specified under  2VAC5-585-2240.
    2VAC5-585-3080. Lighting, intensity.
    The light intensity shall be:
    1. At least 10 foot candles (110 lux) (108 lux)  at a distance of 30 inches (75 cm) above the floor, in walk-in refrigeration  units and dry food storage areas and in other areas and rooms during periods of  cleaning;
    2. At least 20 foot candles (220 lux) (215 lux):
    a. At a surface where food is provided for consumer  self-service such as buffets and salad bars or where fresh produce or packaged  foods are sold or offered for consumption;
    b. Inside equipment such as reach-in and under-counter  refrigerators;
    c. At a distance of 30 inches (75 cm) above the floor in areas  used for handwashing, warewashing, and equipment and utensil storage, and in  toilet rooms; and
    3. At least 50 foot candles (540 lux) at a surface where a  food employee is working with food or working with utensils or equipment such  as knives, slicers, grinders, or saws where employee safety is a factor.
    2VAC5-585-3110. Service sinks, availability. (Repealed.)
    A service sink or curbed cleaning facility shall be  provided as specified under 2VAC5-585-2250.
    Article 4 
  Location and Placement 
    2VAC5-585-3120. Handwashing lavatories, conveniently  located. (Repealed.)
    Handwashing lavatories shall be conveniently located as  specified under 2VAC5-585-2280.
    2VAC5-585-3160. Refuse, recyclables, and returnables -  receptacles, waste handling units, and designated storage areas. (Repealed.)
    Units, receptacles, and areas designated for storage of  refuse and recyclable and returnable containers shall be located as specified  under 2VAC5-585-2680.
    2VAC5-585-3180. Cleaning, frequency and restrictions.
    A. The physical facilities shall be cleaned as often as  necessary to keep them clean.
    B. Cleaning Except for cleaning that is necessary  due to a spill or other accident, cleaning shall be done during periods  when the least amount of food is exposed such as after closing. This  requirement does not apply to cleaning that is necessary due to a spill or  other accident.
    2VAC5-585-3240. Maintaining and using handwashing  lavatories. Cleaning of plumbing fixtures.
    Handwashing lavatories shall be kept Plumbing  fixtures such as handwashing sinks, toilets, and urinals shall be cleaned as  often as necessary to keep them clean, and maintained and used as  specified under 2VAC5-585-2310. 
    2VAC5-585-3360. Conditions of use.*
    A. Poisonous or toxic materials shall be:
    1. Used according to:
    a. Law and this chapter;
    b. Manufacturer's use directions included in labeling, and,  for a pesticide, manufacturer's label instructions that state that use is  allowed in a food establishment;
    c. The conditions of certification, if certification is  required, for use of the pest control materials; and
    d. Additional conditions that may be established by the  department; and
    2. Applied so that:
    a. A hazard to employees or other persons is not constituted;  and
    b. Contamination including toxic residues due to drip, drain,  fog, splash or spray on food, equipment, utensils, linens, and single-service  and single-use articles is prevented, and for a restricted-use pesticide, this  is achieved by:
    (1) Removing the items;
    (2) Covering the items with impermeable covers; or
    (3) Taking other appropriate preventive actions; and
    (4) Cleaning and sanitizing equipment and utensils after the  application.
    B. A restricted use pesticide shall be applied only by an  applicator certified as defined in §§ 3.1-249.51, 3.1-249.52, and  3.1-249.53 E 3.2-3929, 3.2-3930, and 3.2-3931 of the Code of  Virginia (Virginia Pesticide Control Act) or a person under the direct  supervision of a certified applicator.
    2VAC5-585-3460. Medicines - restriction and storage.*
    A. Only Except for medicines that are stored or  displayed for retail sale, only those medicines that are necessary for the  health of employees shall be allowed in a food establishment. This section  does not apply to medicines that are stored or displayed for retail sale.
    B. Medicines that are in a food establishment for the  employees' use shall be labeled as specified under 2VAC5-585-3320 and located  to prevent the contamination of food, equipment, utensils, linens, and  single-service and single-use articles.
    2VAC5-585-3860. Documenting information and observations.
    The authorized representative of the commissioner shall  document on an inspection report form:
    1. Administrative information about the food establishment's  legal identity, street and mailing addresses, type of establishment and  operation, inspection date, and other information such as type of water supply  and sewage disposal, and personnel certificates that may be required; and
    2. Specific factual observations of violative conditions or  other deviations from this chapter that require correction by the establishment  operator including:
    a. Failure of the person in charge to demonstrate the  knowledge of foodborne illness prevention, application of HACCP principles, and  the requirements of this chapter specified under 2VAC5-585-60;
    b. Failure of food employees and the person in charge to  demonstrate their knowledge of their responsibility to report a disease or  medical condition as specified under 2VAC5-585-110 and 2VAC5-585-120 2VAC5-585-80  B and D;
    c. Nonconformance with critical items of this chapter;
    d. Failure of the appropriate food employees to demonstrate  their knowledge of, and ability to perform in accordance with, the procedural,  monitoring, verification, and corrective action practices required by the  department as specified under 2VAC5-585-60;
    e. Failure of the person in charge to provide records required  by the department for determining conformance with a HACCP plan as specified  under subdivision 4 f of 2VAC5-585-3630; and
    f. Nonconformance with critical limits of a HACCP plan.
    Article 5 
  Prevention of Foodborne Disease Transmission by Employees 
    2VAC5-585-4040. Investigation and control, obtaining  information: personal history of illness, medical examination, and specimen  analysis.
    The department shall act when it has reasonable cause to  believe that a food employee or conditional employee has possibly  transmitted disease; may be infected with a disease in a communicable form that  is transmissible through food; may be a carrier of infectious agents that cause  a disease that is transmissible through food; or is affected with a boil, an  infected wound, or acute respiratory infection, by:
    1. Securing a confidential medical history of the employee  suspected of transmitting disease or making other investigations as deemed  appropriate; and
    2. Requiring appropriate medical examinations, including  collection of specimens for laboratory analysis, of a suspected employee and  other employees.
    2VAC5-585-4050. Restriction or exclusion of food employee.
    Based on the findings of an investigation related to a food  employee or conditional employee who is suspected of being infected or  diseased, the department may request that the suspected food employee, or  conditional employee, or operator institute one of the following control  measures:
    1. Restricting the food employee or conditional employee;  or
    2. Excluding the food employee or conditional employee.
    2VAC5-585-4070. Release of food employee from restriction or  exclusion.
    The department shall release a food employee or  conditional employee from restriction or exclusion according to law and the  following conditions: conditions specified under 2VAC5-585-100.
    1. A food employee who was infected with Salmonella typhi  if the food employee's stools are negative for S. typhi based on testing of at  least three consecutive stool specimen cultures that are taken:
    a. Not earlier than one month after onset;
    b. At least 48 hours after discontinuance of antibiotics;  and
    c. At least 24 hours apart; and
    2. If one of the cultures taken as specified in subdivision  1 of this section is positive, repeat cultures are taken at intervals of one  month until at least three consecutive negative stool specimen cultures are  obtained.
    3. A food employee who was infected with Shigella spp. or Shiga  toxin-producing Escherichia coli if the employee's stools are negative for  Shigella spp. or Shiga toxin-producing Escherichia coli based on testing of two  consecutive stool specimen cultures that are taken:
    a. Not earlier than 48 hours after discontinuance of  antibiotics; and
    b. At least 24 hours apart.
    4. A food employee who was infected with hepatitis A virus  if:
    a. Symptoms cease; or
    b. At least two blood tests show falling liver enzymes.
    DOCUMENTS INCORPORATED BY REFERENCE (2VAC5-585)
    Approved Drug Products with Therapeutic Equivalence  Evaluations (updated daily), 25th Edition, available from the U.S.  Department of Health and Human Services, Food and Drug Administration, Center  for Drug Evaluation and Research, Office of Pharmaceutical Science, Office of  Generic Drugs at http://www.fda.gov/cder/ob/default.htm.
    7 CFR Parts 56 and 59, January 2006, published by the U.S.  Government Printing Office, 732 North Capitol St., NW, Washington, DC 20401.
    9 CFR Parts 301, 308, 317, 319, 352, 354, 362, 381, 424,  and 590, January 2006, published by the U.S. Government Printing Office, 732  North Capitol St., NW, Washington, DC 20401.
    21 CFR Parts 70, 101, 113, 114, 120, 129 - 186, 21 CFR  1030.10, and 1240.60(d), April 2006, published by the U.S. Government Printing  Office, 732 North Capitol St., NW, Washington, DC 20401.
    40 CFR Parts 141, 152 and 40 CFR 180.940, and 185 and 40  CFR, July 2005, published by the U.S. Government Printing Office, 732 North  Capitol St., NW, Washington, DC 20401.
    50 CFR Part 17, October 2005, published by the U.S.  Government Printing Office, 732 North Capitol St., NW, Washington, DC 20401.
    Federal Food, Drug and Cosmetic Act, as amended through  December 31, 2004, 21 USC §§ 321, 342, 343, 348 and 376, published by the U.S.  Government Printing Office, 732 North Capitol St., NW, Washington, DC 20401.
    Grade "A" Pasteurized Milk Ordinance, 2003  Revision, published by the U.S. Department of Health and Human Services, Public  Health Service, Food and Drug Administration, Milk Safety Branch (HFS-626),  5100 Paint Branch Parkway, College Park, MD 20740-3835.
    Grade "A" Condensed and Dry Milk Ordinance, 1995  Revision, published by the U.S. Department of Health and Human Services, Public  Health Service, Food and Drug Administration, Milk Safety Branch (HFS-626),  5100 Paint Branch Parkway, College Park, MD 20740-3835.
    Interstate Certified Shellfish Shippers List, (updated  monthly), published by the U.S. Department of Health and Human Services, Public  Health Service, Food and Drug Administration, Office of Seafood (HFS-417), 5100  Paint Branch Parkway, College Park, MD 20740-3835.
    National Shellfish Sanitation Program Manual of  Operations, 1995 Revision, published by the U.S. Department of Health and Human  Services, Public Health Service, Food and Drug Administration, Office of  Seafood (HFS-417), 5100 Paint Branch Parkway, College Park, MD 20740-3835.
    Virginia Waterworks Regulations, 12VAC5-590, May 2006,  Virginia Department of Health, 109 Governor Street, Richmond, VA 23219.
    Virginia Statewide Building Code, 13VAC5-63, November  2005, Virginia Department of Housing and Community Development, 501 North 2nd  Street, Richmond, VA 23219.
    National Shellfish Sanitation Program Guide for the  Control of Molluscan Shellfish (2007), published by the U.S. Department of  Health and Human Services, Public Health Service, Food and Drug Administration,  Office of Seafood (HFS-417), 5100 Paint Branch Parkway, College Park, MD  20740-3835.
    NSF/ANSI 18-2006 Manual Food and Beverage Dispensing  Equipment, American National Standard, published by NSF International, 789  North Dixboro Road, P.O. Box 130140, Ann Arbor, Michigan 48113-0140.
    VA.R. Doc. No. R09-1653; Filed April 17, 2009, 11:09 a.m. 
TITLE 9. ENVIRONMENT
VIRGINIA WASTE MANAGEMENT BOARD
Forms
        NOTICE: The following  forms have been filed by the Virginia Waste Management Board. The forms are  available for public inspection at the Department of Environmental Quality, 629  East Main Street, Richmond, VA 23218, or at the Office of the Registrar of Regulations,  General Assembly Building, 2nd Floor, Richmond, Virginia 23219. Copies of the  forms may be obtained from Cindy Berndt, Department of Environmental Quality,  629 East Main Street, Richmond, VA 23218, telephone 804-698-4378.
         Title of Regulation: 9VAC20-80. Solid Waste  Management Regulations. 
    FORMS (9VAC20-80) 
    Open Dump Evaluation Criteria Part I-Flood Plains, DWM Form  SW-4-1. 
    Open Dump Evaluation Criteria Part II-Surface Water, DWM Form  SW-4-2. 
    Open Dump Evaluation Criteria Part III-Groundwater, DWM Form  SW-4-3. 
    Open Dump Evaluation Criteria Part IV-Disease Vectors, DWM  Form SW-4-4. 
    Open Dump Evaluation Criteria Part V-Open Burning, DWM Form  SW-4-5. 
    Open Dump Evaluation Criteria Part VI-Safety: Landfill Gas,  DWM Form SW-4-6. 
    Open Dump Evaluation Criteria Part VII-Safety: Fires, DWM  Form SW-4-7. 
    Open Dump Evaluation Criteria Part VIII-Safety: Bird Hazard,  DWM Form SW-4-8. 
    Solid Waste Management Facility Permit Applicant's Disclosure  Form, DWM Form DISC-01. 
    Solid Waste Management Facility Permit Applicant's Disclosure  Form-Key Personnel, DWM Form DISC-02. 
    Request for Local Government Certification, DWM Form SW-11-1.  
    Solid Waste Part A Permit Application, DWM  From Form SW-7-3 (rev. 4/09).
    Solid Waste Information and Assessment Program-Reporting  Table, DEQ Form 50-25 (rev. 2/05) 
    
       
      VA.R. Doc. No. R09-1916; Filed April 16, 2009, 12:00 p.m. 
TITLE 9. ENVIRONMENT
STATE WATER CONTROL BOARD
Forms
        NOTICE: The following  forms have been filed by the State Water Control Board. The forms are available  for public inspection at the Department of Environmental Quality, 629 East Main  Street, Richmond, VA 23218, or at the Office of the Registrar of Regulations,  General Assembly Building, 2nd Floor, Richmond, Virginia 23219. Copies of the  forms may be obtained from Cindy Berndt, Department of Environmental Quality,  629 East Main Street, Richmond, VA 23218, telephone 804-698-4378.
         Title of Regulation: 9VAC25-580. Underground Storage  Tanks: Technical Standards and Corrective Action Requirements. 
    FORMS (9VAC25-580) 
    Notification for Underground Storage Tanks (USTs),  Virginia DEQ Water Form 7530-1 (eff. 7/94) 7530-2 (rev. 01-03).  
    Notification Form, EPA Form (50FR 46602). 
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
         
      VA.R. Doc. No. R09-1915; Filed April 16, 2009, 11:50 a.m. 
TITLE 9. ENVIRONMENT
STATE CORPORATION COMMISSION
Proposed Regulation
        REGISTRAR'S NOTICE: The  State Corporation Commission is exempt from the Administrative Process Act in  accordance with § 2.2-4002 A 2 of the Code of Virginia, which exempts  courts, any agency of the Supreme Court, and any agency that by the  Constitution is expressly granted any of the powers of a court of record.
         Title of Regulation: 10VAC5-10. Delegation of Certain  Authority to the Commissioner of the Bureau of Financial Institutions (amending 10VAC5-10-10). 
    Statutory Authority: §§ 12.1-13 and 12.1-16 of the  Code of Virginia.
    Public Hearing Information: A public hearing will be  scheduled upon request.
    Public Comments: Public comments may be submitted until  5 p.m. on June 15, 2009.
    Agency Contact: Nicholas C. Kyrus, Deputy Commissioner,  Bureau of Financial Institutions, P.O. Box 640, Richmond, VA 23218, telephone  (804) 371-9657, FAX (804) 371-9416, or email nick.kyrus@scc.virginia.gov.
    Summary:
    The proposed amendments delegate additional authority to the  Commissioner of Financial Institutions to grant or deny mortgage loan  originator licenses and set the amount of surety bonds required for such licensure.
    AT RICHMOND, APRIL 8, 2009
    COMMONWEALTH OF VIRGINIA, ex rel.
    STATE CORPORATION COMMISSION
    CASE NO. BFI-2009-00081
    Ex Parte: In re: Powers delegated
  to the Commissioner of Financial
  Institutions
    ORDER TO TAKE NOTICE
    WHEREAS § 12.1-16 of the Code of Virginia provides,  among other things, for delegation by the State Corporation Commission  ("Commission") to the Commissioner of Financial Institutions  ("Commissioner") of its duties under certain laws; and
    WHEREAS the Commission has previously delegated various  powers and duties to the Commissioner pursuant to this statute, which  delegations currently appear in the Virginia Administrative Code at 10 VAC  5-10-10; and 
    WHEREAS the Commission now proposes to delegate certain  additional authority to the Commissioner in order to promote the efficient  administration of Title 6.1 of the Code of Virginia;
    IT IS THEREFORE ORDERED THAT:
    (1) The proposed amended regulation entitled "Powers  Delegated to Commissioner of Financial Institutions" is appended hereto and  made part of the record herein.
    (2) On or before June 15, 2009, any person desiring  to comment on the proposed amended regulation shall file written comments  containing a reference to Case No. BFI‑2009‑00081 with the Clerk of  the Commission, c/o Document Control Center, P.O. Box 2118, Richmond,  Virginia 23218. Interested persons desiring to submit comments electronically  may do so by following the instructions at the Commission's website:  http://www.scc.virginia.gov/case.
    (3) The proposed amended regulation shall be posted on  the Commission's website at http://www.scc.virginia.gov/case.
    (4) AN ATTESTED COPY hereof, together with a copy of the  proposed amended regulation, shall be sent to the Registrar of Regulations for  publication in the Virginia Register.
    AN ATTESTED COPY hereof shall be sent by the Clerk of the  Commission to the Commissioner of Financial Institutions.
    10VAC5-10-10. Powers delegated to Commissioner of Financial  Institutions.
    A. The State Corporation Commission has delegated to the  Commissioner of Financial Institutions the authority to exercise its powers and  to act for it in the following matters: 
    1. To grant or deny petitions relating to service by an  individual as a director of more than one financial institution.  (§ 6.1-2.7 of the Code of Virginia.) 
    2. To grant a certificate of authority to a bank formed for  the purpose of its being acquired under the provisions of Chapter 14  (§ 6.1-390 et seq.) of Title 6.1 of the Code of Virginia, or for the  purpose of facilitating the consolidation of banks or the acquisition by merger  of a bank pursuant to any provision of Title 6.1 of the Code of Virginia.  (§§ 6.1-13 and 6.1-43 of the Code of Virginia.) 
    3. To grant or deny authority to a bank, or to a trust  subsidiary, to engage in the trust business or exercise trust powers.  (§§ 6.1-16 and 6.1-32.5 of the Code of Virginia.) 
    4. To approve an office of a trust subsidiary; to authorize a  trust company to establish an additional office; to authorize a state bank or  trust company to establish or acquire a trust office in another state; and to  deny an application by a state bank to establish a branch or relocate an  authorized office in Virginia. (§§ 6.1-32.6, 6.1-32.21, 6.1-32.33 and  6.1-39.3 of the Code of Virginia.) To approve the establishment, acquisition,  maintenance, and operation of branches of state banks in states other than  Virginia. (§§ 6.1-44.3 and 6.1-44.17 of the Code of Virginia.) 
    5. To permit a state bank to operate or advertise a branch  office under a name that is not identical to the bank's own name.  (§ 6.1-41 of the Code of Virginia.) 
    6. To object to an application or notice by an out-of-state  trust institution or an out-of-state bank to establish or acquire a trust  office or branch in Virginia, upon finding that the filing requirements and the  conditions for approval prescribed by law are not fulfilled. (§§ 6.1-32.38  and 6.1-32.39; 6.1-44.6 and 6.1-44.7; 6.1-44.19 and 6.1-44.20 of the Code of  Virginia.) 
    7. To grant approval for directors' meetings of a bank or  trust company to be held less frequently than monthly. (§ 6.1-52 of the  Code of Virginia; 10VAC5-22-20.) 
    8. To grant approval for the investing of more than 50% of the  aggregate amount of a bank's capital stock, surplus, and undivided profits in  its bank building and premises; and to permit the payment of dividends while  such investment exceeds 50% of capital, surplus, and undivided profits.  (§ 6.1-57 of the Code of Virginia.) 
    9. To consent to a bank's investment in more than one service  corporation. (§ 6.1-58 of the Code of Virginia.) 
    10. To give permission for the aggregate investment of more  than 50% of a bank's capital stock and permanent surplus in the stock,  securities, or obligations of controlled-subsidiary and bank service  corporations. (§ 6.1-58.1 of the Code of Virginia.) 
    11. To give written consent and approval for a bank to hold  the possession of certain real estate for a longer period than 10 years.  (Subdivision 4 of § 6.1-59 of the Code of Virginia.) 
    12. To approve the issuance by a bank of capital notes and debentures,  so that such notes and debentures may qualify as surplus for the purpose of  calculating the legal lending limit of a bank. (§ 6.1-61 of the Code of  Virginia.) 
    13. To give written approval in advance for a bank or trust  company to pledge its assets as security for certain temporary purposes.  (§ 6.1-80 of the Code of Virginia.) 
    14. To require any bank to prepare and submit such reports and  material as he may deem necessary to protect and promote the public interest.  (§ 6.1-93 of the Code of Virginia.) 
    15. To approve the issuance of stock in a savings institution  in exchange for property or services valued at an amount not less than the  aggregate value of the shares issued. (§§ 6.1-194.11 and 6.1-194.113 of  the Code of Virginia.) 
    16. To reduce temporarily the reserve requirements for a  savings institution upon a finding that such reduction is in the best interest  of the institution and its members. (§ 6.1-194.23 of the Code of  Virginia.) 
    17. To grant a certificate of authority to a savings institution  formed solely for the purpose of facilitating the merger or acquisition of  savings institutions pursuant to any provision of Title 6.1 of the Code of  Virginia. 
    18. To grant or deny authority to a state association, a state  savings bank or a foreign savings institution to establish a branch office, or  other office or facility where deposits are accepted (§§ 6.1-194.26 and  6.1-194.119 of the Code of Virginia), or to change the location of a main or  branch office. (§§ 6.1-194.28 and 6.1-194.121 of the Code of Virginia.) 
    19. To cause a special examination of a savings institution to  be made. (§ 6.1-194.84:1 of the Code of Virginia.) 
    20. To grant or deny authority to a savings institution to  exercise fiduciary powers. (§§ 6.1-195.77 et seq. and 6.1-194.138 of the  Code of Virginia.) 
    21. To grant or deny approval to a credit union to maintain a  service facility or office (other than a main office). (§ 6.1-225.20 of  the Code of Virginia.) 
    22. To make such findings as are required by  §§ 6.1-225.23 and 6.1-225.23:1 of the Code of Virginia relating to fields  of membership of credit unions and the expansion of such fields of membership. 
    23. To approve the investment of credit union funds in certain  stock, securities and other obligations. (Subdivision 8 of § 6.1-25.57  6.1-225.57 of the Code of Virginia.) 
    24. To grant or deny authority to an industrial loan  association to relocate its office. (§ 6.1-233 of the Code of Virginia.) 
    25. To grant or deny licenses pursuant to Chapter 6 (§ 6.1-244  et seq.) of Title 6.1 of the Code of Virginia. (§ 6.1-256.1 of the Code of  Virginia.) 
    26. To grant or deny licenses to engage in the business of  selling money orders or the business of money transmission, or both, and  approve or disapprove acquisitions of ownership interests in licensees.  (§§ 6.1-371 and 6.1-378.2 of the Code of Virginia.) 
    27. To grant or deny licenses to operate non-profit debt  credit counseling agencies. (§ 6.1-363.1 (§ 6.1-363.7  of the Code of Virginia.) 
    28. To grant or deny licenses to engage in business as a  mortgage lender and/or mortgage broker, and prescribe conditions under which  exclusive agents of licensees may act as mortgage brokers without a license and  approve or disapprove individuals as qualified exclusive agents of licensees.  (§§ 6.1-410 and 6.1-415 of the Code of Virginia.) 
    29. To grant or deny permission to a mortgage lender or  mortgage broker licensee to relocate an office or open an additional office and  approve or disapprove acquisitions of ownership interests in licensees.  (§§ 6.1-416 and 6.1-416.1 of the Code of Virginia.) 
    30. To grant or deny licenses to engage in business as a  mortgage loan originator, and set the amount of surety bond required for such  licensure. (§§ 6.1-431.4 and 6.1-431.7 of the Code of Virginia.)
    31. To enter into cooperative agreements with  appropriate regulatory authorities for the examination of out-of-state bank  holding companies and their subsidiaries and out-of-state savings institution  holding companies and their subsidiaries and for the accomplishment of other  duties imposed on the commission by Article 11 (§ 6.1-194.96 et seq.) of  Chapter 3.01 and by Chapter 15 (§ 6.1-398 et seq.) of Title 6.1 of the  Code of Virginia. 
    31. 32. To prescribe the form and content of all  applications, documents, undertakings, papers, and information required to be  submitted to the commission under Title 6.1 of the Code of Virginia. 
    32. 33. To make all investigations and  examinations, give all notices, and shorten, waive, or extend any time period  within which any action of the commission must or may be taken or performed  under Title 6.1 of the Code of Virginia. 
    B. In the performance of the duties hereby delegated to him,  the commissioner shall have the power and authority to make all findings and  determinations permitted or required by law.
    C. The foregoing delegations of authority shall be effective  until revoked by order of the commission. All actions taken by the Commissioner  of Financial Institutions pursuant to the authority granted here are subject to  review by the commission in accordance with the Rules of Practice and Procedure  of the State Corporation Commission. Each delegation set forth in a numbered  subdivision of subsection A of this section shall be severable from all others.  
    VA.R. Doc. No. R09-1875; Filed April 15, 2009, 10:23 a.m. 
TITLE 10. FINANCE AND FINANCIAL INSTITUTIONS
STATE CORPORATION COMMISSION
Proposed Regulation
        REGISTRAR'S NOTICE: The  State Corporation Commission is exempt from the Administrative Process Act in  accordance with § 2.2-4002 A 2 of the Code of Virginia, which exempts  courts, any agency of the Supreme Court, and any agency that by the  Constitution is expressly granted any of the powers of a court of record.
         Title of Regulation: 10VAC5-10. Delegation of Certain  Authority to the Commissioner of the Bureau of Financial Institutions (amending 10VAC5-10-10). 
    Statutory Authority: §§ 12.1-13 and 12.1-16 of the  Code of Virginia.
    Public Hearing Information: A public hearing will be  scheduled upon request.
    Public Comments: Public comments may be submitted until  5 p.m. on June 15, 2009.
    Agency Contact: Nicholas C. Kyrus, Deputy Commissioner,  Bureau of Financial Institutions, P.O. Box 640, Richmond, VA 23218, telephone  (804) 371-9657, FAX (804) 371-9416, or email nick.kyrus@scc.virginia.gov.
    Summary:
    The proposed amendments delegate additional authority to the  Commissioner of Financial Institutions to grant or deny mortgage loan  originator licenses and set the amount of surety bonds required for such licensure.
    AT RICHMOND, APRIL 8, 2009
    COMMONWEALTH OF VIRGINIA, ex rel.
    STATE CORPORATION COMMISSION
    CASE NO. BFI-2009-00081
    Ex Parte: In re: Powers delegated
  to the Commissioner of Financial
  Institutions
    ORDER TO TAKE NOTICE
    WHEREAS § 12.1-16 of the Code of Virginia provides,  among other things, for delegation by the State Corporation Commission  ("Commission") to the Commissioner of Financial Institutions  ("Commissioner") of its duties under certain laws; and
    WHEREAS the Commission has previously delegated various  powers and duties to the Commissioner pursuant to this statute, which  delegations currently appear in the Virginia Administrative Code at 10 VAC  5-10-10; and 
    WHEREAS the Commission now proposes to delegate certain  additional authority to the Commissioner in order to promote the efficient  administration of Title 6.1 of the Code of Virginia;
    IT IS THEREFORE ORDERED THAT:
    (1) The proposed amended regulation entitled "Powers  Delegated to Commissioner of Financial Institutions" is appended hereto and  made part of the record herein.
    (2) On or before June 15, 2009, any person desiring  to comment on the proposed amended regulation shall file written comments  containing a reference to Case No. BFI‑2009‑00081 with the Clerk of  the Commission, c/o Document Control Center, P.O. Box 2118, Richmond,  Virginia 23218. Interested persons desiring to submit comments electronically  may do so by following the instructions at the Commission's website:  http://www.scc.virginia.gov/case.
    (3) The proposed amended regulation shall be posted on  the Commission's website at http://www.scc.virginia.gov/case.
    (4) AN ATTESTED COPY hereof, together with a copy of the  proposed amended regulation, shall be sent to the Registrar of Regulations for  publication in the Virginia Register.
    AN ATTESTED COPY hereof shall be sent by the Clerk of the  Commission to the Commissioner of Financial Institutions.
    10VAC5-10-10. Powers delegated to Commissioner of Financial  Institutions.
    A. The State Corporation Commission has delegated to the  Commissioner of Financial Institutions the authority to exercise its powers and  to act for it in the following matters: 
    1. To grant or deny petitions relating to service by an  individual as a director of more than one financial institution.  (§ 6.1-2.7 of the Code of Virginia.) 
    2. To grant a certificate of authority to a bank formed for  the purpose of its being acquired under the provisions of Chapter 14  (§ 6.1-390 et seq.) of Title 6.1 of the Code of Virginia, or for the  purpose of facilitating the consolidation of banks or the acquisition by merger  of a bank pursuant to any provision of Title 6.1 of the Code of Virginia.  (§§ 6.1-13 and 6.1-43 of the Code of Virginia.) 
    3. To grant or deny authority to a bank, or to a trust  subsidiary, to engage in the trust business or exercise trust powers.  (§§ 6.1-16 and 6.1-32.5 of the Code of Virginia.) 
    4. To approve an office of a trust subsidiary; to authorize a  trust company to establish an additional office; to authorize a state bank or  trust company to establish or acquire a trust office in another state; and to  deny an application by a state bank to establish a branch or relocate an  authorized office in Virginia. (§§ 6.1-32.6, 6.1-32.21, 6.1-32.33 and  6.1-39.3 of the Code of Virginia.) To approve the establishment, acquisition,  maintenance, and operation of branches of state banks in states other than  Virginia. (§§ 6.1-44.3 and 6.1-44.17 of the Code of Virginia.) 
    5. To permit a state bank to operate or advertise a branch  office under a name that is not identical to the bank's own name.  (§ 6.1-41 of the Code of Virginia.) 
    6. To object to an application or notice by an out-of-state  trust institution or an out-of-state bank to establish or acquire a trust  office or branch in Virginia, upon finding that the filing requirements and the  conditions for approval prescribed by law are not fulfilled. (§§ 6.1-32.38  and 6.1-32.39; 6.1-44.6 and 6.1-44.7; 6.1-44.19 and 6.1-44.20 of the Code of  Virginia.) 
    7. To grant approval for directors' meetings of a bank or  trust company to be held less frequently than monthly. (§ 6.1-52 of the  Code of Virginia; 10VAC5-22-20.) 
    8. To grant approval for the investing of more than 50% of the  aggregate amount of a bank's capital stock, surplus, and undivided profits in  its bank building and premises; and to permit the payment of dividends while  such investment exceeds 50% of capital, surplus, and undivided profits.  (§ 6.1-57 of the Code of Virginia.) 
    9. To consent to a bank's investment in more than one service  corporation. (§ 6.1-58 of the Code of Virginia.) 
    10. To give permission for the aggregate investment of more  than 50% of a bank's capital stock and permanent surplus in the stock,  securities, or obligations of controlled-subsidiary and bank service  corporations. (§ 6.1-58.1 of the Code of Virginia.) 
    11. To give written consent and approval for a bank to hold  the possession of certain real estate for a longer period than 10 years.  (Subdivision 4 of § 6.1-59 of the Code of Virginia.) 
    12. To approve the issuance by a bank of capital notes and debentures,  so that such notes and debentures may qualify as surplus for the purpose of  calculating the legal lending limit of a bank. (§ 6.1-61 of the Code of  Virginia.) 
    13. To give written approval in advance for a bank or trust  company to pledge its assets as security for certain temporary purposes.  (§ 6.1-80 of the Code of Virginia.) 
    14. To require any bank to prepare and submit such reports and  material as he may deem necessary to protect and promote the public interest.  (§ 6.1-93 of the Code of Virginia.) 
    15. To approve the issuance of stock in a savings institution  in exchange for property or services valued at an amount not less than the  aggregate value of the shares issued. (§§ 6.1-194.11 and 6.1-194.113 of  the Code of Virginia.) 
    16. To reduce temporarily the reserve requirements for a  savings institution upon a finding that such reduction is in the best interest  of the institution and its members. (§ 6.1-194.23 of the Code of  Virginia.) 
    17. To grant a certificate of authority to a savings institution  formed solely for the purpose of facilitating the merger or acquisition of  savings institutions pursuant to any provision of Title 6.1 of the Code of  Virginia. 
    18. To grant or deny authority to a state association, a state  savings bank or a foreign savings institution to establish a branch office, or  other office or facility where deposits are accepted (§§ 6.1-194.26 and  6.1-194.119 of the Code of Virginia), or to change the location of a main or  branch office. (§§ 6.1-194.28 and 6.1-194.121 of the Code of Virginia.) 
    19. To cause a special examination of a savings institution to  be made. (§ 6.1-194.84:1 of the Code of Virginia.) 
    20. To grant or deny authority to a savings institution to  exercise fiduciary powers. (§§ 6.1-195.77 et seq. and 6.1-194.138 of the  Code of Virginia.) 
    21. To grant or deny approval to a credit union to maintain a  service facility or office (other than a main office). (§ 6.1-225.20 of  the Code of Virginia.) 
    22. To make such findings as are required by  §§ 6.1-225.23 and 6.1-225.23:1 of the Code of Virginia relating to fields  of membership of credit unions and the expansion of such fields of membership. 
    23. To approve the investment of credit union funds in certain  stock, securities and other obligations. (Subdivision 8 of § 6.1-25.57  6.1-225.57 of the Code of Virginia.) 
    24. To grant or deny authority to an industrial loan  association to relocate its office. (§ 6.1-233 of the Code of Virginia.) 
    25. To grant or deny licenses pursuant to Chapter 6 (§ 6.1-244  et seq.) of Title 6.1 of the Code of Virginia. (§ 6.1-256.1 of the Code of  Virginia.) 
    26. To grant or deny licenses to engage in the business of  selling money orders or the business of money transmission, or both, and  approve or disapprove acquisitions of ownership interests in licensees.  (§§ 6.1-371 and 6.1-378.2 of the Code of Virginia.) 
    27. To grant or deny licenses to operate non-profit debt  credit counseling agencies. (§ 6.1-363.1 (§ 6.1-363.7  of the Code of Virginia.) 
    28. To grant or deny licenses to engage in business as a  mortgage lender and/or mortgage broker, and prescribe conditions under which  exclusive agents of licensees may act as mortgage brokers without a license and  approve or disapprove individuals as qualified exclusive agents of licensees.  (§§ 6.1-410 and 6.1-415 of the Code of Virginia.) 
    29. To grant or deny permission to a mortgage lender or  mortgage broker licensee to relocate an office or open an additional office and  approve or disapprove acquisitions of ownership interests in licensees.  (§§ 6.1-416 and 6.1-416.1 of the Code of Virginia.) 
    30. To grant or deny licenses to engage in business as a  mortgage loan originator, and set the amount of surety bond required for such  licensure. (§§ 6.1-431.4 and 6.1-431.7 of the Code of Virginia.)
    31. To enter into cooperative agreements with  appropriate regulatory authorities for the examination of out-of-state bank  holding companies and their subsidiaries and out-of-state savings institution  holding companies and their subsidiaries and for the accomplishment of other  duties imposed on the commission by Article 11 (§ 6.1-194.96 et seq.) of  Chapter 3.01 and by Chapter 15 (§ 6.1-398 et seq.) of Title 6.1 of the  Code of Virginia. 
    31. 32. To prescribe the form and content of all  applications, documents, undertakings, papers, and information required to be  submitted to the commission under Title 6.1 of the Code of Virginia. 
    32. 33. To make all investigations and  examinations, give all notices, and shorten, waive, or extend any time period  within which any action of the commission must or may be taken or performed  under Title 6.1 of the Code of Virginia. 
    B. In the performance of the duties hereby delegated to him,  the commissioner shall have the power and authority to make all findings and  determinations permitted or required by law.
    C. The foregoing delegations of authority shall be effective  until revoked by order of the commission. All actions taken by the Commissioner  of Financial Institutions pursuant to the authority granted here are subject to  review by the commission in accordance with the Rules of Practice and Procedure  of the State Corporation Commission. Each delegation set forth in a numbered  subdivision of subsection A of this section shall be severable from all others.  
    VA.R. Doc. No. R09-1875; Filed April 15, 2009, 10:23 a.m. 
TITLE 10. FINANCE AND FINANCIAL INSTITUTIONS
STATE CORPORATION COMMISSION
Proposed Regulation
        REGISTRAR'S NOTICE: The  State Corporation Commission is exempt from the Administrative Process Act in  accordance with § 2.2-4002 A 2 of the Code of Virginia, which exempts  courts, any agency of the Supreme Court, and any agency that by the  Constitution is expressly granted any of the powers of a court of record.
         Title of Regulation: 10VAC5-110. Credit Counseling (adding 10VAC5-110-30).
    Statutory Authority: §§ 6.1-363.15 and 12.1-13 of  the Code of Virginia.
    Public Hearing Information: A public hearing will be  scheduled upon request.
    Public Comments: Public comments may be submitted until  5 p.m. on May 20, 2009.
    Agency Contact: Gerald Fallen, Deputy Commissioner,  Bureau of Financial Institutions, State Corporation Commission, P.O. Box 640,  Richmond, VA 23218, telephone (804) 371-9699, FAX (804) 371-9416, or email  gerald.fallen@scc.virginia.gov.
    Summary:
    The proposed amendments prescribe the annual fees to be paid  by credit counseling agencies licensed under Chapter 10.2 (§ 6.1-363.2 et  seq.) of Title 6.1 of the Code of Virginia. The fees defray the costs of  examination, supervision, and regulation of licensees by the Bureau of  Financial Institutions.
    AT RICHMOND, APRIL 17, 2009
    COMMONWEALTH OF VIRGINIA, ex rel.
    STATE CORPORATION COMMISSION
    CASE NO. BFI-2009-00276
    Ex Parte: In re: annual fees for
  licensed credit counseling agencies 
    ORDER TO TAKE NOTICE
    Section 6.1-363.14 of the Credit Counseling Act,  § 6.1-363.2 et seq. of the Code of Virginia, requires licensed credit  counseling agencies to pay an annual fee calculated in accordance with a  schedule set by the State Corporation Commission ("Commission").
    The Commission, based upon information supplied by the Staff  of the Bureau of Financial Institutions, now proposes to promulgate a  regulation setting a schedule of annual fees that will promote the efficient  and effective examination, supervision, and regulation of licensed credit  counseling agencies.
    IT IS THEREFORE ORDERED THAT:
    (1) The proposed regulation, entitled "Schedule of Annual  Fees for the Examination, Supervision, and Regulation of Credit Counseling  Agencies," is appended hereto and made a part of the record herein.
    (2) Comments or requests for a hearing on the proposed  regulation must be submitted in writing to Joel H. Peck, Clerk, State  Corporation Commission, c/o Document Control Center, P.O. Box 2118, Richmond,  Virginia 23218, on or before May 20, 2009.  Requests for hearing shall  state why a hearing is necessary and why the issues cannot be adequately  addressed in written comments.  All correspondence shall contain a  reference to Case No. BFI-2009-00276.
    Interested persons desiring to submit comments or request a  hearing electronically may do so by following the instructions available at the  Commission's website:  http://www.scc.virginia.gov/case.
    (3) The proposed regulation shall be posted on the  Commission's website at http://www.scc.virginia.gov/case.
    (4) AN ATTESTED COPY hereof, including a copy of the proposed  regulation, shall be sent by the Commission's Division of Information Resources  to the Virginia Registrar of Regulations for publication in the Virginia  Register of Regulations.
    AN ATTESTED COPY hereof shall be sent to the Commissioner of  Financial Institutions, who shall forthwith mail a copy of this Order,  including a copy of the proposed regulation, to all licensed credit counseling  agencies and such other interested parties as he may designate.
    10VAC5-110-30. Schedule of annual fees for the examination,  supervision, and regulation of credit counseling agencies.
    Pursuant to § 6.1-363.14 of the Code of Virginia, the  commission sets the following schedule of annual fees to be paid by persons  licensed under Chapter 10.2 (§ 6.1-363.2 et seq.) of Title 6.1 of the Code  of Virginia. The fees are to defray the costs of examination, supervision, and  regulation of licensees by the Bureau of Financial Institutions.
    SCHEDULE
    The annual fee shall be $500 plus the following additional  amount based on the total number of debt management plans maintained in  Virginia as of December 31 of the calendar year preceding the year of assessment:
           |      Total Number of Debt    Management Plans      |          Amount      |    
       |      Less than 501      |          $5.00 per debt management    plan      |    
       |      501 to 1,000      |          $4.00 per debt management    plan      |    
       |      1,001 to 2,000      |          $3.00 per debt management    plan      |    
       |      2,001 to 3,000      |          $2.50 per debt management    plan      |    
       |      Over 3,000      |          $2.00 per debt management    plan      |    
  
    The fee assessed using the above schedule shall be rounded  down to the nearest whole dollar.
    Fees shall be assessed on or before June 1 for the current  calendar year. The fee shall be paid on or before July 1.
    The annual report, due March 25 each year, of each  licensee provides the basis for its assessment. In cases where a license has  been granted between January 1 and March 25 of the year of assessment, the  licensee’s annual fee shall be $250.
    Fees prescribed and assessed by this schedule are apart  from, and do not include, the reimbursement for expenses permitted by  subsection B of § 6.1-363.14 of the Code of Virginia.
    VA.R. Doc. No. R09-1919; Filed April 21, 2009, 1:41 p.m. 
TITLE 11. GAMING
VIRGINIA RACING COMMISSION
Final Regulation
        REGISTRAR'S NOTICE: The  Virginia Racing Commission is claiming an exemption from the Administrative  Process Act pursuant to § 2.2-4002 B 22 of the Code of Virginia, which exempts  agency action relating to the types of pari-mutuel wagering pools available for  live or simulcast horse racing. 
         Title of Regulation: 11VAC10-20. Regulations  Pertaining to Horse Racing with Pari-Mutuel Wagering (amending 11VAC10-20-330).
    Statutory Authority: § 59.1-369 of the Code of  Virginia.
    Effective Date: June 1, 2009.
    Agency Contact: David S. Lermond, Jr., Regulatory  Coordinator, Virginia Racing Commission, 10700 Horsemen's Lane, New Kent, VA  23024, telephone (804) 966-7404, FAX (804) 966-7418, or email  david.lermond@vrc.virginia.gov.
    Summary:
    The amendment lifts the restriction on trifecta wagering  being offered on races in which horses with common ties have been uncoupled for  wagering purposes. The amendment will make the regulations in Virginia more  consistent with those of other jurisdictions in the Mid-Atlantic region.
    11VAC10-20-330. Multiple wagering. 
    A. Generally. Daily double, quinella, exacta, trifecta,  quinella double, pick (n), twin trifecta, and superfecta pari-mutuel wagering pools  shall be considered "multiple wagering." In any race or races, the  daily double, quinella, exacta, trifecta, quinella double, pick (n), twin  trifecta, and superfecta pools are treated separately and the distribution of  the pools are calculated independently of each other. The "net pool"  to be distributed shall be all sums wagered in the pool, less retainage and  breakage, as defined elsewhere.
    B. Daily double pools. The daily double wager is the purchase  of a pari-mutuel ticket to select the two horses that will finish first in the  two races specified as the daily double. If either of the selections fails to  win, the pari-mutuel ticket is void, except as otherwise provided. The amount  wagered on the winning combination, the horse or wagering interest which  finishes first in the first race coupled with the horse or wagering interest  finishing first in the second race of the daily double, is deducted from the  net pool to determine the profit. The profit is divided by the amount wagered  on the winning combination, the quotient being the profit per dollar wagered on  the winning daily double. The return to the holder includes the amount wagered  and the profit. In addition, the following provisions apply to daily double  pools:
    1. If there is a dead heat for first including two different  wagering interests in one of the two daily double races, the daily double pool  is distributed as if it were a place pool, with one-half of the net pool  allocated to wagers combining the single winner of one daily double race and one  of the wagering interests involved in the dead heat in the other daily double  race, and with the other one‑half of the net pool allocated to the wagers  combining the single winner of one daily double race and the other wagering  interest involved in the dead heat in the other daily double race.
    2. If there are dead heats for first involving different  wagering interests in each of the daily double races which result in winning  combinations, the net pool shall be allocated equally to the winning combinations  after first deducting from the net pool the amount wagered on all winning  combinations for proportionate allocation to the winning daily double  combinations.
    3. If no daily double ticket is sold combining the horse or  wagering interest which finishes first in one of the daily double races, the  daily double pool is distributed as if it were a win pool, with the net pool  allocated to wagering combinations which include the horse or wagering interest  which finished first in one of the daily double races.
    4. If no daily double ticket is sold combining the horses or  wagering interests which finish first in both the first and second race of the  daily double, then the winning combinations for distribution of the daily  double profit shall be that combining the horses or wagering interests which  finished second in each of the daily double races.
    5. If, after daily double wagering has begun, a horse not  coupled with another as a wagering interest in the first race of the daily  double is excused by the stewards or is prevented from obtaining a fair start,  then daily double wagers combining the horse shall be deducted from the daily  double pool and shall be promptly refunded.
    6. If, after the first race of the daily double has been run,  a horse not coupled with another as a wagering interest in the second race of  the daily double is excused by the stewards or prevented from obtaining a fair  start, then daily double wagers combining the winner of the first daily double  race with the horse, which was excused or was prevented from obtaining a fair  start, shall be allocated a consolation daily double.
    7. Consolation daily double payoffs shall be determined by  dividing the net daily double pool by the amount wagered combining the winner  of the first daily double race with every horse or wagering interest scheduled  to start in the second daily double race, the quotient being the consolation  payoff per dollar wagered combining the winner of the first daily double race  with the horse prevented from racing in the second daily double race. The  return to the holder includes the amount wagered and the profit. The  consolation payoff shall be deducted from the net daily double pool before  calculation and allocation of wagers on the winning daily double combination.
    8. If for any reason the first race of the daily double is  cancelled and declared "no contest" a full and complete refund shall  be promptly made of the daily double pool.
    9. If for any reason the second race of the daily double is  cancelled and declared "no contest," the net daily double pool shall  be paid to the holders of daily double tickets which include the winner of the  first race. If no such ticket is sold, then the net daily double pool shall be  paid to the holders of daily double tickets which include the second place horse.  If no daily double tickets were sold on the second place horse, then the  licensee shall make a prompt refund.
    C. Quinella pools. The quinella wager is the purchase of a  pari-mutuel ticket to select the first two horses to finish in the race. The  order in which the horses finish is immaterial. The amount wagered on the  winning combination, the first two finishers irrespective of which horse  finishes first and which horse finishes second, is deducted from the net pool  to determine the profit. The net pool is divided by the amount wagered on the  winning combination. The return to the holder includes the amount wagered and  the profit. In addition, the following provisions apply to the quinella pools:
    1. If there is a dead heat for first between horses including  two different wagering interests, the net quinella pool is distributed as if no  dead heat occurred. If there is a dead heat among horses involving three  different wagering interests, the net quinella pool is distributed as if it  were a show pool and the pool is allocated to wagers combining any of the three  horses finishing in the dead heat for first.
    2. If there is a dead heat for second between horses including  two different wagering interests, the net quinella pool is distributed as if it  were a place pool and it is allocated to wagers combining the first finisher  with either horse finishing in a dead heat for second. If the dead heat is  among horses involving three different wagering interests, the net quinella  pool is distributed as if it were a show pool and it is allocated to wagers  combining the first horse with each of the three horses finishing in a dead  heat for second.
    3. If horses representing a single wagering interest finish  first and second, the net quinella pool shall be allocated to wagers combining  the single wagering interest with the horse or wagering interest with the  horses or wagering interest which finishes third.
    4. If no quinella ticket is sold combining the first finisher  with one of the horses finishing in a dead heat for second, then the net  quinella pool is allocated to wagers combining the first finisher with the  other horse finishing in a dead heat for second.
    5. If no quinella ticket is sold combining the first finisher  with either of the horses finishing in a dead heat for second, then the net  quinella pool is allocated to wagers combining the two horses which finished in  the dead heat for second.
    6. If no quinella ticket is sold combining the first finisher  with either of the horses finishing in a dead heat for second, or combining the  two horses which finished in a dead heat for second, the net quinella pool is  distributed as if it were a show pool and it is allocated to wagers combining  any of the first three finishers with any other horses.
    7. If no quinella ticket is sold combining the first two  finishers, then the net quinella pool shall be distributed as if it were a  place pool and it is allocated to wagers combining the first finisher with any  other horses and to wagers combining the second finisher with any other horse.
    8. If no quinella ticket is sold combining horses or wagering  interests as would require distribution, a full and complete refund shall be  made of the entire quinella pool.
    9. If a horse is excused by the stewards, no further quinella  tickets shall be issued designating that horse, and all quinella tickets  previously issued designating that horse shall be refunded and deducted from  the gross pool.
    D. Exacta pools. The exacta wager is the purchase of a  pari-mutuel ticket to select the two horses that will finish first and second  in a race. Payment of the ticket shall be made only to the purchaser who has  selected the same order of finish as officially posted. The amount wagered on  the winning combination, the horse finishing first and the horse finishing  second, in exact order, is the amount to be deducted from the net exacta pool  to determine the profit. The profit is divided by the amount wagered on the  winning combination, the quotient being the profit per dollar wagered on the  winning exacta combination. The return to the holder includes the amount  wagered and the profit. In addition, the following provisions apply to the  exacta pool:
    1. If no ticket is sold on the winning combination of an  exacta pool, the net exacta pool shall be distributed equally between holders  of tickets selecting the winning horse to finish first and holders of tickets  selecting the second place horse to finish second.
    2. If there is a dead heat between two horses for first place,  the net exacta pool shall be calculated and distributed as a place pool,  one-half of the net exacta pool being distributed to holders of tickets  selecting each of the horses in the dead heat to finish first with the other  horse to finish second.
    In case of a dead heat between two horses for second place,  the net exacta pool shall be calculated as a place pool, one-half of the net  exacta pool being distributed to holders of tickets selecting the horse to  finish first and one horse in the dead heat, and the other one-half being  distributed to holders selecting the horse to finish first and the other horse  in the dead heat.
    3. If there is a dead heat for second place and if no ticket  is sold on one of the two winning combinations, the entire net exacta pool  shall be calculated as a win pool and distributed to holders of the other  winning combination. If no tickets combine the winning horse with either of the  place horses in the dead heat, the net exacta pool shall be calculated and  distributed as a place pool to holders of tickets representing any interest in  the net pool.
    4. If an entry finishes first and second, or mutuel field  horses finish first and second, the net pool shall be distributed to holders of  tickets selecting the entry to win combined with the horses having finished  third.
    5. If no ticket is sold that would require distribution of an  exacta pool, the licensee shall make a complete and full refund of the exacta  pool.
    6. If a horse is excused by the stewards, no further exacta  tickets shall be issued designating that horse, and all exacta tickets  previously issued designating that horse shall be refunded and deducted from  the gross pool.
    E. Trifecta pools. The trifecta wager is purchase of a  pari-mutuel ticket to select the three horses that will finish first, second,  and third in a race. Payment of the ticket shall be made only to the holder who  has selected the same order of finish as officially posted. The amount wagered  on the winning combination, the horse finishing first, the horse finishing  second, and the horse finishing third, in exact order, is deducted from the  pool to determine the profit. The profit is divided by the amount wagered on  the winning combination, the quotient being the profit per dollar wagered on  the winning combination. The return to the holder includes the amount wagered  and the profit.
    1. If no ticket is sold on the winning combination, the net  trifecta pool shall be distributed equally among holders of tickets designating  the first two horses in order.
    2. If no ticket is sold designating, in order, the first two  horses, the net trifecta pool shall be distributed equally among holders of  tickets designating the horse to finish first.
    3. If no ticket is sold designating the first horse to win,  the net trifecta pool shall be distributed equally among holders of tickets designating  the second and third horses in order. If no such ticket is sold, then the  licensee shall make a prompt refund.
    4. If less than three horses finish, the payout shall be made  on tickets selecting the actual finishing horses, in order, ignoring the  balance of the selection.
    5. If there is a dead heat, all trifecta tickets selecting the  correct order of finish, counting a horse in a dead heat as finishing in either  position involved in the dead heat, shall be winning tickets. The net trifecta  pool shall be calculated as a place pool.
    6. The uncoupling for wagering purposes of horses having  common ties is prohibited in races upon which trifecta wagering is conducted  except for stakes, futurities, and other special events.
    7. 6. If a horse is excused by the stewards, no  further trifecta tickets shall be issued designating that horse, and all  trifecta tickets previously issued designating the horse shall be refunded and  deducted from the gross pool.
    F. Quinella double pools. The quinella double requires selection  of the first two finishers, irrespective of order, in each of two specified  races.
    1. The net quinella double pool shall be distributed to  winning wagers in the following precedence, based upon the official order of  finish:
    a. If a coupled entry or mutuel field finishes as the first  two contestants in either race, as a single price pool to those selecting the  coupled entry or mutuel field combined with the next separate wagering interest  in the official order of finish for that race, as well as the first two  finishers in the alternate quinella double race; otherwise
    b. As a single price pool to those who selected the first two  finishers in each of the two quinella double races; but if there are no such  wagers, then
    c. As a profit split to those who selected the first two  finishers in either of the two quinella double races; but if there are no such  wagers on one of those races, then
    d. As a single price pool to those who selected the first two  finishers in the one covered quinella double race; but if there were no such  wagers, then
    e. The entire pool shall be refunded on quinella double wagers  for those races.
    2. If there is a dead heat for first in either of the two  quinella double races involving:
    a. Horses representing the same wagering interest, the  quinella double pool shall be distributed to those selecting the coupled entry  or mutuel field combined with the next separate wagering interest in the  official order of finish for that race.
    b. Horses representing two wagering interests, the quinella double  pool shall be distributed as if no dead heat occurred.
    c. Horses representing three or more wagering interests, the  quinella double pool shall be distributed as a profit split.
    3. If there is a dead heat for second in either of the  quinella double races involving horses representing the same wagering interest,  the quinella double pool shall be distributed as if no dead heat occurred.
    4. If there is a dead heat for second in either of the  quinella double races involving horses representing two or more wagering  interests, the quinella double pool shall be distributed as profit split.
    5. Should a wagering interest in the first half of the  quinella double be scratched prior to the first quinella pool race being  declared official, all money wagered on combinations including the scratched  wagering interest shall be deducted from the quinella double pool and refunded.
    6. Should a wagering interest in the second half of the  quinella double be scratched prior to the close of wagering on the first  quinella double contest, all money wagered on combinations including the  scratched wagering interest shall be deducted from the quinella double pool and  refunded.
    7. Should a wagering interest in the second half of the  quinella double be scratched after the close of wagering on the first quinella  double race, all wagers combining the winning combination in the first race  with a combination including the scratched wagering interest in the second race  shall be allocated a consolation payout. In calculating the consolation payout,  the net quinella double pool shall be divided by the total amount wagered on  the winning combination in the first race and an unbroken consolation price  obtained. The unbroken consolation price is multiplied by the dollar value of  wagers on the winning combination in the first race combined with a combination  including the scratched wagering interest in the second race to obtain the  consolation payout. Breakage is not declared in this calculation. The  consolation payout is deducted from the net quinella double pool before  calculation and distribution of the winning quinella double payout. In the  event of a dead heat involving separate wagering interests, the net quinella  double pool shall be distributed as a profit split.
    8. If either of the quinella double races is cancelled prior  to the first quinella double race or the first quinella double race is declared  "no contest," the entire quinella double pool shall be refunded on  quinella double wagers for those races.
    9. If the second quinella double race is cancelled or declared  "no contest" after the conclusion of the first quinella double race,  the net quinella double pool shall be distributed as a single price pool to  wagers selecting the winning combination in the first quinella double race. If  there are no wagers selecting the winning combination in the first quinella  double race, the entire quinella double pool shall be refunded on quinella  double wagers for those races.
    G. Pick (n) pools. The pick (n) pool requires selection of  the first-place finisher in each of a designated number of races. The licensee  must obtain approval from the commission or its executive secretary concerning  the scheduling of pick (n) contests, the designation of one of the methods  prescribed in subdivision 1 of this subsection and the amount of any cap to be  set on the carryover. Any changes to the approved pick (n) format require prior  approval from the commission or its executive secretary.
    1. The pick (n) pool shall be apportioned under one of the  following methods:
    a. Method 1, pick (n) with carryover. The net pick (n) pool  and carryover, if any, shall be distributed as a single price pool to those who  selected the first-place finisher in each of the pick (n) races, based upon the  official order of finish. If there are no such wagers, then a designated  percentage of the net pool shall be distributed as a single price pool to those  who selected the first-place finisher in the greatest number of pick (n) races;  and the remainder shall be added to the carryover.
    b. Method 2, pick (n) with minor pool and carryover. The major  share of the net pick (n) pool and carryover, if any, shall be distributed to  those who selected the first-place finisher in each of the pick (n) races,  based upon the official order of finish. The minor share of the net pick (n)  pool shall be distributed to those who selected the first-place finisher in the  second greatest number of pick (n) races, based upon the official order of  finish. If there are no wagers selecting the first-place finisher of all pick (n)  contests, the minor share of the pick (n) pool shall be distributed as a single  price pool to those who selected the first-place finisher in the greatest  number of pick (n) races; and the major share shall be added to the carryover.
    c. Method 3, pick (n) with no minor pool and no carryover. The  net pick (n) pool shall be distributed as a single price pool to those who  selected the first-place finisher in the greatest number of pick (n) races,  based upon the official order of finish. If there are no winning wagers, the  pool is refunded.
    d. Method 4, pick (n) with minor pool and no carryover. The  major share of the net pick (n) pool shall be distributed to those who selected  the first place finisher in the greatest number of pick (n) races, based upon  the official order of finish. The minor share of the net pick (n) pool shall be  distributed to those who selected the first-place finisher in the second  greatest number of pick (n) races, based upon the official order of finish. If  there are no wagers selecting the first-place finisher in a second greatest  number of pick (n) races, the minor share of the net pick (n) pool shall be  combined with the major share for distribution as a single price pool to those  who selected the first-place finisher in the greatest number of pick (n) races.  If the greatest number of first-place finishers selected is one, the major and  minor shares are combined for distribution as a single price pool. If there are  no winning wagers, the pool is refunded.
    e. Method 5, pick (n) with minor pool and no carryover. The  major share of net pick (n) pool shall be distributed to those who selected the  first-place finisher in each of the pick (n) races, based on the official order  of finish. The minor share of the net pick (n) pool shall be distributed to  those who selected the first-place finisher in the second greatest number of  pick (n) races, based upon the official order of finish. If there are no wagers  selecting the first-place finisher in all pick (n) races, the entire net pick  (n) pool shall be distributed as a single price pool to those who selected the  first-place finisher in the greatest number of pick (n) races. If there are no  wagers selecting the first-place finisher in a second greatest number of pick  (n) races, the minor share of the pick (n) pool shall be combined with the  major share for distribution as a single price pool to those who selected the  first-place finisher in each of the pick (n) races. If there are no winning  wagers, the pool is refunded.
    f. Method 6, pick (n) with minor pool, jackpot, major  carryover and jackpot carryover. Predetermined percentages of the net pick (n)  pool shall be set aside as a major pool, minor pool, and jackpot pool. The  major share of the net pick (n) pool and the major carryover, if any, shall be  distributed to those who selected the first-place finisher of each of the pick  (n) races, based on the official order of finish. If there are no tickets  selecting the first-place finisher in each of the pick (n) races, the major net  pool shall be added to the major carryover. If there is only one single ticket  selecting the first-place finisher of each of the pick (n) races, based on the  official order of finish, the jackpot share of the net pick (n) pool and the  jackpot carryover, if any, shall be distributed to the holder of that single  ticket, along with the major net pool and the major carryover, if any. If more  than one ticket selects the first-place finisher of each of the pick (n) races,  the jackpot net pool shall be added to the jackpot carryover. The minor share  of the net pick (n) pool shall be distributed to those who selected the  first-place finisher of the second greatest number of pick (n) races, based on  the official order of finish. If there are no wagers selecting the first-place  finisher of all pick (n) races, the minor net pool of the pick (n) pool shall  be distributed as a single price pool to those who selected the first-place  finisher of the greatest number of pick (n) races.
    2. If there is a dead heat for first in any of the pick (n)  races involving:
    a. Horses representing the same wagering interest, the pick  (n) pool shall be distributed as if no dead heat occurred.
    b. Horses representing two or more wagering interests, the  pick (n) pool shall be distributed as a single price pool with each winning  wager receiving an equal share of the profit.
    3. Should a wagering interest in any of the pick (n) races be  scratched, the actual favorite, as evidenced by total amounts wagered in the  win pool at the host track for the race at the close of wagering on that race,  shall be substituted for the scratched wagering interest for all purposes,  including pool calculations. In the event that the win pool total for two or  more favorites is identical, the substitute selection shall be the wagering interest  with the lowest program number. The totalizator shall produce reports showing  each of the wagering combinations with substituted wagering interests which  became winners as a result of the substitution, in addition to the normal  winning combination. When the condition of the racecourse warrants a change of  racing surface in any of the legs of a pick (n) with four or more races  included, and such change has not been known to the public prior to the close  of wagering for the pick (n) pool, the stewards shall declare the changed  leg(s) an "all win" race(s) for pick (n) wagering purposes only. An  "all win" race(s) will assign the winner of that race(s) to each pick  (n) ticket holder as their selection for that race.
    4. The pick (n) pool shall be cancelled and pick (n) wagers  for the individual performance shall be refunded if:
    a. At least two races included as part of a pick three are  cancelled or declared "no contest."
    b. At least three races included as part of a pick four, pick  five or pick six are cancelled or declared "no contest."
    c. At least four races included as part of a pick seven, pick  eight or pick nine are cancelled or declared "no contest."
    d. At least five races included as part of a pick 10 are  cancelled or declared "no contest."
    5. If at least one race included as part of a pick (n) is  cancelled or declared "no contest," but not more than the number  specified in subdivision 4 of this subsection, the net pool shall be  distributed as a single price pool to those whose selection finished first in  the greatest number of pick (n) races for that program. The distribution shall  include the portion ordinarily retained for the pick (n) carryover but not the  carryover from previous performances.
    6. The pick (n) carryover may be capped at a designated level  approved by the commission so that if, at the close of any program, the amount  in the pick (n) carryover equals or exceeds the designated cap, the pick (n)  carryover will be frozen until it is won or distributed under other provisions  of this chapter. After the pick (n) carryover is frozen, 100% of the net pool,  part of which ordinarily would be added to the pick (n) carryover, shall be  distributed to those whose selection finished first in the greatest number of  pick (n) races for that program.
    7. A licensee may request permission from the commission to  distribute the pick (n) carryover on a specific program. The request must  contain justification for the distribution, an explanation of the benefit to be  derived and the intended date and program for the distribution.
    8. Should the pick (n) carryover be designated for  distribution on a specified date and performance in which there are no wagers  selecting the first-place finisher in each of the pick (n) races, the entire  pool shall be distributed as a single price pool to those whose selection  finished first in the greatest number of pick (n) races. The pick (n) carryover  shall be designated for distribution on a specified date and program only under  the following circumstances:
    a. Upon approval from the commission as provided in  subdivision 7 of this subsection;
    b. Upon approval from the commission when there is a change in  the carryover cap, a change from one type of pick (n) wagering to another, or  when the pick (n) is discontinued;
    c. On the closing program of a race meeting.
    9. If, for any reason, the pick (n) carryover must be held to  the corresponding pick (n) pool to a subsequent race meeting, the carryover  shall be deposited in an interest-bearing account approved by the commission.  The pick (n) carryover plus accrued interest shall then be added to the net  pick (n) pool on a date and program of the race meeting designated by the  commission.
    10. With the approval of the commission, a licensee may  contribute to the pick (n) carryover a sum of money up to the amount of any  designated cap.
    11. Providing information to any person regarding the covered  combinations, amounts wagered on specific combinations, number of tickets sold  or number of live tickets remaining is strictly prohibited. This chapter shall  not prohibit necessary communication between totalizator and mutuel employees  for processing of pool data.
    12. The licensee may suspend previously approved pick (n)  wagering with the approval of the commission. Any carryover shall be held until  the suspended pick (n) wagering is reinstated. The licensee may request  approval of a pick (n) wager or separate wagering pool for specific programs.
    H. Superfecta pools. The superfecta pool requires selection  of the first four finishers, in their exact order, for a single race.
    1. The net superfecta pool shall be distributed to winning  wagers in the following precedence based upon the official order of finish:
    a. As a single price pool to those whose combination finished  in correct sequence as the first four wagering interests; but if there are no  such wagers, then
    b. As a single price pool to those whose combination included,  in correct sequence, the first three wagering interests; but if there are no  such wagers, then
    c. As a single price pool to those whose combination included,  in correct sequence, the first two wagering interests; but if there are no such  wagers, then
    d. As a single price pool to those whose combination correctly  selected the first-place wagering interest only; but if there are no such  wagers, then
    e. The entire pool shall be refunded on superfecta wagers for  that race.
    2. If less than four wagering interests finish and the race is  declared official, payouts will be made based upon the order of finish of those  wagering interests completing the race. The balance of any selection beyond the  number of wagering interests completing the race shall be ignored.
    3. If there is a dead heat for first involving:
    a. Horses representing four or more wagering interests, all of  the wagering combinations selecting four wagering interests which correspond  with any of the wagering interests involved in the dead heat shall share in a  profit split.
    b. Horses representing three wagering interests, all of the  wagering combinations selecting the three dead-heated wagering interests,  irrespective of order, along with the fourth-place wagering interest shall  share in a profit split.
    c. Horses representing two wagering interests, both of the  wagering combinations selecting the two dead-heated wagering interests,  irrespective of order, along with the third and fourth-place wagering interests  shall share in a profit split.
    4. If there is a dead heat for second involving:
    a. Horses representing three or more wagering interests, all  of the wagering combinations correctly selecting the winner combined with any  of the three wagering interests involved in the dead heat for second shall  share in a profit split.
    b. Horses representing two wagering interests, all of the  wagering combinations correctly selecting the winner, the two dead-heated  wagering interests, irrespective of order, and the fourth-place wagering  interest shall share in a profit split.
    5. If there is a dead heat for third, all wagering  combinations correctly selecting the first two finishers, in correct sequence, along  with any two of the wagering interests involved in the dead heat for fourth  shall share in a profit split.
    6. If there is a dead heat for fourth, all wagering  combinations correctly selecting the first three finishers, in correct  sequence, along with any of the wagering interests involved in the dead heat  for fourth shall share in a profit split.
    I. Twin trifecta pools. The twin trifecta pool requires  selection of the first three finishers in their exact order, in each of two  designated races. Each winning ticket for the first twin trifecta race must be  exchanged for a free ticket on the second twin trifecta race in order to remain  eligible for the second-half twin trifecta pool. The tickets may be exchanged  only at attended windows prior to the second twin trifecta race. Winning  first-half twin trifecta wagers will receive both an exchange and a monetary  payout. Both of the designated twin trifecta races shall be included in only  one twin trifecta pool.
    1. After wagering closes for the first-half of the twin  trifecta and retainage has been deducted from the pool, the net pool shall then  be divided into separate pools: the first-half twin trifecta pool and the  second-half twin trifecta pool.
    2. In the first twin trifecta race only, winning wagers shall  be determined using the following precedence, based upon the official order of  finish for the first twin trifecta race:
    a. As a single price pool to those whose combination finished  in correct sequence as the first three wagering interests; but if there is no  winning wager, then
    b. As a single price pool to those whose combination included,  in correct sequence, the first two wagering interests; but if there is no  winning wager, then
    c. As a single price pool to those whose combination correctly  selected the first-place wagering interest only; but if there is no winning  wager, then
    d. The entire twin trifecta pool shall be refunded to twin  trifecta wagers for that race and the second-half race shall be cancelled.
    3. If no first-half twin trifecta ticket selects the first  three finishers of that race in exact order, winning ticket holders shall not  receive any exchange tickets for the second-half twin trifecta pool. In this  case, the second-half twin trifecta pool shall be retained and added to any  existing twin trifecta carryover pool.
    4. Winning tickets from the first-half of the twin trifecta  shall be exchanged for tickets selecting the first three finishers of the  second-half of the twin trifecta. The second-half twin trifecta pool shall be  distributed to winning wagers in the following precedence, based upon the  official order of finish for the second twin trifecta race:
    a. As a single price pool, including any existing carryover  moneys, to those whose combination finished in correct sequence as the first  three wagering interests; but if there are no winning tickets, then
    b. The entire second-half twin trifecta pool for that race  shall be added to any existing carryover moneys and retained for the  corresponding second-half twin trifecta pool of the next consecutive program.
    5. If a winning first-half twin trifecta ticket is not  presented for cashing and exchange prior to the second-half twin trifecta race,  the ticket holder may still collect the monetary value associated with the  first-half twin trifecta pool but forfeits all rights to any distribution of  the second-half twin trifecta pool.
    6. Should a wagering interest in the first-half of the twin  trifecta be scratched, those twin trifecta wagers including the scratched  wagering shall be refunded.
    7. Should a wagering interest in the second-half of the twin  trifecta be scratched, announcement concerning the scratch shall be made and a  reasonable amount of time shall be provided for exchange of tickets that  include the scratched wagering interest. If tickets have not been exchanged  prior to the close of wagering of the second twin trifecta race, the ticket  holder forfeits all rights to the second-half twin trifecta pool. However, if  the scratch in the second-half of the twin trifecta occurs five minutes or less  prior to post time, then the licensee shall have discretion to cancel all twin  trifecta wagers and make a prompt refund.
    8. If, due to a late scratch, the number of wagering interests  in the second-half of the twin trifecta is reduced to fewer than the minimum,  all exchange tickets and outstanding first-half winning tickets shall be  entitled to the second-half twin trifecta pool for that contest as a single  price pool, but not the twin trifecta carryover.
    9. If there is a dead heat or multiple dead heats in either  the first or second-half of the twin trifecta, all twin trifecta wagers  selecting the correct order of finish, counting a wagering interest involved in  a dead heat as finishing in any dead-heated position, shall be a winner. In the  case of a dead heat occurring in:
    a. The first-half of the twin trifecta, the payout shall be  calculated as a profit split; and
    b. The second-half of the twin trifecta, the payout shall be  calculated as a single price pool.
    10. If either of the twin trifecta races are cancelled prior  to the first twin trifecta race or the first twin trifecta race is declared  "no contest," the entire twin trifecta pool shall be refunded in twin  trifecta wagers for that race and the second-half shall be cancelled.
    11. If the second-half twin trifecta race is cancelled or  declared "no contest," all exchange tickets and outstanding  first-half winning twin trifecta tickets shall be entitled to the net twin  trifecta pool for that race as a single price pool, but not twin trifecta carryover.  If there are no such tickets, the net twin trifecta pool shall be distributed  as described in subdivision 3 of this subsection.
    12. The twin trifecta carryover may be capped at a designated  level approved by the commission so that if, at the close of any program, the  amount in the twin trifecta carryover equals or exceeds the designated cap, the  twin trifecta carryover will be frozen until it is won or distributed under  other provisions of this chapter. After the twin trifecta carryover is frozen,  100% of the net twin trifecta pool for each individual race shall be  distributed to winners of the first-half of the twin trifecta pool.
    13. A written request for permission to distribute the twin  trifecta carryover on a specific program may be submitted to the commission.  The request must contain justification for the distribution, an explanation of  the benefit to be derived and the intended date and program for the  distribution.
    14. Should the twin trifecta carryover be designated for  distribution on a specified date and program, the following precedence will be  followed in determining winning tickets for the second-half of the twin  trifecta after completion of the first-half of the twin trifecta:
    a. As a single price pool to those whose combination finished  in correct sequence as the first three wagering interests; but if there are no  such wagers, then
    b. As a single price pool to those whose combination included,  in correct sequence, the first two wagering interests; but if there are no such  wagers, then
    c. As a single price pool to those whose combination correctly  selected the first-place wagering interest only; but if there are no such  wagers, then
    d. As a single price pool to holders of valid exchange  tickets.
    e. As a single price pool to holders of outstanding first-half  winning tickets.
    15. During a program designated by the commission to  distribute the twin trifecta carryover, exchange tickets will be issued for  those combinations selecting the greatest number of wagering interests in their  correct order of finish for the first-half of the twin trifecta. If there are  no wagers correctly selecting the first, second or third-place finishers, in  their exact order, then exchange tickets shall be issued for combinations  correctly selecting the first and second-place wagering interests. If there are  no wagers correctly selecting the first and second place finishers, in their  exact order, then exchange tickets shall be issued for combinations correctly  selecting the first-place wagering interest only. If there are no wagers  selecting the first-place wagering interest only in the first-half of the twin  trifecta, all first-half tickets will become winners and will receive 100% of  that day's net twin trifecta pool and any existing twin trifecta carryover.
    16. The twin trifecta carryover shall be designated for  distribution on a specified date and program only under the following  circumstances:
    a. Upon written approval from the commission as provided in  subdivision 14 of this subsection.
    b. Upon written approval from the commission when there is a  change in the carryover cap or when the twin trifecta is discontinued.
    c. On the closing program of the race meeting.
    17. If, for any reason, the twin trifecta carryover must be  held over to the corresponding twin trifecta pool of a subsequent meet, the  carryover shall be deposited in an interest-bearing account approved by the  commission. The twin trifecta carryover plus accrued interest shall then be  added to the second-half twin trifecta pool of the following meet on a date and  program so designated by the commission.
    18. Providing information to any person regarding covered  combinations, amounts wagered on specific combinations, number of tickets sold  or number of valid exchange tickets is prohibited. This shall not prohibit  necessary communication between totalizator and pari-mutuel department  employees for processing of pool data.
    19. The licensee must obtain written approval from the  commission concerning the scheduling of twin trifecta contests, the percentages  of the net pool added to the first-half pool and second-half pool, and the  amount of any cap to be set on the carryover. Any changes to the approved twin  trifecta format require prior approval from the commission. 
    VA.R. Doc. No. R09-1931; Filed April 22, 2009, 11:31 a.m. 
TITLE 11. GAMING
VIRGINIA RACING COMMISSION
Proposed Regulation
        REGISTRAR'S NOTICE: The  Virginia Racing Commission is exempt from the Administrative Process Act  pursuant to subdivision A 18 of § 2.2-4002 of the Code of Virginia (i) when  acting by and through its duly appointed stewards or in matters related to any  specific race meeting or (ii) in promulgating technical rules regulating actual  live horse racing at race meetings licensed by the commission.
         Title of Regulation: 11VAC10-110. Entries (amending 11VAC10-110-90). 
    Statutory Authority: § 59.1-369 of the Code of  Virginia.
    Public Hearing Information: No public hearings are  scheduled. 
    Agency Contact: David S. Lermond, Jr., Regulatory  Coordinator, Virginia Racing Commission, 10700 Horsemen's Lane, New Kent, VA  23024, telephone (804) 966-7404, FAX (804) 966-7418, or email  david.lermond@vrc.virginia.gov.
    Summary:
    The proposed admendments lift the requirement that horses  with common ties through ownership must be coupled in thoroughbred stakes races  with purse amounts of $50,000 or higher. These amendments will make the  regulations in Virginia more consistent with those of other jurisdictions in  the Mid-Atlantic region.
    11VAC10-110-90. Coupling.
    All horses entered in the same race and owned wholly or  partially by the same owner or spouse or other common ownership ties  shall be joined as a mutuel entry and shall constitute a single wagering  interest, except as provided for in subdivision 7 of this section. No  trainer shall enter more than two horses in a an overnight race except  in split races. No trainer of any horse shall have any ownership interest or  lease interest in any other horse in the same race unless such horses are  coupled as a single wagering interest. The following provisions shall apply  to mutuel entries:
    1. The racing secretary shall be responsible for coupling  entries for wagering purposes;
    2. No more than two horses having common ties through  ownership, which would result in a mutuel entry and a single wagering interest,  may be entered in an overnight race;
    3. When two horses having common ties through ownership are  entered in an overnight race, preference shall be given to the horse with the  earliest preference date or the most stars;
    4. Two horses having common ties through ownership shall not  start as a mutuel entry in an overnight race to the exclusion of another horse  nor shall a trainer be permitted to run two horses in a race to the exclusion  of another horse;
    5. The racing secretary shall be responsible for assigning  horses to the mutuel field when the number of wagering interests exceeds the  numbering capacity of the totalizator system infield tote board; and
    6. The uncoupling of two horses having common ties through  training is subject to the approval of the trainer. In an overnight  race, the racing secretary may uncouple entries having common ties through  training; and
    7. In any thoroughbred stakes race with added or guaranteed  money of $50,000 or more, the racing secretary may uncouple mutuel entries of  horses sharing common ties through training or ownership or both.
    VA.R. Doc. No. R09-1929; Filed April 22, 2009, 11:32 a.m. 
TITLE 13. HOUSING
VIRGINIA HOUSING DEVELOPMENT AUTHORITY
Proposed Regulation
        REGISTRAR'S NOTICE: The  Virginia Housing Development Authority is exempt from the Administrative  Process Act (§ 2.2-4000 et seq. of the Code of Virginia) pursuant to  § 2.2-4002 A 4; however, under the provisions of § 2.2-4031, it is  required to publish all proposed and final regulations.
         Title of Regulation: 13VAC10-40. Rules and  Regulations for Single Family Mortgage Loans to Persons and Families of Low and  Moderate Income (amending 13VAC10-40-20, 13VAC10-40-40,  13VAC10-40-50, 13VAC10-40-120, 13VAC10-40-130, 13VAC10-40-140, 13VAC10-40-160,  13VAC10-40-170, 13VAC10-40-220).
    Statutory Authority: § 36-55.30.3 of the Code of  Virginia.
    Public Hearing Information:
    May 19, 2009 - 10 a.m. - Virginia Housing Development  Authority, 601 S. Belvidere Street, Richmond, VA
    Public Comments: Public comments may be submitted until  5 p.m. on May 18, 2009.
    Agency Contact: J. Judson McKellar, Jr., General  Counsel, Virginia Housing Development Authority, 601 S. Belvidere Street,  Richmond, VA 23220, telephone (804) 343-5540 or email judson.mckellar@vhda.com.
    Summary:
    To address potential sale of single family mortgage loans to  investors, the amended regulations provide that: 
    1. The authority may apply the tax exempt financing  requirements and restrictions (e.g. first-time homebuyer restrictions, maximum  incomes and maximum sales price) to mortgage loans that are not financed with  tax exempt bonds; 
    2. Investor underwriting guidelines that are more stringent  than authority guidelines will apply to loans investors will purchase; and 
    3. The reservation period (currently 60 days) may be shortened  to meet investor loan delivery deadlines. 
    The following amendments are proposed to the FHA Plus program: 
    1. The authority's FHA Plus second loan may be combined with an  FHA first mortgage loan financed by a lender other than VHDA; 
    2. Flexibility is provided to lower the maximum amount of the  FHA Plus second loan below the standard 5.0% of the lesser of appraised value  or sales price; 
    3. If the authority is not making the FHA first mortgage loan,  the authority may require that the FHA Plus first loan meet the authority's  underwriting guidelines; 
    4. Flexibility is provided to impose more stringent  underwriting criteria on the FHA Plus second loan than are applicable to the  FHA Plus first loan; 
    5. The authority may charge an origination fee and/or a  discount point on the FHA plus loan in an amount determined by the executive  director to be necessary to compensate the authority for originating,  processing, and closing the FHA plus loan, if the first deed of trust is to be  financed by another lender; 
    6. The sum of all liens may not exceed 100% the cost to acquire  the property (the cost to acquire the property is the sales price plus  allowable borrower paid closing costs, discount points, and prepaid expenses);  and 
    7. The FHA insured first mortgage when combined with the FHA  plus second mortgage and any other liens may not result in cash back to the  borrower. 
    In underwriting FHA, VA, and RD loans, the authority may impose  its more stringent borrower's employment, income, and credit requirement on  loans that otherwise would be subject only to the applicable insurer or  guarantor's requirements. 
    In order to address investor requirements, the regulations are  amended to provide that the authority's single family mortgage loans are  assumable only if permitted by the authority. For example, Fannie Mae  guidelines do not permit loans to be assumed. An exception is provided for  loans (such as FHA loans) that are assumable in accordance with insurer or  guarantor guidelines or applicable law. 
    The authority may require that the company issuing private mortgage  insurance insuring an authority mortgage loan have a Moody's Investors Service  Insurance Financial Strength rating not lower than Aa3 or a Standard &  Poor's Ratings Services Financial Strength rating not lower than AA-.
    The authority may impose a minimum credit score requirement for  borrowers if the authority determines that such a requirement is standard and  customary in the single family mortgage loan industry and is necessary to  protect the authority's financial interests.
    13VAC10-40-20. Origination and servicing of mortgage loans.
    A. The originating of mortgage loans and the processing of  applications for the making or financing thereof in accordance herewith shall,  except as noted in subsection G of this section, be performed through  commercial banks, savings and loan associations, private mortgage bankers,  redevelopment and housing authorities, and agencies of local government  approved as originating agents ("originating agents") of the  authority. The servicing of mortgage loans shall, except as noted in subsection  H of this section, be performed through commercial banks, savings and loan  associations and private mortgage bankers approved as servicing agents  ("servicing agents") of the authority. 
    To be initially approved as an originating agent or as a  servicing agent and to continue to be so approved, the applicant must meet the  following qualifications: 
    1. Be authorized to do business in the Commonwealth of  Virginia and be licensed as a mortgage lender or broker, as applicable, under  the Virginia Mortgage Lender and Broker Act as set forth in Chapter 16 (§ 6.1-408  et seq.) of Title 6.1 of the Code of Virginia (including nonprofit corporations  that may be exempt from licensing when making mortgage loans on their own  behalf under subdivision 4 of § 6.1-411 of the Code of Virginia); provided,  however, that such licensing requirement shall not apply to persons exempt from  licensure under:
    a. Subdivision 2 of § 6.1-411 of the Code of Virginia (any  person subject to the general supervision of or subject to examination by the  Commissioner of the Bureau of Financial Institutions of the Virginia State  Corporation Commission); 
    b. Subdivision 3 of § 6.1-411 of the Code of Virginia (any  lender authorized to engage in business as a bank, savings institution or  credit union under the laws of the United States, any state or territory of the  United States, or the District of Columbia, and subsidiaries and affiliates of  such entities, which lender, subsidiary or affiliate is subject to the general  supervision or regulation of or subject to audit or examination by a regulatory  body or agency of the United States, any state or territory of the United  States, or the District of Columbia); or
    c. Subdivision 5 of § 6.1-411 of the Code of Virginia  (agencies of the federal government, or any state or municipal government, or  any quasi-governmental agency making or brokering mortgage loans under the  specific authority of the laws of any state or the United States).
    2. Have a net worth equal to or in excess of $500,000 or such  other amount as the executive director shall from time to time deem  appropriate, except that this qualification requirement shall not apply to  redevelopment and housing authorities and agencies of local government; 
    3. Have a staff with demonstrated ability and experience in  mortgage loan origination, underwriting, processing and closing (in the case of  an originating agent applicant) or servicing (in the case of a servicing agent  applicant); 
    4. To be approved as an originating agent, have a physical  office located in Virginia that is open to the general public during  commercially reasonable business hours, staffed with individuals qualified to  take mortgage loan applications, and to which the general public may physically  go to make an application for a mortgage loan;
    5. To be approved as an originating agent, be eligible to, and  have a staff qualified to (as set forth in subdivision 3 of this subsection),  originate mortgage loans under all of the authority's single-family mortgage  loan programs (not including the Rural Development loan program);
    6. Have a fidelity bond and mortgage errors and omissions  coverage in an amount at least equal to $500,000 and provide the authority a  certificate from the insurance carrier naming the authority as a party in  interest to the bond, or the policies or bonds shall name the authority as one  of the parties insured. The policy's deductible clause may be for any amount up  to the greater of $100,000 or 5.0% of the face amount of the policy;
    7. Have a past history of satisfactory performance in the  authority's and other mortgage lenders', insurers', guarantors' and investors'  mortgage programs that, in the determination of the executive director,  demonstrates that the applicant will be capable of meeting its obligations  under the authority's programs, and provided further that, any applicant that  has been previously terminated as an originating by the Authority shall not be  eligible to reapply for 24 months after the effective date of such termination;  and
    8. Meet such other qualifications as the executive director  shall deem to be related to the performance of its duties and responsibilities.
    Notwithstanding the foregoing, any applicant that has been  approved and has entered into a servicing or origination agreement as of  November 13, 2007, but that does not meet the above requirements, shall have  until March 31, 2009, to comply with such requirements.
    Notwithstanding the foregoing, in the event that the  executive director determines that it is reasonable or necessary (after taking  into consideration the number of existing origination and servicing agents, the  current and expected level of loan production and demand for mortgage loans,  and the current and expected resources available to the authority to make  mortgage loans) to cease approving additional originating and servicing agents,  the authority may at any time decline to accept further applications and to  approve applications previously submitted.
    Each originating agent approved by the authority shall enter  into an originating agreement ("originating agreement"), with the  authority containing such terms and conditions as the executive director shall  require with respect to the origination and processing of mortgage loans  hereunder. Each servicing agent approved by the authority shall enter into a  servicing agreement with the authority containing such terms and conditions as  the executive director shall require with respect to the servicing of mortgage  loans. 
    An applicant may be approved as both an originating agent and  a servicing agent ("originating and servicing agent"). Each  originating and servicing agent shall enter into both an originating agreement  and a servicing agreement. 
    Once such agreements are executed, continued participation in  the authority's programs shall be subject to the terms and conditions in such  agreements.
    For the purposes of this chapter, the term "originating  agent" shall hereinafter be deemed to include the term "originating  and servicing agent," unless otherwise noted or the context indicates  otherwise. The term "servicing agent" shall continue to mean an agent  authorized only to service mortgage loans. 
    Originating agents and servicing agents shall maintain  adequate books and records with respect to mortgage loans which they originate  and process or service, as applicable, shall permit the authority to examine  such books and records, and shall submit to the authority such reports  (including annual financial statements) and information as the authority may  require. The fees payable to the originating agents and servicing agents for  originating and processing or for servicing mortgage loans hereunder shall be  established from time to time by the executive director and shall be set forth  in the originating agreements and servicing agreements applicable to such  originating agents and servicing agents. 
    B. The executive director shall allocate funds for the making  or financing of mortgage loans hereunder in such manner, to such persons and  entities, in such amounts, for such period, and subject to such terms and  conditions as he shall deem appropriate to best accomplish the purposes and  goals of the authority. Without limiting the foregoing, the executive director  may allocate funds (i) to mortgage loan applicants on a first-come, first-serve  or other basis, (ii) to originating agents and state and local government  agencies and instrumentalities for the origination of mortgage loans to  qualified applicants and/or (iii) to builders for the permanent financing of  residences constructed or rehabilitated or to be constructed or rehabilitated  by them and to be sold to qualified applicants. In determining how to so  allocate the funds, the executive director may consider such factors as he  deems relevant, including any of the following: 
    1. The need for the expeditious commitment and disbursement of  such funds for mortgage loans; 
    2. The need and demand for the financing of mortgage loans  with such funds in the various geographical areas of the Commonwealth; 
    3. The cost and difficulty of administration of the allocation  of funds; 
    4. The capability, history and experience of any originating  agents, state and local governmental agencies and instrumentalities, builders,  or other persons and entities (other than mortgage loan applicants) who are to  receive an allocation; and 
    5. Housing conditions in the Commonwealth. 
    In the event that the executive director shall determine to  make allocations of funds to builders as described above, the following  requirements must be satisfied by each such builder: 
    1. The builder must have a valid contractor's license in the  Commonwealth; 
    2. The builder must have at least three years' experience of a  scope and nature similar to the proposed construction or rehabilitation; and 
    3. The builder must submit to the authority plans and  specifications for the proposed construction or rehabilitation which are  acceptable to the authority. 
    The executive director may from time to time take such action  as he may deem necessary or proper in order to solicit applications for  allocation of funds hereunder. Such actions may include advertising in  newspapers and other media, mailing of information to prospective applicants  and other members of the public, and any other methods of public announcement  which the executive director may select as appropriate under the circumstances.  The executive director may impose requirements, limitations and conditions with  respect to the submission of applications as he shall consider necessary or  appropriate. The executive director may cause market studies and other research  and analyses to be performed in order to determine the manner and conditions  under which funds of the authority are to be allocated and such other matters  as he shall deem appropriate relating thereto. The authority may also consider  and approve applications for allocations of funds submitted from time to time  to the authority without any solicitation therefor on the part of the  authority. 
    C. This chapter constitutes a portion of the originating  guide of the authority. The processing originating guide and all  exhibits and other documents referenced herein are not included in, and shall  not be deemed to be a part of this chapter. The executive director is  authorized to prepare and from time to time revise a processing an  originating guide and a servicing guide which shall set forth the  accounting and other procedures to be followed by all originating agents and  servicing agents responsible for the origination, closing and servicing of  mortgage loans under the applicable originating agreements and servicing  agreements. Copies of the processing originating guide and the  servicing guide shall be available upon request. The executive director shall  be responsible for the implementation and interpretation of the provisions of  the originating guide (including the processing originating  guide) and the servicing guide. 
    D. The authority may from time to time (i) make mortgage  loans directly to mortgagors with the assistance and services of its originating  agents and (ii) agree to purchase individual mortgage loans from its  originating agents or servicing agents upon the consummation of the closing  thereof. The review and processing of applications for such mortgage loans, the  issuance of mortgage loan commitments therefor, the closing and servicing (and,  if applicable, the purchase) of such mortgage loans, and the terms and  conditions relating to such mortgage loans shall be governed by and shall  comply with the provisions of the applicable originating agreement or servicing  agreement, the originating guide, the servicing guide, the Act and this  chapter. 
    If the applicant and the application for a mortgage loan meet  the requirements of the Act and this chapter, the executive director may issue  on behalf of the authority a mortgage loan commitment to the applicant for the  financing of the single family dwelling unit. Such mortgage loan commitment  shall be issued only upon the determination of the authority that such a  mortgage loan is not otherwise available from private lenders upon reasonably  equivalent terms and conditions, and such determination shall be set forth in  the mortgage loan commitment. The original principal amount and term of such  mortgage loan, the amortization period, the terms and conditions relating to  the prepayment thereof, and such other terms, conditions and requirements as  the executive director deems necessary or appropriate shall be set forth or  incorporated in the mortgage loan commitment issued on behalf of the authority  with respect to such mortgage loan. 
    E. The authority may purchase from time to time existing  mortgage loans with funds held or received in connection with bonds issued by  the authority prior to January 1, 1981, or with other funds legally available  therefor. With respect to any such purchase, the executive director may request  and solicit bids or proposals from the authority's originating agents and  servicing agents for the sale and purchase of such mortgage loans, in such  manner, within such time period and subject to such terms and conditions as he  shall deem appropriate under the circumstances. The sales prices of the single  family housing units financed by such mortgage loans, the gross family incomes  of the mortgagors thereof, and the original principal amounts of such mortgage  loans shall not exceed such limits as the executive director shall establish,  subject to approval or ratification by resolution of the board. The executive  director may take such action as he deems necessary or appropriate to solicit  offers to sell mortgage loans, including mailing of the request to originating  agents and servicing agents, advertising in newspapers or other publications  and any other method of public announcement which he may select as appropriate  under the circumstances. After review and evaluation by the executive director  of the bids or proposals, he shall select those bids or proposals that offer  the highest yield to the authority on the mortgage loans (subject to any  limitations imposed by law on the authority) and that best conform to the terms  and conditions established by him with respect to the bids or proposals. Upon  selection of such bids or proposals, the executive director shall issue  commitments to the selected originating agents and servicing agents to purchase  the mortgage loans, subject to such terms and conditions as he shall deem  necessary or appropriate. Upon satisfaction of the terms of the commitments,  the executive director shall execute such agreements and documents and take  such other action as may be necessary or appropriate in order to consummate the  purchase and sale of the mortgage loans. The mortgage loans so purchased shall  be serviced in accordance with the applicable originating agreement or  servicing agreement and the servicing guide. Such mortgage loans and the purchase  thereof shall in all respects comply with the Act and the authority's rules and  regulations. 
    F. The executive director may, in his discretion, delegate to  one or more originating agents all or some of the responsibility for  underwriting, issuing commitments for mortgage loans and disbursing the  proceeds hereof without prior review and approval by the authority. The  executive director may delegate to one or more servicing agents all or some of  the responsibility for underwriting and issuing commitments for the assumption  of existing authority mortgage loans without prior review and approval by the  authority. If the executive director determines to make any such delegation, he  shall establish criteria under which originating agents may qualify for such  delegation. If such delegation has been made, the originating agents shall  submit all required documentation to the authority at such time as the  authority may require. If the executive director determines that a mortgage  loan does not comply with any requirement under the originating guide, the  applicable originating agreement, the Act or this chapter for which the  originating agent was delegated responsibility, he may require the originating  agents to purchase such mortgage loan, subject to such terms and conditions as  he may prescribe. 
    G. The authority may utilize financial institutions, mortgage  brokers and other private firms and individuals and governmental entities  ("field originators") approved by the authority for the purpose of  receiving applications for mortgage loans. To be approved as a field  originator, the applicant must meet the following qualifications: 
    1. Be authorized to do business in the Commonwealth of  Virginia; 
    2. Have made any necessary filings or registrations and have  received any and all necessary approvals or licenses in order to receive  applications for mortgage loans in the Commonwealth of Virginia; 
    3. Have the demonstrated ability and experience in the receipt  and processing of mortgage loan applications; and 
    4. Have such other qualifications as the executive director  shall deem to be related to the performance of its duties and responsibilities.  
    Each field originator approved by the authority shall enter  into such agreement as the executive director shall require with respect to the  receipt of applications for mortgage loans. Field originators shall perform  such of the duties and responsibilities of originating agents under this  chapter as the authority may require in such agreement. 
    Field originators shall maintain adequate books and records  with respect to mortgage loans for which they accept applications, shall permit  the authority to examine such books and records, and shall submit to the  authority such reports and information as the authority may require. The fees  to the field originators for accepting applications shall be payable in such  amount and at such time as the executive director shall determine. 
    In the case of mortgage loans for which applications are  received by field originators, the authority may process and originate the  mortgage loans; accordingly, unless otherwise expressly provided, the  provisions of this chapter requiring the performance of any action by  originating agents shall not be applicable to the origination and processing by  the authority of such mortgage loans, and any or all of such actions may be  performed by the authority on its own behalf. 
    H. The authority may service mortgage loans for which the  applications were received by field originators or any mortgage loan which, in  the determination of the authority, originating agents and servicing agents  will not service on terms and conditions acceptable to the authority or for  which the originating agent or servicing agent has agreed to terminate the  servicing thereof. 
    13VAC10-40-40. Compliance with certain requirements of the  Internal Revenue Code of 1986, as amended ("the tax code").
    The tax code imposes certain requirements and restrictions on  the eligibility of mortgagors and residences for financing with the proceeds of  tax-exempt bonds (as well as requirements and restrictions on the assumption  of mortgage loans so financed). In order to comply with these federal  requirements and restrictions, the authority has established certain procedures  which must be performed by the originating agent in order to determine such  eligibility. The eligibility requirements for the borrower or the borrowers and  the dwelling are described below as well as the procedures to be performed. The  originating agent will perform these procedures and evaluate a borrower's or  borrowers' eligibility prior to the authority's approval of each loan. No loan  will be approved by the authority unless all of the federal eligibility  requirements are met as well as the usual requirements of the authority set  forth in other parts of this originating guide. 
    The executive director may apply some or all of the  above-referenced tax exempt bond requirements and restrictions to authority  mortgage loans that are not funded with tax exempt bonds if the executive  director determines that such requirement and restrictions are necessary to  enable the authority to effectively and efficiently allocate its current and  anticipated financial resources so as to best meet the current and future  housing needs of the citizens throughout the Commonwealth.
    13VAC10-40-50. Eligible borrowers. 
    A. In order to be considered eligible for an authority  mortgage loan, an applicant must, among other things, meet all of the following  federal criteria: 
    1. Each applicant must not have had a present ownership  interest in his principal residence within the three years preceding the date  of execution of the mortgage loan documents (see subsection B of this section);  
    2. Each applicant must agree to occupy and use the residential  property to be purchased as his permanent, principal residence within 60 days  (90 days in the case of a rehabilitation loan as described in 13VAC10-40-200)  after the date of the closing of the mortgage loan (see subsection C of this  section); 
    3. Each applicant must not use the proceeds of the mortgage  loan to acquire or replace an existing mortgage or debt, except in the case of  certain types of temporary financing (see subsection D of this section); 
    4. Each applicant must have contracted to purchase an eligible  dwelling (see 13VAC10-40-60, Eligible dwellings); 
    5. Each applicant must execute an affidavit of borrower  (Exhibit E) at the time of loan application; 
    6. The applicant or applicants must not receive income in an  amount in excess of the applicable federal income limit imposed by the tax code  (see 13VAC10-40-100, Maximum gross income); 
    7. Each applicant must agree not to sell, lease or otherwise  transfer an interest in the residence or permit the assumption of his mortgage  loan unless certain requirements are met (see 13VAC10-40-140, Loan assumptions);  and 
    8. Each applicant must be over the age of 18 years or have  been declared emancipated by order or decree of a court having jurisdiction. 
    B. An eligible borrower does not include any borrower who, at  any time during the three years preceding the date of execution of the mortgage  loan documents, had a "present ownership interest" (as hereinafter  defined) in his principal residence. Each borrower must certify on the  affidavit of borrower that at no time during the three years preceding the execution  of the mortgage loan documents has he had a present ownership interest in his  principal residence. This requirement does not apply to residences located in  "targeted areas" (see 13VAC10-40-70, Targeted areas); however, even  if the residence is located in a "targeted area," the tax returns for  the most recent taxable year (or the letter described in subdivision 3 below)  must be obtained for the purpose of determining compliance with other  requirements. 
    1. "Present ownership interest" includes: 
    a. A fee simple interest, 
    b. A joint tenancy, a tenancy in common, or a tenancy by the  entirety, 
    c. The interest of a tenant shareholder in a cooperative, 
    d. A life estate, 
    e. A land contract, under which possession and the benefits  and burdens of ownership are transferred although legal title is not  transferred until some later time, and 
    f. An interest held in trust for the eligible borrower  (whether or not created by the eligible borrower) that would constitute a  present ownership interest if held directly by the eligible borrower. 
    Interests which do not constitute a present ownership interest  include: 
    a. A remainder interest, 
    b. An ordinary lease with or without an option to purchase, 
    c. A mere expectancy to inherit an interest in a principal  residence, 
    d. The interest that a purchaser of a residence acquires on  the execution of an accepted offer to purchase real estate, and 
    e. An interest in other than a principal residence during the  previous three years. 
    2. This requirement applies to any person who will execute the  mortgage document or note and will have a present ownership interest (as  defined above) in the eligible dwelling. 
    3. To verify that each eligible borrower meets the three-year  requirement, the originating agent must obtain copies of signed federal income  tax returns filed by the eligible borrower for the three tax years immediately  preceding execution of the mortgage documents (or certified copies of the  returns) or a copy of a letter from the Internal Revenue Service stating that  its Form 1040A or 1040EZ was filed by the eligible borrower for any of the  three most recent tax years for which copies of such returns are not obtained.  If the eligible borrower was not required by law to file a federal income tax  return for any of these three years and did not so file, and so states on the  borrower affidavit, the requirement to obtain a copy of the federal income tax  return or letter from the Internal Revenue Service for such year or years is  waived. 
    The originating agent shall examine the tax returns  particularly for any evidence that an eligible borrower may have claimed  deductions for property taxes or for interest on indebtedness with respect to  real property constituting his principal residence. 
    4. The originating agent must, with due diligence, verify the  representations in the affidavit of borrower (Exhibit E) regarding each  eligible borrower's prior residency by reviewing any information including the credit  report and the tax returns furnished by each eligible borrower for consistency,  and make a determination that on the basis of its review each borrower has not  had present ownership interest in a principal residence at any time during the  three-year period prior to the anticipated date of the loan closing. 
    C. Each eligible borrower must intend at the time of closing  to occupy the eligible dwelling as a principal residence within 60 days (90  days in the case of a purchase and rehabilitation loan) after the closing of  the mortgage loan. Unless the residence can reasonably be expected to become  the principal residence of each eligible borrower within 60 days (90 days in  the case of a purchase and rehabilitation loan) of the mortgage loan closing  date, the residence will not be considered an eligible dwelling and may not be  financed with a mortgage loan from the authority. Each eligible borrower must  covenant to intend to occupy the eligible dwelling as a principal residence  within 60 days (90 days in the case of a purchase and rehabilitation loan)  after the closing of the mortgage loan on the affidavit of borrower (to be  updated by at the verification and update of information form)  closing of the mortgage loan) and as part of the attachment to the deed  of trust. 
    1. A principal residence does not include any residence which  can reasonably be expected to be used: (i) primarily in a trade or business,  (ii) as an investment property, or (iii) as a recreational or second home. A  residence may not be used in a manner which would permit any portion of the  costs of the eligible dwelling to be deducted as a trade or business expense  for federal income tax purposes or under circumstances where more than 15% of  the total living area is to be used primarily in a trade or business. 
    2. The land financed by the mortgage loan may not provide,  other than incidentally, a source of income to an eligible borrower. Each  eligible borrower must indicate on the affidavit of borrower that, among other  things: 
    a. No portion of the land financed by the mortgage loan  provides a source of income (other than incidental income); 
    b. He does not intend to farm any portion (other than as a  garden for personal use) of the land financed by the mortgage loan; and 
    c. He does not intend to subdivide the property. 
    3. Only such land as is reasonably necessary to maintain the  basic liveability of the residence may be financed by a mortgage loan. The  financed land must not exceed the customary or usual lot in the area.  Generally, the financed land will not be permitted to exceed two acres, even in  rural areas. However, exceptions may be made to permit lots larger than two  acres, but in no event in excess of five acres: (i) if the land is owned free  and clear and is not being financed by the loan, the lot may be as large as  five acres, (ii) if difficulty is encountered locating a well or septic field,  the lot may include the additional acreage needed, (iii) local city and county  ordinances which require more acreage will be taken into consideration, or (iv)  if the lot size is determined by the authority, based upon objective  information provided by the borrower, to be usual and customary in the area for  comparably priced homes. 
    4. The affidavit of borrower (Exhibit E) must be reviewed by  the originating agent for consistency with each eligible borrower's federal  income tax returns and the credit report, and the originating agent must, based  on such review, make a determination that each borrower has not used any  previous residence or any portion thereof primarily in any trade or business. 
    5. The originating agent shall establish procedures to (i)  review correspondence, checks and other documents received from the borrower or  borrowers during the 120-day period following the loan closing for the purpose  of ascertaining that the address of the residence and the address of the  borrower or borrowers are the same and (ii) notify the authority if such  addresses are not the same. Subject to the authority's approval, the  originating agent may establish different procedures to verify compliance with  this requirement. 
    D. Mortgage loans may be made only to an eligible borrower  who did not have a mortgage (whether or not paid off) on the eligible dwelling  at any time prior to the execution of the mortgage. Mortgage loan proceeds may  not be used to acquire or replace an existing mortgage or debt for which an  eligible borrower is liable or which was incurred on behalf of an eligible  borrower, except in the case of construction period loans, bridge loans or  similar temporary financing which has a term of 24 months or less. 
    1. For purposes of applying the new mortgage requirement, a  mortgage includes deeds of trust, conditional sales contracts (i.e. generally a  sales contract pursuant to which regular installments are paid and are applied  to the sales price), pledges, agreements to hold title in escrow, a lease with  an option to purchase which is treated as an installment sale for federal  income tax purposes and any other form of owner-financing. Conditional land sale  contracts shall be considered as existing loans or mortgages for purposes of  this requirement. 
    2. In the case of a mortgage loan (having a term of 24 months  or less) made to refinance a loan for the construction of an eligible dwelling,  the authority shall not make such mortgage loan until it has determined that  such construction has been satisfactorily completed. 
    3. Prior to closing the mortgage loan, the originating agent  must examine the affidavit of borrower (Exhibit E), the affidavit of seller  (Exhibit F), and related submissions, including (i) each eligible borrower's  federal income tax returns for the preceding three years, and (ii) credit  report, in order to determine whether the eligible borrower will meet the new  mortgage requirements. Based upon such review, the originating agent shall make  a determination that the proceeds of the mortgage loan will not be used to  repay or refinance an existing mortgage debt of any borrower and that each  borrower did not have a mortgage loan on the eligible dwelling prior to the  date hereof, except for permissible temporary financing described above.
    E. Any eligible borrower may not have more than one  outstanding authority first mortgage loan.
    13VAC10-40-120. Mortgage insurance requirements.
    Unless the loan is an FHA, VA or Rural Development loan, the  borrower or borrowers are required to purchase at time of loan closing full  private mortgage insurance (in an amount equal to the percentage of the loan  that exceeds 80% of the lesser or sales price or appraised value of the  property or such higher percentage as the executive director may determine is  necessary to protect the authority's financial interests) on each loan the  amount of which exceeds 80% of the lesser of sales price or appraised value of  the property to be financed. Such insurance shall be issued by a company  acceptable to the authority. The originating agent is required to escrow for  annual payment of mortgage insurance, unless an alternative payment plan is  approved by the authority. If the authority requires FHA, VA or Rural  Development insurance or guarantee, the loan will either, at the election of  the authority, (a) be closed in the authority's name in accordance with the  procedures and requirements herein or (b) be closed in the originating agent's name  and purchased by the authority once the FHA Certificate of Insurance, VA  Guaranty or Rural Development Guarantee has been obtained or subject to the  condition that such FHA Certificate of Insurance, VA Guaranty or Rural  Development Guarantee be obtained. In the event that the authority purchases an  FHA, VA or Rural Development loan, the originating agent must enter into a  purchase and sale agreement on such form as shall be provided by the authority.  For assumptions of conventional loans (i.e., loans other than FHA, VA or Rural  Development loans), full private mortgage insurance as described above is  required unless waived by the authority.
    The executive director may waive the requirements for private  mortgage insurance in the preceding paragraph for a loan having a principal  amount in excess of 80% of the lesser of sales price or appraised value of the  property to be financed if the applicant satisfies the criteria set forth in  subdivisions 11 through 17 of 13VAC10-40-230 or if the executive director otherwise  determines that the financial integrity of the program is protected by the  financial strength of the applicant or applicants or the terms of the  financing. 
    If the executive director determines it to be necessary to  protect the authority's financial interests, the executive director may require  that the company issuing such private mortgage insurance have a Moody's  Investors Service Insurance Financial Strength rating not lower than Aa3 or a  Standard & Poor's Ratings Services Financial Strength rating not lower than  AA-.
    13VAC10-40-130. Underwriting.
    A. In general, to be eligible for authority financing, an  applicant or applicants must satisfy the following underwriting criteria which  demonstrate the willingness and ability to repay the mortgage debt and  adequately maintain the financed property.
    1. The applicant or applicants must document the receipt of a  stable current income which indicates that the applicant or applicants will  receive future income which is sufficient to enable the timely repayment of the  mortgage loan as well as other existing obligations and living expenses.
    2. The applicant or, in the case of multiple applicants, the  applicants individually and collectively must possess a credit history which  reflects the ability to successfully meet financial obligations and a  willingness to repay obligations in accordance with established credit  repayment terms.
    3. An applicant having a foreclosure instituted by the  authority on his property financed by an authority mortgage loan will not be eligible  for a mortgage loan hereunder. The authority will consider previous  foreclosures (other than on authority financed loans) on an exception basis  based upon circumstances surrounding the cause of the foreclosure, length of  time since the foreclosure, the applicant's subsequent credit history and  overall financial stability. Under no circumstances will an applicant be  considered for an authority loan within three years from the date of the  foreclosure. The authority has complete discretion to decline to finance a loan  when a previous foreclosure is involved.
    4. The applicant or applicants must document that sufficient  funds will be available for required down payment and closing costs.
    a. The terms and sources of any loan to be used as a source  for down payment or closing costs must be reviewed and approved in advance of  loan approval by the authority.
    b. Sweat equity, the imputed value of services performed by an  eligible borrower or members of his family (brothers and sisters, spouse,  ancestors and lineal descendants) in constructing or completing the residence,  generally is not an acceptable source of funds for down payment and closing  costs. Any sweat equity allowance must be approved by the authority prior to  loan approval.
    5. Proposed monthly housing expenses compared to current  monthly housing expenses will be reviewed. If there is a substantial increase  in such expenses, the applicant or applicants must demonstrate his ability to  pay the additional expenses.
    6. All applicants are encouraged to attend a home ownership  educational program to be better prepared to deal with the home buying process  and the responsibilities related to homeownership. The authority may require  all applicants applying for certain authority loan programs to complete an authority  approved homeownership education program prior to loan approval.
    B. In addition to the requirements set forth in subsection A  of this section, the following requirements must be met in order to satisfy the  authority's underwriting requirements for conventional loans. However,  additional or more stringent requirements may be imposed (i) by private  mortgage insurance companies with respect to those loans on which private  mortgage insurance is required or; (ii) on loans as described in  the last paragraph of 13VAC10-40-120; or (iii) on loans that may be sold by  the authority to an investor (including, without limitation, Fannie Mae,  Freddie Mac, and Ginnie Mae) in which case such additional or more stringent  requirements of the investor will apply.
    1. The following rules apply to the authority's employment and  income requirement. 
    a. Employment for the preceding two-year period must be  documented. Education or training for employment during this two-year period  shall be considered in satisfaction of this requirement if such education or  training is related to an applicant's current line of work and adequate future  income can be anticipated because such education and training will expand the  applicant's job opportunities. The applicant must be employed a minimum of six  months with present employer. An exception to the six-month requirement can be  granted by the authority if it can be determined that the type of work is  similar to previous employment and previous employment was of a stable nature. 
    b. Note: Under the tax code, the residence may not be expected  to be used in trade or business. (See 13VAC10-40-50 C.) Any self-employed  applicant must have a minimum of two years of self-employment with the same  company and in the same line of work. In addition, the following information is  required at the time of application: 
    (1) Federal income tax returns for the two most recent tax  years. 
    (2) Balance sheets and profit and loss statements prepared by  an independent public accountant. 
    In determining the income for a self-employed applicant,  income will be averaged for the two-year period. 
    c. The following rules apply to income derived from sources  other than primary employment. 
    (1) When considering alimony and child support. A copy of the  legal document and sufficient proof must be submitted to the authority  verifying that alimony and child support are court ordered and are being  received. Child support payments for children 15 years or older are not  accepted as income in qualifying an applicant or applicants for a loan. 
    (2) When considering social security and other retirement  benefits. Social Security Form No. SSA 2458 must be submitted to verify that  applicant is receiving social security benefits. Retirement benefits must be  verified by receipt or retirement schedules. VA disability benefits must be  verified by the VA. Educational benefits and social security benefits for  dependents 15 years or older are not accepted as income in qualifying an applicant  or applicants for a loan.
    (3) All part-time employment must be continuous for a minimum  of 24 months, except that the authority may consider part-time employment that  is continuous for more than 12 months but less than 24 months if such part-time  employment is of a stable nature and is likely to continue after closing of the  mortgage loan. 
    (4) Overtime earnings must be guaranteed by the employer or  verified for a minimum of two years. Bonus and commissions must be reasonably  predictable and stable and the applicant's employer must submit evidence that  they have been paid on a regular basis and can be expected to be paid in the  future. 
    2. The following rules apply to each applicant's credit: 
    a. The authority requires that an applicant's previous credit  experience be satisfactory. Poor credit references without an acceptable  explanation will cause a loan to be rejected. Satisfactory credit references  and history are considered to be important requirements in order to obtain an  authority loan. The executive director may impose a minimum credit score  requirement if the executive director determines that such a requirement is  standard and customary in the single family mortgage loan industry and is  necessary to protect the authority's financial interests.
    b. An applicant will not be considered for a loan if the  applicant has been adjudged bankrupt within the past two years. If longer than  two years, the applicant must submit a written explanation giving details  surrounding the bankruptcy. The authority has complete discretion to decline a  loan when a bankruptcy is involved. 
    c. An applicant is required to submit a written explanation  for all judgments and collections. In most cases, judgments and collections  must be paid before an applicant will be considered for an authority loan. 
    3. The authority reserves the right to obtain an independent  appraisal in order to establish the fair market value of the property and to  determine whether the dwelling is eligible for the mortgage loan requested. 
    4. The applicant or applicants satisfy the authority's minimum  income requirement for financing if the monthly principal and interest (at the  rate determined by the authority), tax, insurance ("PITI") and other  additional monthly fees such as condominium association fees (excluding unit  utility charges), townhouse assessments, etc. do not exceed 32% of monthly  gross income and if the monthly PITI plus outstanding monthly debt payments  with more than 10 months duration (and payments on debts lasting less than 10  months, if making such payments will adversely affect the applicant's or  applicants' ability to make mortgage loan payments in the months following loan  closing) do not exceed 40% of monthly gross income (see Exhibit B). However,  with respect to those mortgage loans on which private mortgage insurance is  required, the private mortgage insurance company may impose more stringent  requirements. If either of the percentages set forth are exceeded, compensating  factors may be used by the authority, in its sole discretion, to approve the  mortgage loan.
    5. Funds necessary to pay the downpayment and closing costs  must be deposited at the time of loan application. The authority does not  permit an applicant to borrow funds for this purpose unless approved in advance  by the authority. If the funds are being held in an escrow account by the real  estate broker, builder or closing attorney, the source of the funds must be  verified. A verification of deposit from the parties other than financial  institutions authorized to handle deposited funds is not acceptable.
    6. The applicant may receive a gift from only a relative,  employer or nonprofit entity not involved in the transfer or financing of the  property. The individual(s) making the gift must provide a letter to the  authority confirming that the transfer of funds is a gift with no obligation on  the part of an applicant to repay the funds at any time. The party making the  gift must submit proof that the funds are available. The executive director may  approve gifts from other sources provided the executive director determines  that such transfer of funds to the applicant is not subject to repayment by the  applicant and is not made in consideration of any past or future obligation of  the applicant or in consideration of any terms of the property transfer or  mortgage loan transaction.
    7. Seller contributions for settlement or financing costs  (including closing costs, discount points and upfront mortgage insurance  premiums) may not exceed the lesser of 6.0% of the sales price or the amount  permitted by the applicable mortgage insurer guidelines. 
    C. The following rules are applicable to FHA loans only. 
    1. The authority will normally accept FHA underwriting  requirements and property standards for FHA loans. However, the applicant or  applicants must satisfy the underwriting criteria set forth in subsection A of  this section and most of the authority's basic eligibility requirements  including those described in 13VAC10-40-30 through 13VAC10-40-100 hereof remain  in effect due to treasury restrictions or authority policy. In addition, the  executive director may impose one or more of the requirements of subsection B  of this section to FHA loans on the same or less stringent basis as they apply  to the authority's conventional loans if the executive director determines that  such requirements are necessary to protect its financial interests. 
    2. The applicant's or applicants' mortgage insurance premium  fee may be included in the FHA acquisition cost and may be financed provided  that the final loan amount does not exceed the authority's maximum allowable  sales price. In addition, in the case of a condominium, such fee may not be  paid in full in advance but instead is payable in annual installments. 
    3. The FHA allowable closing fees may be included in the FHA  acquisition cost and may be financed provided the final loan amount does not  exceed the authority's maximum allowable sales price. 
    4. FHA appraisals are acceptable. VA certificates of reasonable  value (CRV's) are acceptable if acceptable to FHA. 
    D. The following rules are applicable to VA loans only. 
    1. The authority will normally accept VA underwriting  requirements and property guidelines for VA loans. However, the applicant or  applicants must satisfy the underwriting criteria set forth in subsection A of  this section and most of the authority's basic eligibility requirements  (including those described in 13VAC10-40-30 through 13VAC10-40-100) remain in  effect due to treasury restrictions or authority policy. In addition, the  executive director may impose one or more of the requirements of subsection B  of this section to VA loans on the same or less stringent basis as they apply  to the authority's conventional loans if the executive director determines that  such requirements are necessary to protect its financial interests. 
    2. The funding fee can be included in loan amount provided the  final loan amount does not exceed the authority's maximum allowable sales  price. 
    3. VA certificates of reasonable value (CRV's) are acceptable  in lieu of an appraisal. 
    E. The following rules are applicable to Rural Development  loans only. 
    1. The authority will normally accept Rural Development  underwriting requirements and property standards for Rural Development loans.  However, the applicant or applicants must satisfy the underwriting criteria set  forth in subsection A of this section and most of the authority's basic  eligibility requirements including those described in 13VAC10-40-30 through  13VAC10-40-100 remain in effect due to treasury restrictions or authority  policy. In addition, the executive director may impose one or more of the  requirements of subsection B of this section to Rural Development loans on the  same or less stringent basis as they apply to the authority's conventional  loans if the executive director determines that such requirements are necessary  to protect its financial interests. 
    2. The Rural Development guarantee fee can be included in loan  amount provided the final loan amount does not exceed the authority's maximum  allowable sales price. 
    F. With respect to FHA, VA, RD and conventional loans, the  authority permits the deposit of a sum of money (the "buydown funds")  by a party (the "provider") with an escrow agent, a portion of which  funds are to be paid to the authority each month in order to reduce the amount  of the borrower's or borrowers' monthly payment during a certain period of  time. Such arrangement is governed by an escrow agreement for buydown mortgage  loans (see Exhibit V) executed at closing (see 13VAC10-40-180 for additional  information). The escrow agent will be required to sign a certification  (Exhibit X) in order to satisfy certain insurer or guarantor requirements. For  the purposes of underwriting buydown mortgage loans, the reduced monthly  payment amount may be taken into account based on insurer or guarantor  guidelines then in effect (see also subsection C, D or E of this section, as  applicable). 
    G. Unlike the program described in subsection E of this  section which permits a direct buydown of the borrower's or borrowers' monthly  payment, the authority also from time to time permits the buydown of the  interest rate on a conventional, FHA or VA mortgage loan for a specified period  of time. 
    13VAC10-40-140. Loan assumptions.
    A. VHDA currently permits may from time to time, in  its discretion, permit assumptions of all or some of its single  family mortgage loans provided that certain, subject to satisfaction  of the applicable requirements in this section; provided, however, that  assumptions shall be permitted when required by the mortgage insurer or  guarantor rules or applicable law if the applicable requirements in this  section are met. For all loans closed prior to January 1, 1991, except FHA  loans which were closed during calendar year 1990, the maximum gross income for  the person or persons assuming a loan shall be 100% of the applicable median  family income. For such FHA loans closed during 1990, if assumed by a household  of three or more persons, the maximum gross income shall be 115% of the  applicable median family income (140% for a residence in a targeted area) and  if assumed by a household of fewer than three persons, the maximum gross income  shall be 100% of the applicable median family income (120% for a residence in a  targeted area). For all loans closed after January 1, 1991, the maximum gross  income for the person or persons assuming loans shall be the highest  percentage, as then in effect under 13VAC10-40-100 A, of applicable median  family income for the number or persons to occupy the dwelling upon assumption  of the mortgage loan, unless otherwise provided in the deed of trust. The  requirements for each of the two different categories of mortgage loans listed  below (and the subcategories within each) are as follows: 
    1. The following rules apply to assumptions of conventional  loans, if permitted by the authority. 
    a. For assumptions of conventional loans financed by the  proceeds of bonds issued on or after December 17, 1981, the requirements of the  following sections hereof must be met: 
    (1) Maximum gross income requirement in 13VAC10-40-140 A 
    (2) 13VAC10-40-50 C (Principal residence requirement) 
    (3) 13VAC10-40-130 (Authority underwriting requirements) 
    (4) 13VAC10-40-50 B (Three-year requirement) 
    (5) 13VAC10-40-60 B (Acquisition cost requirements) 
    (6) 13VAC10-40-120 (Mortgage insurance requirements). 
    b. For assumptions of conventional loans financed by the  proceeds of bonds issued prior to December 17, 1981, the requirements of the  following sections hereof must be met: 
    (1) Maximum gross income requirement in 13VAC10-40-140 A 
    (2) 13VAC10-40-50 C (Principal residence requirements) 
    (3) 13VAC10-40-130 (Authority underwriting requirements) 
    (4) 13VAC10-40-120 (Mortgage insurance requirements). 
    2. The following rules apply to assumptions of FHA, VA or  Rural Development loans, if permitted by the authority. 
    a. For assumptions of FHA, VA or Rural Development loans  financed by the proceeds of bonds issued on or after December 17, 1981, the  following conditions, if applicable, must be met: 
    (1) Maximum gross income requirement in this 13VAC10-40-140 A 
    (2) 13VAC10-40-50 C (Principal residence requirement) 
    (3) 13VAC10-40-50 B (Three-year requirement) 
    (4) 13VAC10-40-60 B (Acquisition cost requirements). 
    In addition, all applicable FHA, VA or Rural Development  underwriting requirements, if any, must be met. 
    b. For assumptions of FHA, VA or Rural Development loans  financed by the proceeds of bonds issued prior to December 17, 1981, only the  applicable FHA, VA or Rural Development underwriting requirements, if any, must  be met. 
    B. Upon receipt from an originating agent or servicing  agent of an application package for If the authority will permit an  assumption, the authority will determine whether or not the applicable  requirements referenced above for assumption of the loan have been met and will  advise the originating agent or servicing agent of such determination in  writing. The authority will further advise the originating agent or servicing  agent of all other requirements necessary to complete the assumption process.  Such requirements may include but are not limited to the submission of  satisfactory evidence of hazard insurance coverage on the property, approval of  the deed of assumption, satisfactory evidence of mortgage insurance or mortgage  guaranty including, if applicable, pool insurance, submission of an escrow  transfer letter and execution of a Recapture Requirement Notice (VHDA Doc.  R-1). 
    13VAC10-40-160. Reservations/fees. 
    A. The authority currently reserves funds for each mortgage  loan on a first come, first serve basis. Reservations are made by specific  originating agents or field originators with respect to specific applicants and  properties. No substitutions are permitted. Similarly, locked-in interest rates  are also nontransferable. However, if the applicant can document circumstances beyond  the applicant's control constituting good cause, the executive director may  permit such substitution and transfer. Funds will not be reserved longer than  60 days unless the originating agent requests and receives an additional  one-time extension prior to the 60-day deadline; provided, however, the  foregoing time periods may be shortened by the executive director as he deems  necessary if the mortgage loan is to be sold by the authority to an investor  (including, without limitation, Fannie Mae, Freddie Mac, and Ginnie Mae).  Locked-in interest rates on all loans, including those on which there may be a  VA Guaranty, cannot be reduced under any circumstances. 
    B. The applicant or applicants, including an applicant or  applicants for a loan to be guaranteed by VA, may request a second reservation  if the first has expired or has been cancelled. If the second reservation is  made within 12 months of the date of the original reservation, the interest  rate will be the greater of (i) the locked-in rate or (ii) the current rate  offered by the authority at the time of the second reservation. However, if the  applicant can document circumstances beyond the applicant's control  constituting good cause, the executive director may waive the requirement in  the preceding sentence. 
    C. The originating agent or field originator shall collect a  nonrefundable reservation fee in such amount and according to such procedures  as the authority may require from time to time. Under no circumstances is this  fee refundable. A second reservation fee must be collected for a second  reservation. No substitutions of applicants or properties are permitted. 
    D. The following other fees shall be collected. 
    1. In connection with the origination and closing of the loan,  the originating agent shall collect at closing or, at the authority's option,  simultaneously with the acceptance of the authority's commitment, an amount  equal to 1.0% of the loan amount (please note that for FHA loans the loan  amount for the purpose of this computation is the base loan amount only);  provided, however, that the executive director may require the payment of an  additional fee not in excess of 1.0% of the loan amount in the case of a step  loan (i.e., a loan on which the initial interest rate is to be increased to a  new interest rate after a fixed period of time). If the loan does not close,  then the origination fee shall be waived. 
    2. The originating agent shall collect at the time of closing  an amount equal to 1.0% of the loan amount. 
    If the executive director determines that the financial  integrity of the program is protected by an adjustment to the rate of interest  charged to the applicant or applicants or otherwise, the authority may provide  the applicant or applicants with the option of an alternative fee requirement. 
    13VAC10-40-170. Commitment (Exhibit J).
    A. Upon approval of the applicant or applicants, the  authority will send a mortgage loan commitment to the borrower or borrowers in  care of the originating agent. The originating agent shall ask the borrower or  borrowers to indicate acceptance of the mortgage loan commitment by signing and  returning it to the originating agent prior to settlement.
    A commitment must be issued in writing by an authorized  officer of the authority and signed by the applicant or applicants before a  loan may be closed. The term of a commitment may be extended in certain cases  upon written request by the applicant or applicants and approved by the  authority. If an additional commitment is issued to an applicant or applicants,  the interest rate may be higher than the rate offered in the original  commitment and additional fees may be charged. Such new rate and the  availability of funds therefor shall in all cases be determined by the  authority in its discretion.
    B. If the application fails to meet any of the standards,  criteria and requirements herein, a loan rejection letter will be issued by the  authority (see Exhibit L). In order to have the application reconsidered, the  applicant or applicants must resubmit the application within 30 days after loan  rejection. If the application is so resubmitted, the credit documentation  cannot be more than 90 days old and the appraisal not more than six months old.
    13VAC10-40-220. FHA plus program. 
    A. Notwithstanding anything to the contrary herein, the  authority may make loans secured by second deed of trust liens ("second  loans") to provide downpayment and closing cost assistance to an eligible  borrower or borrowers who are obtaining FHA loans secured by first deed of trust  liens. Such first deed of trust liens must be financed by the authority;  provided that the authority may, in its discretion, permit such first deeds of  trust to be financed by other lenders, subject to such terms and conditions as  the executive director shall determine to be necessary to protect the financial  integrity of the FHA plus program. Second loans shall not be available to a  borrower or borrowers if the FHA loan is being made under the FHA buydown  program or is subject to a step adjustment in the interest rate thereon or is  subject to a reduced interest rate due to the financial support of the  authority. 
    B. The second loans shall not be insured by mortgage  insurance; accordingly, the requirements of 13VAC10-40-120 regarding mortgage  insurance shall not be applicable to the second loan. 
    C. The requirements of 13VAC10-40-110 regarding calculation  of maximum loan amount shall not be applicable to the second loan. In order to  be eligible for a second loan, the borrower or borrowers must obtain an FHA  loan for the maximum loan amount permitted by FHA. The principal amount of the  second loan shall not exceed 5.0% of the lesser of the sales price or appraised  value, or such lesser percentage as may be determined by the executive  director to protect the financial integrity of the FHA plus program. 
    In no event shall the combined FHA loan and the second loan  amount exceed (i) the sum of the lesser of the sales price or appraised value  plus closing costs and fees to be paid by borrower or (ii) the authority's  maximum allowable sales price. The sum of all liens may not exceed 100% of  the cost to acquire the property. The cost to acquire the property is the sales  price plus allowable borrower paid closing costs, discount points and prepaid  expenses. 
    Verified liquid funds (funds other than gifts, loans or  retirement accounts) in an amount not less than 1.0% of the sales price must  be: (i) contributed by the borrower or borrowers towards closing costs or  prepaid items; (ii) retained by the borrower or borrowers as cash reserves  after closing; or (iii) contributed and retained by the borrower or borrowers  for the purposes of clauses (i) and (ii), respectively. At the closing, the  borrower or borrowers may not receive any loan proceeds in excess of the amount  of funds paid by the borrower or borrowers prior to closing. The  FHA-insured first mortgage when combined with the FHA plus second mortgage and  any other liens may not result in cash back to the borrower.
    D. If the authority is not making the FHA loan secured by  the first deed of trust lien, the authority may require that, as a condition of  financing the FHA plus loan, the FHA loan secured by the first deed of trust  lien meet the authority’s requirements applicable to FHA loans. With  respect to underwriting, no additional more stringent  requirements or criteria other than those applicable to the FHA loan shall  may be imposed on the second loan if the executive director  determines such more stringent requirements or criteria are necessary to  protect the financial integrity of the FHA plus program. 
    E. The second mortgage loan shall be assumable on the same  terms and conditions as the FHA loan. 
    F. No origination fee or discount point shall be collected on  the second loan; provided, however, that the authority may charge an  origination fee and/or a discount point in an amount determined by the  executive director to be necessary to compensate the authority for originating,  processing, and closing the FHA plus loan, if the first deed of trust is to be  financed by another lender. 
    G. Upon approval of the applicant or applicants, the  authority will issue a mortgage loan commitment pursuant to 13VAC10-40-170. The  mortgage loan commitment will include the terms and conditions of the FHA loan  and the second loan and an addendum setting will set forth  additional terms and conditions applicable to the second loan. Also enclosed in  the commitment package will be other documents necessary to close the second  loan. 
    VA.R. Doc. No. R09-1911; Filed April 21, 2009, 12:20 p.m. 
TITLE 13. HOUSING
VIRGINIA HOUSING DEVELOPMENT AUTHORITY
Proposed Regulation
    Title of Regulation: 13VAC10-180. Rules and  Regulations for Allocation of Low-Income Housing Tax Credits (adding 13VAC10-180-120).
    Statutory Authority: § 36-55.30:3 of the Code of  Virginia.
    Public Hearing Information:
    May 26, 2009 - 10 a.m. - Virginia Housing Development  Authority, 601 S. Belvidere Street, Richmond, VA
    Public Comments: Public comments may be submitted until  5 p.m. on May 26, 2009.
    Agency Contact: J. Judson McKellar, Jr., General  Counsel, Virginia Housing Development Authority, 601 S. Belvidere Street,  Richmond, VA 23220, telephone (804) 343-5540, FAX (804) 783-6701, or email  judson.mckellar@vhda.com.
    Summary:
    The proposed amendments to the authority's rules and  regulations for the allocation of low-income housing tax credits will add a new  section to the regulations that will govern the award of funds made available  to the authority pursuant to the American Recovery and Investment Act of 2009,  PL-155, to low-income housing tax credit developments. The American Recovery  and Reinvestment Act of 2009 (i) includes funds to be allocated to the  authority from the U.S. Department of Housing and Urban Development under a program  called the tax credit assistance program to facilitate the production of  developments awarded low-income housing tax credits in federal fiscal years  2007, 2008 and 2009 and (ii) permits the authority to monetize credits by  exchanging eligible credits for cash grants, which can be used by the authority  to finance the construction or acquisition and rehabilitation of qualified  low-income buildings.
    13VAC10-180-120. Application for Tax Credit Assistance Funds  and Credit Exchange Funds.
    The American Recovery and Reinvestment Act of 2009  (Recovery Act), PL 111-5 (i) includes funds to be allocated to housing credit  agencies from HUD under a program called the tax credit assistance program  (TCAP) to facilitate the production of developments awarded low-income housing  tax credits in fiscal years 2007, 2008, and 2009, and (ii) permits the  authority to monetize credits by exchanging eligible credits for cash grants,  which can be used by the authority to finance the construction or acquisition  and rehabilitation of qualified low-income buildings.
    Application for TCAP funds and credit exchange funds shall  be filed with the authority on such form or forms as the executive director may  from time to time prescribe or approve, together with such documents and additional  information as may be requested by the authority in order to comply with the  Recovery Act, the IRC, and this chapter and to make an award of TCAP funds or  credit exchange funds in accordance with this chapter. The executive director  may establish criteria and assumptions to be used by the applicant in the  calculation of the amounts of tax credits, TCAP funds, and credit exchange  funds in the application; and any such criteria and assumptions may be  indicated on the application form or instructions made available by the  authority to applicants. Each applicant for TCAP funds and credit exchange  funds shall commit in the application to comply with all federal requirements  applicable to such funds.
    The executive director may divide the amount of TCAP funds  into separate pools and each separate pool may be further divided into separate  tiers. The division of such pools and tiers may be based upon one or more of  the following factors: geographical areas of the state; types or  characteristics of housing, construction, financing, owners, occupants, or  source of credits; or any other factors deemed appropriate to best meet the  housing needs of the Commonwealth. Proposed developments to be financed by  certain tax-exempt bonds and eligible to receive credits pursuant to  13VAC10-180-100 that apply for TCAP funds will be scored and ranked pursuant to  the requirements of 13VAC10-180-60 with all other applications applying for  TCAP funds and credits. Such developments may be placed in pools with other  applicants for TCAP funds or may be put in their own separate pool as the  executive director deems appropriate.
    For each application that may receive an award of tax  credits and either TCAP funds or credit exchange funds or both, the executive  director shall determine the amount, as of the date of the deadline for  submission of applications for such funds, to be necessary for the financial  feasibility of the development and its viability as a qualified low-income  development throughout the credit period under the IRC. The executive director  may substitute TCAP funds for some or all of the credit exchange funds in the  application or credit exchange funds for some or all of the TCAP funds  requested in the application in such amounts as determined by the executive  director to maximize the number of developments or units that are expected to  benefit from the equity provided by tax credit investors. Any TCAP funds and  credit exchange funds awarded to a proposed development shall be in the form of  a grant or, if requested by the borrower, a loan.  Such grant or loan  shall (i) be subordinate to all other unrelated third-party financing for the  construction or acquisition and rehabilitation of the development; (ii) be  secured by a deed of trust for the full amount of the grant or loan during the  compliance period; and (iii) provided no conditions exist that would result in  default under the deed of trust, be forgiven by the authority in part each year  on a pro rata basis based upon the length of the extended use period.
    Any tax credit developments that have received a  reservation of tax credits pursuant to 13VAC10-180-60 in calendar years 2007  and 2008 may request the authority to exchange their tax credit allocation for  credit exchange funds in an amount not to exceed the lesser of (i) $.85 per  $1.00 of credit exchanged or (ii) the tax credit equity amount shown in their  allocation application.
    The executive director may place conditions and  limitations on the availability and use of the grant or loan deemed necessary  to comply with the provisions of the Recovery Act and the IRC. The executive  director may also prescribe such deadlines for accomplishing certain milestones  established by the executive director in the acquisition, construction or  rehabilitation of the developments deemed necessary or desirable to ensure full  use of TCAP funds and credit exchange funds within the timeframes established  by the Recovery Act.
    VA.R. Doc. No. R09-1920; Filed April 20, 2009, 2:38 p.m. 
TITLE 14. INSURANCE
STATE CORPORATION COMMISSION
Final Regulation
        REGISTRAR'S NOTICE: The  State Corporation Commission is exempt from the Administrative Process Act in  accordance with § 2.2-4002 A 2 of the Code of Virginia, which exempts  courts, any agency of the Supreme Court, and any agency that by the  Constitution is expressly granted any of the powers of a court of record.
         Title of Regulation: 14VAC5-170. Rules Governing  Minimum Standards for Medicare Supplement Policies (amending 14VAC5-170-20, 14VAC5-170-30,  14VAC5-170-50, 14VAC5-170-60, 14VAC5-170-70, 14VAC5-170-80, 14VAC5-170-150;  adding 14VAC5-170-75, 14VAC5-170-85, 14VAC5-170-215).
    Statutory Authority: §§ 12.1-13 and 38.2-223 of the  Code of Virginia.
    Effective Date: May 21, 2009.
    Agency Contact: Althelia Battle, Principal Insurance  Market Examiner, State Corporation Commission, Bureau of Insurance, 1300 East  Main Street, P.O. Box 1157, Richmond, VA 23218, telephone (804) 371-9154, FAX  (804) 371-9944, or email al.battle@scc.virginia.gov.
    Summary:
    The purpose of the amendments is to incorporate related  provisions of the federal Medicare Improvements for Patients and Providers Act  of 2008 (MIPAA) and the Genetic Information Nondiscrimination Act of 2008  (GINA). Amendments, including the addition of three new sections to accommodate  these federal laws are necessary to maintain certification of Virginia's state  regulatory programs. Amendments were also made to reflect the 2009 deductible and  copayment amounts under Medicare. Technical amendments were made to the  proposed regulations in sections 14VAC5-170-30, 14VAC5-170-70, 14VAC5-170-75,  14VAC5-170-80, 14VAC5-170-85 and 14VAC5-170-150 to include language that  references policies "with an effective date for coverage on or after June  1, 2010." The purpose of these technical amendments is to clarify that  issuers can sell policies to seniors with the new benefit packages prior to  June 1, 2010, providing that those policies have an effective date on or after  June 1, 2010. Amendments were also made in 14VAC5-170-70 and 14VAC5-170-150 to  correct cross-references and to clarify plan applicability dates. 
    AT RICHMOND, APRIL 21, 2009
    COMMONWEALTH OF VIRGINIA
    At the relation of the
    STATE CORPORATION COMMISSION
    CASE NO. INS-2009-00034
    Ex Parte: In the matter of adopting Revisions
  to the Rules Governing Minimum Standards
  for Medicare Supplement Policies
    ORDER ADOPTING REVISIONS TO RULES
    By Order entered herein March 10, 2009, all interested  persons were ordered to take notice that subsequent to April 15, 2009, the  State Corporation Commission ("Commission") would consider the entry  of an order adopting revisions proposed by the Bureau of Insurance  ("Bureau") to the Commission's Rules Governing Minimum Standards for  Medicare Supplement Policies ("Rules"), set forth in Chapter 170 of  Title 14 of the Virginia Administrative Code, unless on or before April 15,  2009, any person objecting to the adoption of the proposed revisions filed a  request for hearing with the Clerk of the Commission (the "Clerk").
    The Order to Take Notice also required all interested persons  to file their comments in support of or in opposition to the proposed revisions  on or before April 15, 2009.
    No request for hearing was filed with the Clerk.   Comments were filed on April 16, 2009, by America's Health Insurance  Plans.  These comments were not timely filed.  Nonetheless, the  Bureau considered these comments and filed Statements of Position on April 20,  2009, in response.  The Bureau recommends that the proposed Rules be  amended at 14 VAC 5-170-70 and 14 VAC 5-170-150 in response to these comments. 
    The Bureau also received some technical amendments from the  National Association of Insurance Commissioners ("NAIC") which were  incorporated into the NAIC Model Act.  The NAIC recommended that these  same technical amendments be incorporated into each state's regulations.   The Bureau therefore recommends that the proposed Rules be amended at 14 VAC  5-170-30, 14 VAC 5-170-70, 14 VAC 5-170-75, 14 VAC 5-170-80, 14 VAC  5-170-85 and 14 VAC 5-170-150 to include language that references policies  "with an effective date for coverage on or after June 1, 2010."   The purpose of these technical amendments is to clarify that issuers can sell policies  to seniors with the new benefit packages prior to June 1, 2010, provided that  those policies have an effective date on or after June 1, 2010. 
    The revisions to the Rules are necessary as a result of the  passage of the federal Medicare Improvements for Patients and Providers Act of  2008 and the Genetic Information Nondiscrimination Act of 2008.  Revisions  to accommodate these federal laws are necessary to maintain certification of  Virginia's state regulatory programs. 
    THE COMMISSION, having considered the proposed revisions,  filed comments, the Bureau's Statements of Position, and the Bureau's  recommendation for additional amendments, is of the opinion that the attached  revisions to the Rules should be adopted.  
    THEREFORE IT IS ORDERED THAT:
    (1)  The revisions to Chapter 170 of Title 14 of  the Virginia Administrative Code entitled "Rules Governing Minimum  Standards for Medicare Supplement Policies," amended at  14 VAC 5-170-20, 14 VAC 5-170-30, 14 VAC 5-170-50 through 14 VAC  170-80, and 14 VAC 5-170-150, and add new sections at 14 VAC  5-170-75, 14 VAC 5-170-85 and 14 VAC 5-170-215, which are attached  hereto and made a part hereof, should be, and they are hereby, ADOPTED to be  effective May 21, 2009.
    (2)  AN ATTESTED COPY hereof shall be sent by the  Clerk of the Commission to Jacqueline K. Cunningham, Deputy Commissioner,  Bureau of Insurance, State Corporation Commission, who forthwith shall give  further notice of the adoption of the revisions to the Rules by mailing a copy  of this Order, including a clean copy of the attached final revised Rules, to  all insurers licensed by the Commission to write accident and sickness  insurance in the Commonwealth of Virginia, and certain interested parties  designated by the Bureau of Insurance.
    (3)  The Commission's Division of Information  Resources forthwith shall cause a copy of this Order, including a copy of the  attached revised Rules, to be forwarded to the Virginia Registrar of  Regulations for appropriate publication in the Virginia Register of  Regulations.
    (4)  The Commission's Division of Information  Resources shall make available this Order and the attached revisions to the  Rules available on the Commission's website, http://www.scc.virginia.gov/case.
    (5)  The Bureau of Insurance shall file with the  Clerk of the Commission an affidavit of compliance with the notice requirements  in paragraph (2) of this Order.
    14VAC5-170-20. Applicability and scope. 
    A. Except as otherwise specifically provided in  14VAC5-170-60, 14VAC5-170-110, 14VAC5-170-120, 14VAC5-170-150 and  14VAC5-170-200, this chapter shall apply to: 
    1. All Medicare supplement policies delivered or issued for  delivery in this Commonwealth on or after January 1, 2006 May 21,  2009; and 
    2. All certificates issued under group Medicare supplement  policies for which certificates have been delivered or issued for delivery in  this Commonwealth. 
    B. This chapter shall not apply to a policy or contract of  one or more employers or labor organizations, or of the trustees of a fund  established by one or more employers or labor organizations, or combination  thereof, for employees or former employees, or a combination thereof, or for  members or former members, or a combination thereof, of the labor  organizations. 
    14VAC5-170-30. Definitions.
    The following words and terms when used in this chapter shall  have the following meanings unless the context clearly indicates otherwise:
    "1990 standardized Medicare supplement benefit  plan," "1990 standardized benefit plan" or "1990 plan"  means a group or individual policy of Medicare supplement insurance issued on  or after July 30, 1992, and [ with an effective date for coverage ]  prior to June 1, 2010, and includes Medicare supplement insurance policies  and certificates renewed on or after that date that are not replaced by the  issuer at the request of the insured.
    "2010 standardized Medicare supplement benefit  plan," "2010 standardized benefit plan" or "2010 plan"  means a group or individual policy of Medicare supplement insurance issued [ with  an effective date for coverage ] on or after June 1, 2010. 
    "Applicant" means: 
    1. In the case of an individual Medicare supplement policy,  the person who seeks to contract for insurance benefits; and 
    2. In the case of a group Medicare supplement policy, the  proposed certificateholder. 
    "Attained age rating" means a premium structure  under which premiums are based on the covered individual's age at the time of  application of the policy or certificate, and for which premiums increase based  on the covered individual's increase in age during the life of the policy or  certificate. 
    "Bankruptcy" means when a Medicare Advantage  organization that is not an issuer has filed, or has had filed against it, a  petition for declaration of bankruptcy and has ceased doing business in this  Commonwealth. 
    "Certificate" means any certificate delivered or  issued for delivery in this Commonwealth under a group Medicare supplement  policy. 
    "Certificate form" means the form on which the  certificate is delivered or issued for delivery by the issuer. 
    "Community rating" means a premium structure under  which premium rates are the same for all covered individuals of all ages in a  given area. 
    "Continuous period of creditable coverage" means  the period during which an individual was covered by creditable coverage, if  during the period of the coverage the individual did not have a break in  coverage greater than 63 days. 
    "Creditable coverage" means, with respect to an  individual, coverage of the individual provided under any of the following: 
    1. A group health plan; 
    2. Health insurance coverage; 
    3. Part A or Part B of Title XVIII of the Social Security Act  of 1935 (Medicare) (42 USC § 1395 et seq.); 
    4. Title XIX of the Social Security Act of 1935 (Medicaid) (42  USC § 1396 et seq.), other than coverage consisting solely of benefits under §  1928; 
    5. Chapter 55 of Title 10 of the United States Code (CHAMPUS)  (10 USC§§ 1071-1107); 
    6. A medical care program of the Indian Health Service or of a  tribal organization; 
    7. A state health benefits risk pool; 
    8. A health plan offered under the Federal Employees Health  Benefits Act of 1959 (5 USC §§ 8901-8914); 
    9. A public health plan as defined in federal regulation; and 
    10. A health benefit plan under § 5(e) of the Peace Corps Act  of 1961 (22 USC § 2504(e)). 
    "Creditable coverage" shall not include one or  more, or any combination of, the following: 
    1. Coverage only for accident or disability income insurance,  or any combination thereof; 
    2. Coverage issued as a supplement to liability insurance; 
    3. Liability insurance, including general liability insurance  and automobile liability insurance; 
    4. Workers' compensation or similar insurance; 
    5. Automobile medical expense insurance; 
    6. Credit-only insurance; 
    7. Coverage for on-site medical clinics; and 
    8. Other similar insurance coverage, specified in federal  regulations, under which benefits for medical care are secondary or incidental  to other insurance benefits. 
    "Creditable coverage" shall not include the  following benefits if they are provided under a separate policy, certificate or  contract of insurance or are otherwise not an integral part of the plan: 
    1. Limited scope dental or vision benefits; 
    2. Benefits for long-term care, nursing home care, home health  care, community-based care or any combination thereof; and 
    3. Such other similar, limited benefits as are specified in  federal regulations. 
    "Creditable coverage" shall not include the  following benefits if offered as independent, noncoordinated benefits: 
    1. Coverage only for a specified disease or illness; and 
    2. Hospital indemnity or other fixed indemnity insurance. 
    "Creditable coverage" shall not include the  following if it is offered as a separate policy, certificate or contract of  insurance: 
    1. Medicare supplement health insurance as defined under  § 1882(g)(1) of the Social Security Act of 1935 (42 USC § 1395ss); 
    2. Coverage supplemental to the coverage provided under  Chapter 55 of Title 10 of the United States Code (10 USC §§ 1071-1107);  and 
    3. Similar supplemental coverage provided to coverage under a  group health plan. 
    "Employee welfare benefit plan" means a plan, fund  or program of employee benefits as defined in the Employee Retirement Income  Security Act of 1974 (29 USC § 1002). 
    "Insolvency" means when an issuer, duly licensed to  transact an insurance business in this Commonwealth in accordance with the  provisions of Chapter 10, 41, 42 or 43, respectively, of Title 38.2 of the Code  of Virginia, is determined to be insolvent and placed under a final order of  liquidation by a court of competent jurisdiction. 
    "Issue age rating" means a premium structure based  upon the covered individual's age at the time of purchase of the policy or  certificate. Under an issue age rating structure, premiums do not increase due  to the covered individual's increase in age during the life of the policy or  certificate. 
    "Issuer" includes insurance companies, fraternal  benefit societies, corporations licensed pursuant to Chapter 42 of Title 38.2  of the Code of Virginia to offer health services plans, health maintenance  organizations, and any other entity delivering or issuing for delivery in this  Commonwealth Medicare supplement policies or certificates. 
    "Medicare" means the "Health Insurance for the  Aged Act," Title XVIII of the Social Security Act (42 USC § 1395 et  seq.), as then constituted or later amended. 
    "Medicare Advantage plan" means a plan of coverage  for health benefits under Medicare Part C as defined in § 1859 (42 USC  § 1395w-28(b)(1) of the Social Security Act, and includes: 
    1. Coordinated care plans which provide health care services,  including but not limited to health maintenance organization plans (with or  without a point-of-service option), plans offered by provider-sponsored  organizations, and preferred provider organization plans; 
    2. Medical savings account plans coupled with a contribution  into a Medicare Advantage medical savings account; and 
    3. Medicare Advantage private fee-for-service plans. 
    "Medicare supplement policy" means a group or  individual policy of accident and sickness insurance or a subscriber contract  of health service plans or health maintenance organizations, other than a  policy issued pursuant to a contract under § 1876 of the federal Social  Security Act of 1935 (42 USC § 1395 et seq.) or an issued policy under a  demonstration project specified in 42 USC § 1395ss(g)(1), which is advertised,  marketed or designed primarily as a supplement to reimbursements under Medicare  for the hospital, medical or surgical expenses of persons eligible for  Medicare. "Medicare supplement policy" does not include Medicare  Advantage plans established under Medicare Part C, Outpatient Prescription Drug  plans established under Medicare Part D, or any Health Care Prepayment Plan  that provides benefits pursuant to an agreement under § 1833(a)(1)(A) of  the Social Security Act. 
    "Policy form" means the form on which the policy is  delivered or issued for delivery by the issuer. 
    "Prestandardized Medicare supplement benefit  plan," "prestandardized benefit plan" or "prestandardized  plan" means a group or individual policy of Medicare supplement insurance  issued prior to July 30, 1992.
    "Secretary" means the Secretary of the United  States Department of Health and Human Services. 
    14VAC5-170-50. Policy provisions. 
    A. Except for permitted preexisting condition clauses as  described in 14VAC5-170-60 B 1 and , 14VAC5-170-70 B 1 and  14VAC5-170-75 B 1, no policy or certificate may be advertised, solicited or  issued for delivery in this Commonwealth as a Medicare supplement policy if the  policy or certificate contains limitations or exclusions on coverage that are  more restrictive than those of Medicare. 
    B. No Medicare supplement policy or certificate may use  waivers to exclude, limit or reduce coverage or benefits for specifically named  or described preexisting diseases or physical conditions. 
    C. No Medicare supplement policy or certificate in force in  this Commonwealth shall contain benefits which duplicate benefits provided by  Medicare. 
    D. 1. Subject to 14VAC5-170-60 B 4, 5 and 7 and 14VAC5-170-70  B 4 and 5, a Medicare supplement policy with benefits for outpatient  prescription drugs in existence prior to January 1, 2006, shall be renewed for  current policyholders who do not enroll in Part D at the option of the policyholder.  
    2. A Medicare supplement policy with benefits for outpatient  prescription drugs shall not be issued after December 31, 2005. 
    3. After December 31, 2005, a Medicare supplement policy with  benefits for outpatient prescription drugs shall not be renewed after the  policyholder enrolls in Medicare Part D unless: 
    a. The policy is modified to eliminate outpatient prescription  coverage for expenses of outpatient prescription drugs incurred after the  effective date of individual's coverage under a Part D plan; and 
    b. Premiums are adjusted to reflect the elimination of  outpatient prescription drug coverage at the time of Medicare Part D  enrollment, accounting for any claims paid, if applicable. 
    14VAC5-170-60. Minimum benefit standards for prestandardized  Medicare supplement benefits plan policies or certificates issued for  delivery prior to July 30, 1992. 
    A. No policy or certificate may be advertised, solicited or  issued for delivery in this Commonwealth as a Medicare supplement policy or  certificate unless it meets or exceeds the following minimum standards. These  are minimum standards and do not preclude the inclusion of other provisions or  benefits which are not inconsistent with these standards. 
    B. The following standards apply to Medicare supplement policies  and certificates and are in addition to all other requirements of this chapter.  
    1. A Medicare supplement policy or certificate shall not  exclude or limit benefits for a loss incurred more than six months from the  effective date of coverage because it involved a preexisting condition. The  policy or certificate shall not define a preexisting condition more  restrictively than a condition for which medical advice was given or treatment  was recommended by or received from a physician within six months before the  effective date of coverage. 
    2. A Medicare supplement policy or certificate shall not  indemnify against losses resulting from sickness on a different basis than  losses resulting from accidents. 
    3. A Medicare supplement policy or certificate shall provide  that benefits designed to cover cost sharing amounts under Medicare will be  changed automatically to coincide with any changes in the applicable Medicare  deductible amount and copayment percentage factors , copayment or  coinsurance amounts. Premiums may be modified to correspond with such  changes. 
    4. A "noncancellable," "guaranteed  renewable," or "noncancellable and guaranteed renewable"  Medicare supplement policy shall not: 
    a. Provide for termination of coverage of a spouse solely  because of the occurrence of an event specified for termination of coverage of  the insured, other than the nonpayment of premium; or 
    b. Be cancelled or nonrenewed by the issuer solely on the  grounds of deterioration of health. 
    5. a. Except as authorized by the State Corporation  Commission, an issuer shall neither cancel nor nonrenew a Medicare supplement  policy or certificate for any reason other than nonpayment of premium or  material misrepresentation. 
    b. If a group Medicare supplement insurance policy is  terminated by the group policyholder and not replaced as provided in  subdivision 5 d of this subsection, the issuer shall offer certificateholders  an individual Medicare supplement policy. The issuer shall offer the  certificateholder at least the following choices: 
    (1) An individual Medicare supplement policy currently offered  by the issuer having comparable benefits to those contained in the terminated  group Medicare supplement policy; and 
    (2) An individual Medicare supplement policy which provides  only such benefits as are required to meet the minimum standards as defined in subsection  C of this section 14VAC5-170-75 C. 
    c. If membership in a group is terminated, the issuer shall: 
    (1) Offer the certificateholder the conversion opportunities  described in subdivision 5 b of this subsection; or 
    (2) At the option of the group policyholder, offer the  certificateholder continuation of coverage under the group policy. 
    d. If a group Medicare supplement policy is replaced by  another group Medicare supplement policy purchased by the same policyholder,  the issuer of the replacement policy shall offer coverage to all persons  covered under the old group policy on its date of termination. Coverage under  the new group policy shall not result in any exclusion for preexisting  conditions that would have been covered under the group policy being replaced. 
    6. Termination of a Medicare supplement policy or certificate  shall be without prejudice to any continuous loss which commenced while the  policy was in force, but the extension of benefits beyond the period during  which the policy was in force may be predicated upon the continuous total  disability of the insured, limited to the duration of the policy benefit  period, if any, or to payment of the maximum benefits. Receipt of Medicare Part  D benefits will not be considered in determining a continuous loss. 
    7. If a Medicare supplement policy is modified to eliminate an  outpatient prescription drug benefit as a result of requirements imposed by the  Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (42 USC  § 1395w-101), the modified policy shall be deemed to satisfy the  guaranteed renewal requirements of this subsection. 
    C. Minimum benefit standards. 
    1. Coverage of Part A Medicare eligible expenses for  hospitalization to the extent not covered by Medicare from the 61st day through  the 90th day in any Medicare benefit period; 
    2. Coverage for either all or none of the Medicare Part A  inpatient hospital deductible amount; 
    3. Coverage of Part A Medicare eligible expenses incurred as  daily hospital charges during use of Medicare's lifetime hospital inpatient  reserve days; 
    4. Upon exhaustion of all Medicare hospital inpatient coverage  including the lifetime reserve days, coverage of 90% of all Medicare Part A  eligible expenses for hospitalization not covered by Medicare subject to a  lifetime maximum benefit of an additional 365 days; 
    5. Coverage under Medicare Part A for the reasonable cost of  the first three pints of blood (or equivalent quantities of packed red blood  cells, as defined under federal regulations) unless replaced in accordance with  federal regulations or already paid for under Part B; 
    6. Coverage for the coinsurance amount, or in the case of  hospital outpatient department services paid under a prospective payment  system, the copayment amount of Medicare eligible expenses under Part B  regardless of hospital confinement, subject to a maximum calendar year out-of-pocket  amount equal to the Medicare Part B deductible $100; 
    7. Effective January 1, 1990, coverage under Medicare Part B  for the reasonable cost of the first three pints of blood (or equivalent  quantities of packed red blood cells, as defined under federal regulations),  unless replaced in accordance with federal regulations or already paid for  under Part A, subject to the Medicare deductible amount. 
    14VAC5-170-70. Benefit standards for 1990 Medicare  supplement policies or certificates issued or delivered on or after  July 30, 1992, and prior to June 1, 2010.
    A. The following standards are applicable to all Medicare  supplement benefit plan policies or certificates delivered or issued for  delivery in this Commonwealth on or after July 30, 1992, and [ with  an effective date for coverage ] prior to June 1, 2010. No  policy or certificate may be advertised, solicited, delivered or issued for  delivery in this Commonwealth as a Medicare supplement policy or certificate  unless it complies with these benefit standards.
    B. The following standards apply to Medicare supplement  policies and certificates and are in addition to all other requirements of this  chapter.
    1. A Medicare supplement policy or certificate shall not  exclude or limit benefits for a loss incurred more than six months from the  effective date of coverage because it involved a preexisting condition. The  policy or certificate may not define a preexisting condition more restrictively  than a condition for which medical advice was given or treatment was recommended  by or received from a physician within six months before the effective date of  coverage.
    2. A Medicare supplement policy or certificate shall not  indemnify against losses resulting from sickness on a different basis than  losses resulting from accidents.
    3. A Medicare supplement policy or certificate shall provide  that benefits designed to cover cost sharing amounts under Medicare will be  changed automatically to coincide with any changes in the applicable Medicare  deductible amount and copayment percentage factors , copayment or  coinsurance amounts. Premiums may be modified to correspond with such  changes provided that loss ratios are being met.
    4. No Medicare supplement policy or certificate shall provide  for termination of coverage of a spouse solely because of the occurrence of an  event specified for termination of coverage of the insured, other than the  nonpayment of premium.
    5. Each Medicare supplement policy shall be guaranteed  renewable.
    a. The issuer shall not cancel or nonrenew the policy solely  on the ground of health status of the individual.
    b. The issuer shall not cancel or nonrenew the policy for any  reason other than nonpayment of premium or material misrepresentation.
    c. If the Medicare supplement policy is terminated by the  group policyholder and is not replaced as provided under subdivision 5 e of  this subsection, the issuer shall offer certificateholders an individual  Medicare supplement policy which (at the option of the certificateholder):
    (1) Provides for continuation of the benefits contained in the  group policy; or
    (2) Provides for benefits that otherwise meet the requirements  of this subsection.
    d. If an individual is a certificateholder in a group Medicare  supplement policy and the individual terminates membership in the group, the  issuer shall:
    (1) Offer the certificateholder the conversion opportunity  described in subdivision 5 c of this subsection; or
    (2) At the option of the group policyholder, offer the  certificateholder continuation of coverage under the group policy.
    e. If a group Medicare supplement policy is replaced by  another group Medicare supplement policy purchased by the same policyholder,  the issuer of the replacement policy shall offer coverage to all persons  covered under the old group policy on its date of termination. Coverage under  the new policy shall not result in any exclusion for preexisting conditions  that would have been covered under the group policy being replaced.
    f. If a Medicare supplement policy is modified to eliminate an  outpatient prescription drug benefit as a result of requirements imposed by the  Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (42 USC  § 1395w-101), the modified policy shall be deemed to satisfy the guaranteed  renewal requirements of this subdivision 5.
    6. Termination of a Medicare supplement policy or certificate  shall be without prejudice to any continuous loss which commenced while the  policy was in force, but the extension of benefits beyond the period during  which the policy was in force may be conditioned upon the continuous total  disability of the insured, limited to the duration of the policy benefit  period, if any, or payment of the maximum benefits. Receipt of Medicare Part D  benefits will not be considered in determining a continuous loss.
    7. a. A Medicare supplement policy or certificate shall  provide that benefits and premiums under the policy or certificate shall be  suspended at the request of the policyholder or certificateholder for the  period (not to exceed 24 months) in which the policyholder or certificateholder  has applied for and is determined to be entitled to medical assistance under  Title XIX of the Social Security Act of 1935 (42 USC § 1396 et seq.), but only  if the policyholder or certificateholder notifies the issuer of such policy or  certificate within 90 days after the date the individual becomes entitled to  such assistance.
    b. If suspension occurs and if the policyholder or  certificateholder loses entitlement to medical assistance, the policy or  certificate shall be automatically reinstituted (effective as of the date of  termination of such entitlement) if the policyholder or certificateholder  provides notice of loss of entitlement within 90 days after the date of loss  and pays the premium attributable to the period.
    c. Each Medicare supplement policy or certificate shall  provide that benefits and premiums under the policy shall be suspended (for any  period that may be provided by federal regulation) at the request of the  policyholder if the policyholder or certificateholder is entitled to benefits  under § 226 (b) of the Social Security Act (42 USC § 426) and is covered  under a group health plan (as defined in § 1862(b)(1)(A)(v) of the Social  Security Act (42 USC § 1395y)). If suspension occurs and if the policyholder or  certificateholder loses coverage under the group health plan, the policy shall  be automatically reinstituted (effective as of the date of loss of coverage) if  the policyholder or certificateholder provides notice of loss of coverage  within 90 days after the date of the loss.
    d. Reinstitution of coverages as described in subdivisions 7 b  and c of this subsection:
    (1) Shall not provide for any waiting period with respect to  treatment of preexisting conditions;
    (2) Shall provide for reinstituted coverage that is  substantially equivalent to coverage in effect before the date of such  suspension. If the suspended Medicare supplement policy provided coverage for  outpatient prescription drugs, reinstitution of the policy for Medicare Part D  enrollees shall be without coverage for outpatient prescription drugs and shall  otherwise provide substantially equivalent coverage to the coverage in effect  before the date of suspension; and 
    (3) Shall provide for classification of premiums on terms at  least as favorable to the policyholder or certificateholder as the premium  classification terms that would have applied to the policyholder or  certificateholder had the coverage not been suspended.
    8. If an issuer makes a written offer to the Medicare  supplement policyholders or certificateholders of one or more of its plans, to  exchange during a specified period from his 1990 standardized plan (as  described in [ 14VAC5-170-70 14VAC5-170-80 ]  ) to a 2010 standardized plan (as described in [ 14VAC5-170-75  14VAC5-170-85 ] ), the offer and subsequent exchange shall comply  with the following requirements:
    a. An issuer need not provide justification to the  commission if the insured replaces a 1990 standardized policy or certificate  with an issue age rated 2010 standardized policy or certificate at the insured's  original issue age and duration. If an insured's policy or certificate to be  replaced is priced on an issue age rate schedule at the time of such offer, the  rate charged to the insured for the new exchanged policy shall recognize the  policy reserve buildup, due to the prefunding inherent in the use of an issue  age rate basis, for the benefit of the insured. The method proposed to be used  by an issuer shall be filed with the commission in accordance with § 38.2-316  of the Code of Virginia.
    b. The rating class of the new policy or certificate shall  be the class closest to the insured's class of the replaced coverage.
    c. An issuer may not apply new preexisting condition  limitations or a new incontestability period to the new policy for those  benefits contained in the exchanged 1990 standardized policy or certificate of  the insured, but may apply preexisting condition limitations of no more than  six months to any added benefits contained in the new 2010 standardized policy  or certificate not contained in the exchanged policy.
    d. The new policy or certificate shall be offered to all  policyholders or certificateholders within a given plan, except where the offer  of issue would be in violation of state or federal law.
    C. Standards for basic (core) benefits common to benefit  plans A through J. Every issuer shall make available a policy or certificate  including only the following basic core package of benefits to each prospective  insured. An issuer may make available to prospective insureds any of the other Medicare  Supplement Insurance Benefit Plans in addition to the basic core package, but  not in lieu of it. 
    1. Coverage of Part A Medicare Eligible Expenses for  hospitalization to the extent not covered by Medicare from the 61st day through  the 90th day in any Medicare benefit period; 
    2. Coverage of Part A Medicare Eligible Expenses incurred for  hospitalization to the extent not covered by Medicare for each Medicare  lifetime inpatient reserve day used; 
    3. Upon exhaustion of the Medicare hospital inpatient coverage  including the lifetime reserve days, coverage of 100% of the Medicare Part A  eligible expenses for hospitalization paid at the applicable prospective  payment system (PPS) rate, or other appropriate Medicare standard of payment,  subject to a lifetime maximum benefit of an additional 365 days; 
    4. Coverage under Medicare Parts A and B for the reasonable  cost of the first three pints of blood (or equivalent quantities of packed red  blood cells, as defined under federal regulations) unless replaced in accordance  with federal regulations; 
    5. Coverage for the coinsurance amount, or in the case of  hospital outpatient department services paid under a prospective payment  system, the copayment amount of Medicare Eligible Expenses under Part B  regardless of hospital confinement, subject to the Medicare Part B deductible. 
    D. Standards for additional benefits. The following  additional benefits shall be included in Medicare Supplement Benefit Plans  "B" through "J" only as provided by 14VAC5-170-80. 
    1. Medicare Part A deductible. Coverage for all of the  Medicare Part A inpatient hospital deductible amount per benefit period. 
    2. Skilled nursing facility care. Coverage for the actual  billed charges up to the coinsurance amount from the 21st day through the 100th  day in a Medicare benefit period for posthospital skilled nursing facility care  eligible under Medicare Part A. 
    3. Medicare Part B deductible. Coverage for all of the  Medicare Part B deductible amount per calendar year regardless of hospital  confinement. 
    4. Eighty percent of the Medicare Part B excess charges.  Coverage for 80% of the difference between the actual Medicare Part B charge as  billed, not to exceed any charge limitation established by the Medicare program  or state law, and the Medicare-approved Part B charge. 
    5. One hundred percent of the Medicare Part B excess charges.  Coverage for all of the difference between the actual Medicare Part B charge as  billed, not to exceed any charge limitation established by the Medicare program  or state law, and the Medicare-approved Part B charge. 
    6. Basic outpatient prescription drug benefit. Coverage for  50% of outpatient prescription drug charges, after a $250 calendar year  deductible, to a maximum of $1,250 in benefits received by the insured per  calendar year, to the extent not covered by Medicare. The basic outpatient  prescription drug benefit may be included for sale or issuance in a Medicare  supplement policy until January 1, 2006. 
    7. Extended outpatient prescription drug benefit. Coverage for  50% of outpatient prescription drug charges, after a $250 calendar year  deductible to a maximum of $3,000 in benefits received by the insured per  calendar year, to the extent not covered by Medicare. The extended outpatient  prescription drug benefit may be included for sale or issuance in a Medicare  supplement policy until January 1, 2006. 
    8. Medically necessary emergency care in a foreign country.  Coverage to the extent not covered by Medicare for 80% of the billed charges  for Medicare-eligible expenses for medically necessary emergency hospital,  physician and medical care received in a foreign country, which care would have  been covered by Medicare if provided in the United States and which care began  during the first 60 consecutive days of each trip outside the United States,  subject to a calendar year deductible of $250, and a lifetime maximum benefit  of $50,000. For purposes of this benefit, "emergency care" shall mean  care needed immediately because of an injury or an illness of sudden and  unexpected onset. 
    9. Preventive medical care benefit. Coverage for the following  preventive health services not covered by Medicare: 
    a. An annual clinical preventive medical history and physical  examination that may include tests and services from subdivision 9 b of this  subsection and patient education to address preventive health care measures. 
    b. Preventive screening tests or preventive services, the  selection and frequency of which is determined to be medically appropriate by  the attending physician. 
    Reimbursement shall be for the actual charges up to 100% of  the Medicare-approved amount for each service, as if Medicare were to cover the  service as identified in American Medical Association Current Procedural  Terminology (AMA CPT) codes, to a maximum of $120 annually under this benefit.  This benefit shall not include payment for any procedure covered by Medicare. 
    10. At-home recovery benefit. Coverage for services to provide  short term, at-home assistance with activities of daily living for those  recovering from an illness, injury or surgery. 
    a. For purposes of this benefit, the following definitions  shall apply: 
    "Activities of daily living" include, but are not  limited to, bathing, dressing, personal hygiene, transferring, eating,  ambulating, assistance with drugs that are normally self-administered, and  changing bandages or other dressings. 
    "Care provider" means a duly qualified or licensed  home health aide or homemaker, personal care aide or nurse provided through a  licensed home health care agency or referred by a licensed referral agency or  licensed nurses registry. 
    "Home" shall mean any place used by the insured as a  place of residence, provided that such place would qualify as a residence for  home health care services covered by Medicare. A hospital or skilled nursing  facility shall not be considered the insured's place of residence. 
    "At-home recovery visit" means the period of a visit  required to provide at home recovery care, without limit on the duration of the  visit, except each consecutive four hours in a 24-hour period of services  provided by a care provider is one visit. 
    b. Coverage requirements and limitations: 
    (1) At-home recovery services provided must be primarily  services which assist in activities of daily living. 
    (2) The insured's attending physician must certify that the  specific type and frequency of at-home recovery services are necessary because  of a condition for which a home care plan of treatment was approved by  Medicare; and 
    (3) Coverage is limited to: 
    (a) No more than the number and type of at-home recovery  visits certified as necessary by the insured's attending physician. The total  number of at-home recovery visits shall not exceed the number of Medicare  approved home health care visits under a Medicare approved home care plan of  treatment; 
    (b) The actual charges for each visit up to a maximum  reimbursement of $40 per visit; 
    (c) One thousand six hundred dollars per calendar year; 
    (d) Seven visits in any one week; 
    (e) Care furnished on a visiting basis in the insured's home; 
    (f) Services provided by a care provider as defined in this  section; 
    (g) At-home recovery visits while the insured is covered under  the policy or certificate and not otherwise excluded; 
    (h) At-home recovery visits received during the period the  insured is receiving Medicare approved home care services or no more than eight  weeks after the service date of the last Medicare approved home health care  visit. 
    c. Coverage is excluded for: 
    (1) Home care visits paid for by Medicare or other government  programs; and 
    (2) Care provided by family members, unpaid volunteers or  providers who are not care providers. 
    E. Standards for Plans K and L. 
    1. Standardized Medicare supplement benefit plan "K"  shall consist of the following: 
    a. Coverage of 100% of the Part A hospital coinsurance amount  for each day used from the 61st through the 90th day in any Medicare benefit  period; 
    b. Coverage of 100% of the Part A hospital coinsurance amount  for each Medicare lifetime inpatient reserve day used from the 91st through the  150th day in any Medicare benefit period; 
    c. Upon exhaustion of the Medicare hospital inpatient  coverage, including the lifetime reserve days, coverage of 100% of the Medicare  Part A eligible expenses for hospitalization paid at the applicable prospective  payment system (PPS) rate, or other appropriate Medicare standard of payment,  subject to lifetime maximum benefit of an additional 365 days; 
    d. Medicare Part A deductible: Coverage for 50% of the  Medicare Part A inpatient hospital deductible amount per benefit period until  the out-of-pocket limitation is met as described in subdivision 1 j of this  subsection; 
    e. Skilled nursing facility care: Coverage for 50% of the  coinsurance amount for each day used from the 21st day through the 100th day in  a Medicare benefit period for post hospital skilled nursing facility care  eligible under Medicare Part A until the out-of-pocket limitation is met as  described in subdivision 1 j of this subsection; 
    f. Hospice care: Coverage for 50% of cost sharing for all Part  A Medicare eligible expenses and respite care until the out-of-pocket  limitation is met as described in subdivision 1 j of this subsection; 
    g. Coverage for 50%, under Medicare Part A or B, of the  reasonable cost of the first three pints of blood (or equivalent quantities of  packed red blood cells, as defined under federal regulations) unless replaced  in accordance with federal regulations until the out-of-pocket limitation is  met as described in subdivision 1 j of this subsection; 
    h. Except for coverage provided in subdivision 1 j of this  subsection, coverage for 50% of the cost sharing otherwise applicable under  Medicare Part B after the policyholder pays the Part B deductible until the  out-of-pocket limitation is met as described in subdivision 1 j of this  subsection; 
    i. Coverage of 100% of the cost sharing for Medicare Part B  preventive services after the policyholder pays the Part B deductible; and 
    j. Coverage of 100% of all cost sharing under Medicare Parts A  and B for the balance of the calendar year after the individual has reached the  out-of-pocket limitation on annual expenditures under Medicare Parts A and B of  $4,000 in 2006, indexed each year by the appropriate inflation adjustment  specified by the Secretary of the U.S. Department of Health and Human Services.  
    2. Standardized Medicare supplement benefit plan "L"  shall consist of the following: 
    a. The benefits described in subdivisions 1 a, b, c and i of  this subsection; 
    b. The benefit described in subdivisions 1 d, e, f, g and h of  this subsection, but substituting 75% for 50%; and 
    c. The benefit described in subdivision 1 j of this  subsection, but substituting $2,000 for $4,000 indexed each year by the  appropriate inflation adjustment specified by the Secretary of the U.S.  Department of Health and Human Services. 
    14VAC5-170-75. Benefit standards for 2010 Medicare  supplement policies delivered on or after June 1, 2010.
    A. The following standards are applicable to all Medicare  supplement benefit plan policies or certificates delivered or issued for  delivery in this Commonwealth [ with an effective date for coverage ]  on or after June 1, 2010. No policy or certificate may be advertised,  solicited, delivered, or issued for delivery in this Commonwealth as a Medicare  supplement policy or certificate unless it complies with these benefit standards.  No issuer may offer any 1990 standardized Medicare supplement benefit plan for  sale on or after June 1, 2010. Benefit standards applicable to Medicare  supplement policies and certificates issued [ before  with an effective date for coverage prior to ] June 1, 2010, remain  subject to the requirements of 14VAC5-170-70.
    B. The following standards apply to Medicare supplement  policies and certificates and are in addition to all other requirements of this  chapter.
    1. A Medicare supplement policy or certificate shall not  exclude or limit benefits for losses incurred more than six months from the  effective date of coverage because it involved a preexisting condition. The  policy or certificate may not define a preexisting condition more restrictively  than a condition for which medical advice was given or treatment was  recommended by or received from a physician within six months before the  effective date of coverage.
    2. A Medicare supplement policy or certificate shall not  indemnify against losses resulting from sickness on a different basis than  losses resulting from accidents.
    3. A Medicare supplement policy or certificate shall  provide that benefits designed to cover cost-sharing amounts under Medicare  will be changed automatically to coincide with any changes in the applicable  Medicare deductible, copayment or coinsurance amounts. Premiums may be modified  to correspond with such changes.
    4. No Medicare supplement policy or certificate shall  provide for termination of coverage of a spouse solely because of the  occurrence of an event specified for termination of coverage of the insured,  other than the nonpayment of premium.
    5. Each Medicare supplement policy shall be guaranteed  renewable.
    a. The issuer shall not cancel or nonrenew the policy  solely on the ground of health status of the individual.
    b. The issuer shall not cancel or nonrenew the policy for  any reason other than nonpayment of premium or material misrepresentation.
    c. If the Medicare supplement policy is terminated by the  group policyholder and is not replaced as provided in subdivision 5 e of this  subsection, the issuer shall offer certificateholders an individual Medicare  supplement policy which, at the option of the certificateholder:
    (1) Provides for continuation of the benefits contained in  the group policy; or
    (2) Provides for benefits that otherwise meet the  requirements of this subsection.
    d. If an individual is a certificateholder in a group  Medicare supplement policy and the individual terminates membership in the  group, the issuer shall:
    (1) Offer the certificateholder the conversion opportunity  described in subdivision 5 c of this subsection; or
    (2) At the option of the group policyholder, offer the  certificateholder continuation of coverage under the group policy.
    e. If a group Medicare supplement policy is replaced by  another group Medicare supplement policy purchased by the same policyholder,  the issuer of the replacement policy shall offer coverage to all persons  covered under the old group policy on its date of termination. Coverage under  the new policy shall not result in any exclusion for preexisting conditions  that would have been covered under the group policy being replaced.
    6. Termination of a Medicare supplement policy or  certificate shall be without prejudice to any continuous loss that commenced  while the policy was in force, but the extension of benefits beyond the period  during which the policy was in force may be conditioned upon the continuous  total disability of the insured, limited to the duration of the policy benefit period  if any, or payment of the maximum benefits. Receipt of Medicare Part D benefits  will not be considered in determining a continuous loss.
    7. a. A Medicare supplement policy or certificate shall  provide that benefits and premiums under the policy or certificate shall be  suspended at the request of the policyholder or certificateholder for the  period not to exceed 24 months in which the policyholder or certificateholder  has applied for and is determined to be entitled to medical assistance under  Title XIX of the Social Security Act, but only if the policyholder or  certificateholder notifies the issuer of the policy or certificate within 90  days after the date the individual becomes entitled to assistance. 
    b. If suspension occurs and if the policyholder or  certificateholder loses entitlement to medical assistance, the policy or  certificate shall be automatically reinstituted (effective as of the date of  termination of entitlement) as of the termination of entitlement if the  policyholder or certificateholder provides notice of loss of entitlement within  90 days after the date of loss and pays the premium attributable to the period,  effective as of the date of termination of entitlement.
    c. Each Medicare supplement policy shall provide that  benefits and premiums under the policy shall be suspended (for any period that  may be provided by federal regulation) at the request of the policyholder if  the policyholder is entitled to benefits under § 226 (b) of the Social  Security Act and is covered under a group health plan as defined in § 1862  (b)(1)(A)(v) of the Social Security Act. If suspension occurs and if the  policyholder or certificateholder loses coverage under the group health plan,  the policy shall be automatically reinstituted (effective as of the date of  loss of coverage) if the policyholder provides notice of loss of coverage  within 90 days after the date of the loss and pays the premium attributable to  the period, effective as of the date of termination of enrollment in the group  health plan.
    d. Reinstitution of coverages as described in subdivisions  7 b and c of this subsection:
    (1) Shall not provide for any waiting period with respect  to treatment of preexisting conditions;
    (2) Shall provide for resumption of coverage that is  substantially equivalent to coverage in effect before the date of suspension;  and
    (3) Shall provide for classification of premiums on terms  at least as favorable to the policyholder or certificateholder as the premium  classification terms that would have been applied to the policyholder or  certificateholder had the coverage not been suspended.
    C. Standards for basic (core) benefits common to Medicare  supplement insurance benefit plans A, B, C, D, F, F with High Deductible, G, M  and N. Every issuer of Medicare supplement insurance benefit plans shall make  available a policy or certificate including only the following basic  "core" package of benefits to each prospective insured. An issuer may  make available to prospective insureds any of the other Medicare supplement  insurance benefit plans in addition to the basic core package, but not in lieu  of it.
    1. Coverage of Part A Medicare eligible expenses for  hospitalization to the extent not covered by Medicare from the 61st day through  the 90th day in any Medicare benefit period;
    2. Coverage of Part A Medicare eligible expenses incurred  for hospitalization to the extent not covered by Medicare for each Medicare  lifetime inpatient reserve day used;
    3. Upon exhaustion of the Medicare hospital inpatient  coverage, including the lifetime reserve days, coverage of 100% of the Medicare  Part A eligible expenses for hospitalization paid at the applicable prospective  payment system (PPS) rate, or other appropriate Medicare standard of payment,  subject to a lifetime maximum benefit of an additional 365 days. The provider  shall accept the issuer’s payment as payment in full and may not bill the  insured for any balance;
    4. Coverage under Medicare Parts A and B for the reasonable  cost of the first three pints of blood (or equivalent quantities of packed red  blood cells, as defined under federal regulations) unless replaced in  accordance with federal regulations;
    5. Coverage for the coinsurance amount, or in the case of  hospital outpatient department services paid under a prospective payment  system, the copayment amount, of Medicare eligible expenses under Part B  regardless of hospital confinement, subject to the Medicare Part B deductible;  and
    6. Coverage of cost sharing for all Part A Medicare  eligible hospice care and respite care expenses.
    D. Standards for additional benefits. The following  additional benefits shall be included in Medicare supplement benefit Plans B,  C, D, F, F with High Deductible, G, M, and N as provided by 14VAC5-170-85.
    1. Medicare Part A deductible: Coverage for 100% of the  Medicare Part A inpatient hospital deductible amount per benefit period.
    2. Medicare Part A deductible: Coverage for 50% of the  Medicare Part A inpatient hospital deductible amount per benefit period.
    3. Skilled nursing facility care: Coverage for the actual  billed charges up to the coinsurance amount from the 21st day through the 100th  day in a Medicare benefit period for posthospital skilled nursing facility care  eligible under Medicare Part A.
    4. Medicare Part B deductible: Coverage for 100% of the  Medicare Part B deductible amount per calendar year regardless of hospital  confinement.
    5. 100% of the Medicare Part B excess charges: Coverage for  all of the difference between the actual Medicare Part B charges as billed, not  to exceed any charge limitation established by the Medicare program or state  law, and the Medicare-approved Part B charge.
    6. Medically necessary emergency care in a foreign country:  Coverage to the extent not covered by Medicare for 80% of the billed charges  for Medicare-eligible expenses for medically necessary emergency hospital,  physician and medical care received in a foreign country, which care would have  been covered by Medicare if provided in the United States and which care began  during the first 60 consecutive days of each trip outside the United States,  subject to a calendar year deductible of $250, and a lifetime maximum benefit  of $50,000. For purposes of this benefit, "emergency care" shall mean  care needed immediately because of an injury or an illness of sudden and  unexpected onset.
    14VAC5-170-80. Standard Medicare supplement benefit  plans for 1990 Medicare supplement policies delivered on or after July 30,  1992, and prior to June 1, 2010.
    A. The following standard Medicare supplement benefit  plans are applicable to all Medicare supplement benefit plan policies or  certificates delivered or issued for delivery in this Commonwealth on or after  July 30, 1992, and [ with an effective date for coverage ]  prior to June 1, 2010. An issuer shall make available to each  prospective policyholder and certificateholder a policy form or certificate  form containing only the basic core benefits, as defined in 14VAC5-170-70 C. 
    B. No groups, packages or combinations of Medicare supplement  benefits other than those listed in this section shall be offered for sale in  this Commonwealth, except as may be permitted in subsection G of this section  and 14VAC5-170-90. 
    C. Benefit plans shall be uniform in structure, language,  designation, and format to the standard benefit plans "A" through  "L" listed in this subsection and conform to the definitions in  14VAC5-170-30. Each benefit shall be structured in accordance with the format  provided in 14VAC5-170-70 C, D, or E and list the benefits in the order shown  in this subsection. For purposes of this section, "structure, language,  and format" means style, arrangement and overall content of a benefit. 
    D. An issuer may use, in addition to the benefit plan  designations required in subsection C, other designations to the extent  permitted by law. 
    E. Make-up of benefit plans: 
    1. Standardized Medicare supplement benefit plan "A"  shall be limited to the basic (core) benefits common to all benefit plans, as  defined in 14VAC5-170-70 C. 
    2. Standardized Medicare supplement benefit plan "B"  shall include only the following: The core benefits as defined in 14VAC5-170-70  C, plus the Medicare Part A deductible as defined in 14VAC5-170-70 D 1. 
    3. Standardized Medicare supplement benefit plan "C"  shall include only the following: The core benefits as defined in 14VAC5-170-70  C, plus the Medicare Part A deductible, skilled nursing facility care, Medicare  Part B deductible, and medically necessary emergency care in a foreign country  as defined in 14VAC5-170-70 D 1, 2, 3, and 8 respectively. 
    4. Standardized Medicare supplement benefit plan "D"  shall include only the following: The core benefits as defined in 14VAC5-170-70  C, plus the Medicare Part A deductible, skilled nursing facility care,  medically necessary emergency care in a foreign country, and the at-home  recovery benefit as defined in 14VAC5-170-70 D 1, 2, 8, and 10 respectively. 
    5. Standardized Medicare supplement benefit plan "E"  shall include only the following: The core benefits as defined in 14VAC5-170-70  C, plus the Medicare Part A deductible, skilled nursing facility care,  medically necessary emergency care in a foreign country, and preventive medical  care as defined in 14VAC5-170-70 D 1, 2, 8, and 9 respectively.
    6. Standardized Medicare supplement benefit plan "F"  shall include only the following: The core benefits as defined in 14VAC5-170-70  C, plus the Medicare Part A deductible, the skilled nursing facility care, the  Part B deductible, 100% of the Medicare Part B excess charges, and medically  necessary emergency care in a foreign country as defined in 14VAC5-170-70 D 1,  2, 3, 5, and 8 respectively.
    7. Standardized Medicare supplement benefit high deductible  plan "F" shall include only the following: 100% of covered expenses  following the payment of the annual high deductible plan "F"  deductible. The covered expenses include the core benefits as defined in  14VAC5-170-70 C, plus the Medicare Part A deductible, skilled nursing facility  care, the Medicare Part B deductible, 100% of the Medicare Part B excess  charges, and medically necessary emergency care in a foreign country as defined  in 14VAC5-170-70 D 1, 2, 3, 5, and 8 respectively. The annual high deductible  plan "F" deductible shall consist of out-of-pocket expenses, other  than premiums, for services covered by the Medicare supplement plan  "F" policy and shall be in addition to any other specific benefit  deductibles. The calendar year deductible shall be $1,500 for 1998 and 1999. It  shall be adjusted annually thereafter by the Secretary to reflect the change in  the Consumer Price Index for all urban consumers for the 12-month period ending  on August 31st of the preceding year and rounded to the nearest multiple of  $10.
    8. Standardized Medicare supplement benefit plan "G"  shall include only the following: The core benefits as defined in 14VAC5-170-70  C, plus the Medicare Part A deductible, skilled nursing facility care, 80% of  the Medicare Part B excess charges, medically necessary emergency care in a  foreign country, and the at-home recovery benefit as defined in 14VAC5-170-70 D  1, 2, 4, 8, and 10 respectively.
    9. Standardized Medicare supplement benefit plan "H"  shall include only the following: The core benefits as defined in 14VAC5-170-70  C, plus the Medicare Part A deductible, skilled nursing facility care, basic  prescription drug benefit and medically necessary emergency care in a foreign  country as defined in 14VAC5-170-70 D 1, 2, 6, and 8 respectively. The basic  prescription drug benefit shall not be included in a Medicare supplement policy  sold after December 31, 2005.
    10. Standardized Medicare supplement benefit plan  "I" shall include only the following: The core benefits as defined in  14VAC5-170-70 C, plus the Medicare Part A deductible, skilled nursing facility  care, 100% of the Medicare Part B excess charges, basic prescription drug  benefit, medically necessary emergency care in a foreign country, and at-home  recovery benefit as defined in 14VAC5-170-70 D 1, 2, 5, 6, 8, and 10  respectively. The basic prescription drug benefit shall not be included in a  Medicare supplement policy sold after December 31, 2005.
    11. Standardized Medicare supplement benefit plan  "J" shall include only the following: The core benefits as defined in  14VAC5-170-70 C, plus the Medicare Part A deductible, skilled nursing facility  care, Medicare Part B deductible, 100% of the Medicare Part B excess charges,  extended prescription drug benefit, medically necessary emergency care in a  foreign country, preventive medical care, and at-home recovery benefit as  defined in 14VAC5-170-70 D 1, 2, 3, 5, 7, 8, 9, and 10 respectively. The  extended prescription drug benefit shall not be included in a Medicare  supplement policy sold after December 31, 2005.
    12. Standardized Medicare supplement benefit high deductible  plan "J" shall include only the following: 100% of covered expenses  following the payment of the annual high deductible plan "J"  deductible. The covered expenses include the core benefits as defined in 14VAC5-170-70  C, plus the Medicare Part A deductible, skilled nursing facility care, Medicare  Part B deductible, 100% of the Medicare Part B excess charges, extended  outpatient prescription drug benefit, medically necessary emergency care in a  foreign country, preventive medical care benefit, and at-home recovery benefit  as defined in 14VAC5-170-70 D 1, 2, 3, 5, 7, 8, 9, and 10 respectively. The  annual high deductible plan "J" deductible shall consist of  out-of-pocket expenses, other than premiums, for services covered by the  Medicare supplement plan "J" policy and shall be in addition to any  other specific benefit deductibles. The calendar year deductible shall be  $1,500 for 1998 and 1999. It shall be adjusted annually thereafter by the  Secretary to reflect the change in the Consumer Price Index for all urban  consumers for the 12-month period ending on August 31st of the preceding year  and rounded to the nearest multiple of $10. The extended outpatient  prescription drug benefit shall not be included in a Medicare supplement policy  sold after December 31, 2005. 
    F. Make-up of two Medicare supplement plans mandated by the  Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (42 USC  § 1395w-101):
    1. Standardized Medicare supplement benefit plan "K"  shall consist of only those benefits described in 14VAC5-170-70 E 1.
    2. Standardized Medicare supplement benefit plan "L"  shall consist of only those benefits described in 14VAC5-170-70 E 2.
    G. New or innovative benefits. An issuer may, with the prior  approval of the State Corporation Commission, offer policies or certificates  with new or innovative benefits in addition to the benefits provided in a  policy or certificate that otherwise complies with the applicable standards.  The new or innovative benefits may include benefits that are appropriate to  Medicare supplement insurance, new or innovative, not otherwise available,  cost-effective, and offered in a manner that is consistent with the goal of  simplification of Medicare supplement policies. After December 31, 2005, the  innovative benefit shall not include an outpatient prescription drug benefit. 
    14VAC5-170-85. Standard plans for 2010 standardized Medicare  supplement policies delivered on or after June 1, 2010.
    A. The following standard plans are applicable to all  Medicare supplement benefit plan policies or certificates delivered or issued  for delivery in this Commonwealth [ with an effective date for  coverage ] on or after June 1, 2010. No policy or certificate may  be advertised, solicited, delivered or issued for delivery in this Commonwealth  as a Medicare supplement policy or certificate unless it complies with these  benefit plan standards. Benefit plan standards applicable to Medicare  supplement policies and certificates issued [ with an effective date  for coverage ] before June 1, 2010, remain subject to the  requirements of 14VAC5-170-80.
    B. 1. An issuer shall make available to each prospective  policyholder and certificateholder a policy form or certificate form containing  only the basic (core) benefits, as defined in 14VAC5-170-75 C.
    2. If an issuer makes available any of the additional  benefits described in 14VAC5-170-75 D, or offers standardized benefit Plans K  or L (as described in subdivisions F 8 and 9 of this section), then the issuer  shall make available to each prospective policyholder and certificateholder, in  addition to a policy form or certificate form with only the basic (core)  benefits as described in subdivision 1 of this subsection, a policy form or  certificate form containing either standardized benefit Plan C (as described in  subdivision F 3 of this section) or standardized benefit Plan F (as described  in subdivision F 5 of this section).
    C. No groups, packages or combinations of Medicare  supplement benefits other than those listed in this section shall be offered  for sale in this Commonwealth, except as may be permitted in subsection G of  this section and 14VAC5-170-90.
    D. Benefit plans shall be uniform in structure, language,  designation and format to the standard benefit plans listed in this subsection  and conform to the definitions in 14VAC5-170-30. Each benefit shall be  structured in accordance with the format provided in 14VAC5-170-75 C and D; or,  in the case of plans K or L, in subdivision F 8 or 9 of this section and list  the benefits in the order shown. For purposes of this section, the term  "structure, language, and format" means style, arrangement and  overall content of a benefit.
    E. In addition to the benefit plan designations required  in subsection D of this section, an issuer may use other designations to the  extent permitted by law.
    F. Make-up of 2010 standardized benefit plans:
    1. Standardized Medicare supplement benefit Plan A shall  include only the basic (core) benefits as defined in 14VAC5-170-75 C.
    2. Standardized Medicare supplement benefit Plan B shall  include only the basic (core) benefit as defined in 14VAC5-170-75 C, plus 100%  of the Medicare Part A deductible as defined in 14VAC5-170-75 D 1.
    3. Standardized Medicare supplement benefit Plan C shall  include only the basic (core) benefit as defined in 14VAC5-170-75 C, plus 100%  of the Medicare Part A deductible, skilled nursing facility care, 100% of the  Medicare Part B deductible, and medically necessary emergency care in a foreign  country as defined in 14VAC5-170-75 D 1, 3, 4 and 6, respectively.
    4. Standardized Medicare supplement benefit Plan D shall  include only the basic (core) benefit as defined in 14VAC5-170-75 C, plus 100%  of the Medicare Part A deductible, skilled nursing facility care, and medically  necessary emergency care in an foreign country as defined in 14VAC5-170-75 D 1,  3 and 6, respectively.
    5. Standardized Medicare supplement benefit Plan F shall  include only the basic (core) benefit as defined in 14VAC5-170-75 C, plus 100%  of the Medicare Part A deductible, skilled nursing facility care, 100% of the  Medicare Part B deductible, 100% of the Medicare Part B excess charges, and  medically necessary emergency care in a foreign country as defined in  14VAC5-170-75 D 1, 3, 4, 5 and 6, respectively.
    6. Standardized Medicare supplement benefit Plan F With  High Deductible shall include only 100% of covered expenses following the  payment of the annual deductible as defined in subdivision 6 b of this  subsection. 
    a. The basic (core) benefit as defined in 14VAC5-170-75 C,  plus 100% of the Medicare Part A deductible, skilled nursing facility care,  100% of the Medicare Part B deductible, 100% of the Medicare Part B excess  charges, and medically necessary emergency care in a foreign country as defined  in 14VAC5-170-75 D 1, 3, 4, 5 and 6, respectively. 
    b. The annual deductible in Plan F With High Deductible  shall consist of out-of-pocket expenses, other than premiums, for services  covered by Plan F, and shall be in addition to any other specific benefit  deductibles. The basis for the deductible shall be $1,500 and shall be adjusted  annually from 1999 by the Secretary of the U.S. Department of Health and Human  Services to reflect the change in the Consumer Price Index for all urban  consumers for the 12-month period ending with August of the preceding year, and  rounded to the nearest multiple of $10.
    7. Standardized Medicare supplement benefit Plan G shall  include only the basic (core) benefit as defined in 14VAC5-170-75 C, plus 100%  of the Medicare Part A deductible, skilled nursing facility care, 100% of the  Medicare Part B excess charges, and medically necessary emergency care in a  foreign country as defined in 14VAC5-170-75 D 1, 3, 5 and 6, respectively.
    8. Standardized Medicare supplement benefit Plan K is  mandated by the Medicare Prescription Drug, Improvement and Modernization Act  of 2003, and shall include only the following: 
    a. Part A hospital coinsurance 61st through 90th days:  Coverage of 100% of the Part A hospital coinsurance amount for each day used  from the 61st through the 90th day in any Medicare benefit period;
    b. Part A hospital coinsurance, 91st through 150th days:  Coverage of 100% of the Part A hospital coinsurance amount for each Medicare  lifetime inpatient reserve day used from the 91st through the 150th day in any  Medicare benefit period;
    c. Part A hospitalization after 150 days: Upon exhaustion  of the Medicare hospital inpatient coverage, including the lifetime reserve  days, coverage of 100% of the Medicare Part A eligible expenses for hospitalization  paid at the applicable prospective payment system (PPS) rate, or other  appropriate Medicare standard of payment, subject to a lifetime maximum benefit  of an additional 365 days. The provider shall accept the issuer’s payment as  payment in full and may not bill the insured for any balance;
    d. Medicare Part A deductible: Coverage for 50% of the  Medicare Part A inpatient hospital deductible amount per benefit period until  the out-of-pocket limitation is met as described in subdivision j of this  subsection;
    e. Skilled nursing facility care: Coverage for 50% of the  coinsurance amount for each day used from the 21st day through the 100th day in  a Medicare benefit period for posthospital skilled nursing facility care  eligible under Medicare Part A until the out-of-pocket limitation is met as  described in subdivision 8 j of this subsection;
    f. Hospice care: Coverage for 50% of cost sharing for all  Part A Medicare eligible expenses and respite care until the out-of-pocket  limitation is met as described in subdivision 8 j of this subsection;
    g. Blood: Coverage for 50%, under Medicare Part A or B, of  the reasonable cost of the first three pints of blood (or equivalent quantities  of packed red blood cells, as defined under federal regulations) unless replaced  in accordance with federal regulations until the out-of-pocket limitation is  met as described in subdivision 8 j of this subsection;
    h. Part B cost sharing: Except for coverage provided in  subdivision 8 i of this subsection, coverage for 50% of the cost sharing  otherwise applicable under Medicare Part B after the policyholder pays the Part  B deductible until the out-of-pocket limitation is met as described in  subdivision 8 j of this subsection; 
    i. Part B preventive services: Coverage of 100% of the cost  sharing for Medicare Part B preventive services after the policyholder pays the  Part B deductible; and
    j. Cost sharing after out-of-pocket limits: Coverage of  100% of all cost sharing under Medicare Parts A and B for the balance of the  calendar year after the individual has reached the out-of-pocket limitation on  annual expenditures under Medicare Parts A and B of $4,000 in 2006, indexed  each year by the appropriate inflation adjustment specified by the Secretary of  the U.S. Department of Health and Human Services.
    9. Standardized Medicare supplement benefit Plan L is  mandated by the Medicare Prescription Drug, Improvement and Modernization Act  of 2003, and shall include only the following:
    a. The benefits described in subdivisions 8 a, b, c and i  of this subsection;
    b. The benefit described in subdivisions 8 d, e, f, g and h  of this subsection, but substituting 75% for 50%; and
    c. The benefit described in subdivision 8 j of this  subsection, but substituting $2,000 for $4,000.
    10. Standardized Medicare supplement benefit Plan M shall  include only the basic (core) benefit as defined in 14VAC5-170-75 C, plus 50%  of the Medicare Part A deductible, skilled nursing facility care, and medically  necessary emergency care in a foreign country as defined in 14VAC5-170-75 D 2,  3 and 6, respectively.
    11. Standardized Medicare supplement benefit Plan N shall  include only the basic (core) benefit as defined in 14VAC5-170-75 C, plus 100%  of the Medicare Part A deductible, skilled nursing facility care, and medically  necessary emergency care in a foreign country as defined in 14VAC5-170-75 D 1,  3 and 6, respectively, with copayments in the following amounts: 
    a. The lesser of $20 or the Medicare Part B coinsurance or  copayment for each covered health care provider office visit (including visits  to medical specialists); and 
    b. The lesser of $50 or the Medicare Part B coinsurance or  copayment for each covered emergency room visit; however, this copayment shall  be waived if the insured is admitted to any hospital and the emergency visit is  subsequently covered as a Medicare Part A expense. 
    G. New or innovative benefits. An issuer may, with the  prior approval of the commission, offer policies or certificates with new or  innovative benefits, in addition to the standardized benefits provided in a  policy or certificate that otherwise complies with the applicable standards.  The new or innovative benefits shall include only benefits that are appropriate  to Medicare supplement insurance, are new or innovative, are not otherwise  available, and are cost-effective. Approval of new or innovative benefits must  not adversely impact the goal of Medicare supplement simplification. New or  innovative benefits shall not include an outpatient prescription drug benefit.  New or innovative benefits shall not be used to change or reduce benefits,  including a change of any cost-sharing provision, in any standardized plan.
    14VAC5-170-150. Required disclosure provisions.
    A. General rules. 
    1. Medicare supplement policies and certificates shall include  a renewal or continuation provision. The language or specifications of such  provision shall be consistent with the type of contract issued. The provision  shall be appropriately captioned, shall appear on the first page of the policy,  and shall include any reservation by the issuer of the right to change premiums  and any automatic renewal premium increases based on the policyholder's age.  Medicare supplement policies or certificates which are attained age rated shall  include a clear and prominent statement, in at least 14 point type, disclosing  that premiums will increase due to changes in age and the frequency under which  such changes will occur. 
    2. Except for riders or endorsements by which the issuer  effectuates a request made in writing by the insured, exercises a specifically  reserved right under a Medicare supplement policy, or is required to reduce or  eliminate benefits to avoid duplication of Medicare benefits, all riders or  endorsements added to a Medicare supplement policy after date of issue or at  reinstatement or renewal which reduce or eliminate benefits or coverage in the  policy shall require a signed acceptance by the insured. After the date of  policy or certificate issue, any rider or endorsement which increases benefits  or coverage with a concomitant increase in premium during the policy term shall  be agreed to in writing signed by the insured, unless the benefits are required  by the minimum standards for Medicare supplement policies, or if the increased  benefits or coverage is required by law. Where a separate additional premium is  charged for benefits provided in connection with riders or endorsements, the  premium charge shall be set forth in the policy. 
    3. Medicare supplement policies or certificates shall not  provide for the payment of benefits based on standards described as "usual  and customary," "reasonable and customary" or words of similar  import.
    4. If a Medicare supplement policy or certificate contains any  limitations with respect to preexisting conditions, such limitations shall  appear as a separate paragraph of the policy and be labeled as  "Preexisting Condition Limitations." 
    5. Medicare supplement policies and certificates shall have a  notice prominently printed on the first page of the policy or certificate or  attached thereto stating in substance that the policyholder or  certificateholder shall have the right to return the policy or certificate  within 30 days of its delivery and to have all premiums made for the policy  refunded if, after examination of the policy or certificate, the insured person  is not satisfied for any reason. 
    6. Issuers of accident and sickness policies or certificates  which provide hospital or medical expense coverage on an expense incurred or indemnity  basis to a person or persons eligible for Medicare shall provide to those  applicants a Guide to Health Insurance for People with Medicare in the form  developed jointly by the National Association of Insurance Commissioners and  the Centers for Medicare and Medicaid Services and in a type size no smaller  than 12 point type. Delivery of the guide shall be made whether or not such  policies or certificates are advertised, solicited or issued as Medicare  supplement policies or certificates as defined in this chapter. Except in the  case of direct response issuers, delivery of the guide shall be made to the  applicant at the time of application and acknowledgement of receipt of the  guide shall be obtained by the issuer. Direct response issuers shall deliver the  guide to the applicant upon request but not later than at the time the policy  is delivered. 
    For the purposes of this section, "form" means the  language, format, type size, type proportional spacing, bold character, and  line spacing. 
    B. Notice requirements. 
    1. As soon as practicable, but no later than 30 days prior to  the annual effective date of any Medicare benefit changes, an issuer shall  notify its policyholders and certificateholders of modifications it has made to  Medicare supplement insurance policies or certificates in a format acceptable  to the State Corporation Commission. The notice shall: 
    a. Include a description of revisions to the Medicare program  and a description of each modification made to the coverage provided under the  Medicare supplement policy or certificate; and 
    b. Inform each policyholder or certificateholder as to when  any premium adjustment is to be made due to changes in Medicare. 
    2. The notice of benefit modifications and any premium  adjustments shall be in outline form and in clear and simple terms so as to  facilitate comprehension. 
    3. Such notices shall not contain or be accompanied by any  solicitation. 
    C. Issuers shall comply with any notice requirements of the  Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (42 USC  § 1395w-101). 
    D. Outline of coverage requirements for Medicare Supplement  Policies.
    1. Issuers shall provide an outline of coverage to all  applicants at the time the application is presented to the prospective  applicant and, except for direct response policies, shall obtain an  acknowledgement of receipt of the outline from the applicant; and 
    2. If an outline of coverage is provided at the time of  application and the Medicare supplement policy or certificate is issued on a  basis which would require revision of the outline, a substitute outline of  coverage properly describing the policy or certificate shall accompany such  policy or certificate when it is delivered and contain the following statement,  in no less than 12 point type, immediately above the company name: 
    "NOTICE: Read this outline of coverage carefully. It is  not identical to the outline of coverage provided upon application and the  coverage originally applied for has not been issued." 
    3. The outline of coverage provided to applicants pursuant to  this section consists of four parts: a cover page, premium information,  disclosure pages, and charts displaying the features of each benefit plan  offered by the issuer. The outline of coverage shall be in the language and  format prescribed below in no less than 12 point type. All plans A through L  shall be shown on the cover page, and the plan(s) that are offered by the  issuer shall be prominently identified. Premium information for plans that are  offered shall be shown on the cover page or immediately following the cover  page and shall be prominently displayed. The premium and mode shall be stated  for all plans that are offered to the prospective applicant. All possible  premiums for the prospective applicant shall be illustrated. 
    4. The following items shall be included in the outline of  coverage in the order prescribed in the following table. 
    Rev. 8/05 
         
          [COMPANY NAME] 
    Outline of Medicare Supplement Coverage-Cover Page: 1 of 2  Benefit Plan(s) _________ [insert letter(s) of plan(s) being offered] 
    *These charts show the benefits included in each of the  Standard Medicare Supplemental plans. Every company must make available Plan  "A." Some plans may not be available in your state. 
    See outlines of coverages section for details about all  plans. 
    Basic Benefits: For Plans A—J. 
    Hospitalization: Part A coinsurance plus coverage for 365  additional days after Medicare benefits end. 
    Medical Expenses: Part B coinsurance (generally 20% of Medicare-approved  expenses) or copayments for hospital outpatient services. 
    Blood: First three pints of blood each year. 
           |      A      |          B      |          C      |          D      |          E      |          F      |          F*      |          G      |          H      |          I      |          J      |          J*      |    
       |      Basic Benefit      |          Basic Benefit      |          Basic Benefit      |          Basic Benefit      |          Basic Benefit      |          Basic Benefit      |          Basic Benefit      |          Basic Benefit      |          Basic Benefit      |          Basic Benefit      |    
       |             |                 |          Skilled Nursing Facility    Coinsurance      |          Skilled Nursing Facility    Coinsurance      |          Skilled Nursing Facility    Coinsurance      |          Skilled Nursing Facility    Coinsurance      |          Skilled Nursing Facility    Coinsurance      |          Skilled Nursing Facility Coinsurance      |          Skilled Nursing Facility    Coinsurance      |          Skilled Nursing Facility    Coinsurance      |    
       |             |          Part A Deductible      |          Part A Deductible      |          Part A Deductible      |          Part A Deductible      |          Part A Deductible      |          Part A Deductible      |          Part A Deductible      |          Part A Deductible      |          Part A Deductible      |    
       |             |                 |          Part B Deductible      |                 |                 |          Part B Deductible      |                 |                 |                 |          Part B Deductible      |    
       |             |                 |                 |                 |                 |          Part B Excess (100%)      |          Part B Excess (80%)      |                 |          Part B Excess (100%)      |          Part B Excess (100%)      |    
       |             |                 |          Foreign Travel Emergency      |          Foreign Travel Emergency      |          Foreign Travel Emergency      |          Foreign Travel Emergency      |          Foreign Travel Emergency      |          Foreign Travel Emergency      |          Foreign Travel Emergency      |          Foreign Travel Emergency      |    
       |             |                 |                 |          At-Home Recovery      |                 |                 |          At-Home Recovery      |                 |          At-Home Recovery      |          At-Home Recovery      |    
       |             |                 |                 |                 |          Preventive Care not covered    by Medicare      |                 |                 |                 |                 |          Preventive Care not covered    by Medicare      |    
  
    *Plans F and J also have an  option called a high deductible Plan F and a high deductible Plan J. These high  deductible plans pay the same benefits as Plans F and J after one has paid a  calendar year $1,730 deductible. Benefits from high deductible Plans F and J  will not begin until out-of-pocket expenses exceed $1,730. Out-of-pocket  expenses for this deductible are expenses that would ordinarily be paid by the  policy. These expenses include the Medicare deductibles for Part A and Part B,  but do not include the plan’s separate foreign travel emergency deductible.
    [COMPANY NAME] 
  Outline of Medicare Supplement Coverage-Cover Page 2 
    Basic Benefits for Plans K and L include similar services  as plans A-J, but cost-sharing for the basic benefits is at different levels. 
           |      J      |          K**      |          L**      |    
       |      Basic Benefits      |          100% of Part A Hospitalization Coinsurance plus coverage    for 365 days after Medicare benefits end     50% Hospice cost-sharing     50% of Medicare-eligible expenses for the first three pints    of blood     50% Part B Coinsurance, except 100% Coinsurance for Part    B Preventive Services      |          100% of Part A Hospitalization Coinsurance plus coverage    for 365 days after Medicare benefits end     75% Hospice cost-sharing     75% of Medicare-eligible expenses for the first three    pints of blood     75% Part B Coinsurance, except 100% Coinsurance for Part    B Preventive Services      |    
       |      Skilled Nursing Facility Coinsurance      |          50% Skilled Nursing Facility Coinsurance      |          75% Skilled Nursing Facility Coinsurance      |    
       |      Part A Deductible      |          50% Part A Deductible      |          75% Part A Deductible      |    
       |      Part B Deductible      |                 |                 |    
       |      Part B Excess (100%)      |                 |                 |    
       |      Foreign Travel Emergency      |                 |                 |    
       |      At-Home Recovery      |                 |                 |    
       |      Preventive Care NOT covered by Medicare      |                 |                 |    
       |             |          $4,000 Out of Pocket Annual Limit***      |          $2,000 Out of Pocket Annual Limit***      |    
  
    **Plans K and L provide for  different cost-sharing for items and services than Plans A – J.
    Once you reach the annual limit, the plan pays 100% of the  Medicare copayments, coinsurance, and deductibles for the rest of the calendar  year. The out-of-pocket annual limit does NOT include charges from your  provider that exceed Medicare-approved amounts, called "Excess  Charges." You will be responsible for paying excess charges.
    ***The out-of-pocket annual limit will increase each year  for inflation.
    See Outlines of Coverage for details and exceptions.
    Benefit Chart of Medicare Supplement Plans Sold  [ with Effective Dates ] on or after June 1, 2010 
    This chart shows the benefits included in each of the  standard Medicare supplement plans. Every company must make Plan A available. 
    Some plans may not be available in your state.
    Plans E, H, I and J are no longer available for sale after  June 1, 2010. [ [This sentence shall not appear after June 1,  2011.] ] 
    Basic benefits:
    Hospitalization – Part A coinsurance plus coverage for 365  additional days after Medicare benefits end.
    Medical expenses – Part B coinsurance (generally 20% of  Medicare-approved expenses) or copayments for hospital outpatient services.  Plans K, L and N require insureds to pay a portion of Part B coinsurance or  copayments.
    Blood – First three pints of blood each year.
    Hospice – Part A coinsurance.
           |      A      |          B      |          C      |          D      |          F      |          F*      |          G      |          K      |          L      |          M      |          N      |    
       |      Basic,      including 100% Part B coinsurance      |          Basic,     including 100% Part B coinsurance      |          Basic,     including 100% Part B coinsurance      |          Basic,     including 100% Part B coinsurance      |          Basic,     including 100% Part B coinsurance*      |          Basic,     including 100% Part B coinsurance      |          Hospitalization and    preventive care paid at 100%; other basic benefits paid at 50%      |          Hospitalization and    preventive care paid at 100%; other basic benefits paid at 75%      |          Basic,      including 100% Part B coinsurance      |          Basic,     including 100% Part B coinsurance, except up to $20 copayment for office    visit, and up to $50 copayment for ER      |    
       |             |                 |          Skilled nursing facility    coinsurance      |          Skilled nursing facility    coinsurance      |          Skilled nursing facility    coinsurance      |          Skilled nursing facility    coinsurance      |          50% skilled nursing    facility coinsurance      |          75% skilled nursing    facility coinsurance      |          Skilled nursing facility    coinsurance      |          Skilled nursing facility    coinsurance      |    
       |             |          Part A deductible      |          Part A deductible      |          Part A deductible      |          Part A deductible      |          Part A deductible      |          50% Part A deductible      |          75% Part A deductible      |          50% Part A deductible      |          Part A deductible      |    
       |             |                 |          Part B deductible      |                 |          Part B deductible      |                 |                 |                 |                 |                 |    
       |             |                 |                 |                 |          Part B excess (100%)      |          Part B excess (100%)      |                 |                 |                 |                 |    
       |             |                 |          Foreign travel emergency      |          Foreign travel emergency      |          Foreign travel emergency      |          Foreign travel emergency      |                 |                 |          Foreign travel emergency      |          Foreign travel emergency      |    
       |             |                 |                 |                 |                 |                 |          Out-of-pocket limit $4,620;    paid at 100% after limit reached      |          Out-of-pocket limit $2,310;    paid at 100% after limit reached      |                 |                 |    
  
    *Plan F also has an option  called a high deductible Plan F. This high deductible plan pays the same  benefits as Plan F after one has paid a calendar year $2,000 deductible.  Benefits from high deductible Plan F will not begin until out-of-pocket  expenses exceed $2,000. Out-of-pocket expenses for this deductible are expenses  that would ordinarily be paid by the policy. These expenses include the  Medicare deductibles for Part A and Part B, but do not include the plan's  separate foreign travel emergency deductible. 
    PREMIUM INFORMATION 
    Boldface Type 
    We [insert issuer's name] can only raise your premium if we  raise the premium for all policies like yours in this Commonwealth. [If the  premium is based on attained age of the insured, include the following information:  
    1. When premiums will change; 
    2. The current premium for all ages; 
    3. A statement that premiums for other Medicare Supplement  policies that are issue age or community rated do not increase due to changes  in your age; and 
    4. A statement that while the cost of this policy at the  covered individual's present age may be lower than the cost of a Medicare  supplement policy that is based on issue age or community rated, it is  important to compare the potential cost of these policies over the life of the policy.]  
    DISCLOSURES 
    Boldface Type 
    Use this outline to compare benefits and premiums among  policies.
    This outline shows benefits and premiums of policies sold  for effective dates on or after June 1, 2010. Policies sold for effective dates  prior to June 1, 2010, have different benefits and premiums. Plans E, H, I and  J are no longer available for sale after June 1, 2010. [ [This  paragraph shall not appear after June 1, 2011.] ] 
    READ YOUR POLICY VERY CAREFULLY 
    Boldface Type 
    This is only an outline describing your policy's most  important features. The policy is your insurance contract. You must read the  policy itself to understand all of the rights and duties of both you and your  insurance company. 
    RIGHT TO RETURN POLICY 
    Boldface Type 
    If you find that you are not satisfied with your policy, you  may return it to [insert issuer's address]. If you send the policy back to us  within 30 days after you receive it, we will treat the policy as if it had  never been issued and return all of your payments. 
    POLICY REPLACEMENT 
    Boldface Type 
    If you are replacing another health insurance policy, do NOT  cancel it until you have actually received your new policy and are sure you  want to keep it. 
    NOTICE 
    Boldface Type 
    This policy may not fully cover all of your medical costs. 
    [for agents:] 
    Neither [insert company's name] nor its agents are connected  with Medicare. 
    [for direct response:] 
    [insert company's name] is not connected with Medicare. 
    This outline of coverage does not give all the details of  Medicare coverage. Contact your local Social Security Office or consult  "Medicare & You" for more details. 
    COMPLETE ANSWERS ARE VERY IMPORTANT 
    Boldface Type 
    When you fill out the application for the new policy, be sure  to answer truthfully and completely all questions about your medical and health  history. The company may cancel your policy and refuse to pay any claims if you  leave out or falsify important medical information. [If the policy or  certificate is guaranteed issue, this paragraph need not appear.] 
    Review the application carefully before you sign it. Be  certain that all information has been properly recorded. 
    [Include for each plan prominently identified in the cover  page, a chart showing the services, Medicare payments, plan payments and  insured payments for each plan, using the same language, in the same order,  using uniform layout and format as shown in the charts below. No more than four  plans may be shown on one chart. For purposes of illustration, charts for each  plan are included in this regulation. An issuer may use additional benefit plan  designations on these charts pursuant to 14VAC5-170-80 14VAC5-170-85.]  
    [Include an explanation of any innovative benefits on the  cover page and in the chart, in a manner approved by the State Corporation  Commission.] 
    Rev. 8/05 
    PLAN A 
  MEDICARE (PART A) - HOSPITAL SERVICES - PER BENEFIT PERIOD 
    *A benefit period begins on  the first day you receive service as an inpatient in a hospital and ends after  you have been out of the hospital and have not received skilled care in any  other facility for 60 days in a row.
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOSPITALIZATION*     Semiprivate room and board, general nursing and    miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $912 $1,068      |          $0      |          $912 $1,068 (Part A Deductible)      |    
       |      61st thru 90th day      |          All but $228 $267 a day      |          $228 $267 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $456 $534 a day      |          $456 $534 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare Eligible Expenses      |          $0**      |    
       |             |          Beyond the Additional 365 days      |          $0      |          $0      |          All Costs      |    
       |      SKILLED NURSING FACILITY CARE*     You must meet Medicare's requirements, including having been    in a hospital for at least 3 days and entered a Medicare-approved facility    within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $114 $133.50 a day      |          $0      |          Up to $114 $133.50 a day      |    
       |      101st day and after      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          3 pints      |          $0      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      Available as long as your doctor certifies you are    terminally ill and you elect to receive these services You must meet    Medicare's requirements, including a doctor's certification of terminal    illness.      |          All but very limited copayment/coinsurance for    outpatient drugs and inpatient respite care      |          $0 Medicare copayment/coinsurance      |          Balance $0      |    
        |      |      |      |      |      |    
  
    **NOTICE: When your Medicare  Part A hospital benefits are exhausted, the insurer stands in the place of  Medicare and will pay whatever amount Medicare would have paid for up to an  additional 365 days as provided in the policy's "core benefits."  During this time the hospital is prohibited from billing you for the balance  based on any difference between its billed charges and the amount Medicare  would have paid.
    PLAN A
  MEDICARE (PART B) - MEDICAL SERVICES - PER CALENDAR YEAR
    *Once you have been billed $110  $135 of Medicare-Approved amounts for covered services (which are noted  with an asterisk), your Part B Deductible deductible will have  been met for the calendar year.
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      MEDICAL EXPENSES - IN    OR OUT OF THE HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT, such as physician's    services, inpatient and outpatient medical and surgical services and    supplies, physical and speech therapy, diagnostic tests, durable medical    equipment      |                 |                 |                 |    
       |      First $110 $135 of Medicare-Approved Amounts*      |          $0      |          $0      |          $110 $135 (Part B deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 20%      |          $0      |    
       |      PART B EXCESS CHARGES      |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          All Costs      |          $0      |    
       |      Next $110 $135 of Medicare-Approved Amounts*      |          $0      |          $0      |          $110 $135 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      CLINICAL LABORATORY SERVICES      |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    PARTS A & B
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES      |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 $135 of Medicare-Approved Amounts*      |          $0      |          $0      |          $110 $135 (Part B Deductible)      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
  
    Rev. 8/05 
    PLAN B 
  MEDICARE (PART A)—HOSPITAL SERVICES—PER BENEFIT PERIOD 
    *A benefit period begins on  the first day you receive service as an inpatient in a hospital and ends after  you have been out of the hospital and have not received skilled care in any  other facility for 60 days in a row. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOSPITALIZATION*     Semiprivate room and board,    general nursing and miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $912 $1,068      |          $912 $1,068 (Part A Deductible)      |          $0      |    
       |      61st thru 90th day      |          All but $228 $267 a day      |          $228 $267 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $456 $534 a day      |          $456 $534 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare Eligible Expenses      |          $0**      |    
       |             |          Beyond the Additional 365 days      |          $0      |          $0      |          All Costs      |    
       |      SKILLED NURSING FACILITY CARE*     You must meet Medicare's requirements, including having been    in a hospital for at least 3 days and entered a Medicare-approved facility    within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $114 $133.50 a day      |          $0      |          Up to $114 $133.50 a day      |    
       |      101st day and after      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          3 pints      |          $0      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      Available as long as your doctor certifies you are    terminally ill and you elect to receive these services You must meet    Medicare's requirements, including a doctor's certification of terminal    illness.      |          All but very limited copayment/coinsurance for    outpatient drugs and inpatient respite care      |          $0 Medicare copayment/coinsurance       |          Balance $0      |    
        |      |      |      |      |      |    
  
    **NOTICE: When your Medicare  Part A hospital benefits are exhausted, the insurer stands in the place of  Medicare and will pay whatever amount Medicare would have paid for up to an  additional 365 days as provided in the policy's "core benefits."  During this time the hospital is prohibited from billing you for the balance  based on any difference between its billed charges and the amount Medicare  would have paid.
    PLAN B 
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    *Once you have been billed $110 $135 of  Medicare-Approved amounts for covered services (which are noted with an  asterisk), your Part B deductible will have been met for the calendar year. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      MEDICAL EXPENSES - IN OR OUT OF THE HOSPITAL AND    OUTPATIENT HOSPITAL TREATMENT, such as physician's services, inpatient and    outpatient medical and surgical services and supplies, physical and speech    therapy, diagnostic tests, durable medical equipment       |                 |                 |                 |    
       |      First $110 $135 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 $135 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 20%      |          $0      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          All Costs      |          $0      |    
       |      Next $110 $135 of Medicare-Approved Amounts*      |          $0      |          $0      |          $110 $135 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 $135 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 $135 (Part B Deductible)      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
  
    Rev. 8/05 
    PLAN C 
  MEDICARE (PART A)—HOSPITAL SERVICES—PER BENEFIT PERIOD 
    *A benefit period begins on  the first day you receive service as an inpatient in a hospital and ends after  you have been out of the hospital and have not received skilled care in any  other facility for 60 days in a row. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOSPITALIZATION*     Semiprivate room and board,    general nursing and miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $912 $1,068      |          $912 $,1068 (Part A Deductible)      |          $0      |    
       |      61st thru 90th day      |          All but $228 $267 a day      |          $228 $267 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $456 $534 a day      |          $456 $534 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare eligible expenses      |          $0**      |    
       |             |          Beyond the additional 365 days      |          $0      |          $0      |          All Costs      |    
       |      SKILLED NURSING FACILITY CARE*     You must meet Medicare's requirements, including having been    in a hospital for at least 3 days and entered a Medicare-approved facility    within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $114 $133.50 a day      |          Up to $114 $133.50 a day      |          $0      |    
       |      101st day and after      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          3 pints      |          $0      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      Available as long as your doctor certifies you are    terminally ill and you elect to receive these services You must meet    Medicare's requirements, including a doctor's certification of terminal    illness.      |          All but very limited copayment/coinsurance for    outpatient drugs and inpatient respite care      |          $0 Medicare copayment/coinsurance      |          Balance $0      |    
        |      |      |      |      |      |    
  
    **NOTICE: When your Medicare  Part A hospital benefits are exhausted, the insurer stands in the place of  Medicare and will pay whatever amount Medicare would have paid for up to an  additional 365 days as provided in the policy's "core benefits."  During this time the hospital is prohibited from billing you for the balance  based on any difference between its billed charges and the amount Medicare  would have paid.
    PLAN C 
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    *Once you have been billed $110 $135 of  Medicare-Approved amounts for covered services (which are noted with an  asterisk), your Part B Deductible deductible will have been met  for the calendar year. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      MEDICAL EXPENSES - IN OR OUT OF THE HOSPITAL AND    OUTPATIENT HOSPITAL TREATMENT, such as physician's services, inpatient and    outpatient medical and surgical services and supplies, physical and speech    therapy, diagnostic tests, durable medical equipment      |                 |                 |                 |    
       |      First $110 $135 of Medicare-Approved Amounts*       |          $0      |          $110 $135 (Part B Deductible)      |          $0      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 20%      |          $0      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          All Costs      |          $0      |    
       |      Next $110 $135 of Medicare-Approved Amounts*      |          $0      |          $110 $135 (Part B Deductible)      |          $0      |    
       |      Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 $135 of Medicare-Approved Amounts*       |          $0      |          $110 $135 (Part B Deductible)      |          $0      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
  
    OTHER BENEFITS—NOT COVERED BY MEDICARE 
           |      FOREIGN TRAVEL -      NOT COVERED BY MEDICARE       |                 |                 |                 |    
       |      Medically necessary emergency care services beginning during    the first 60 days of each trip outside the USA      |                 |                 |                 |    
       |             |          First $250 each calendar year      |          $0      |          $0      |          $250      |    
       |             |          Remainder of Charges      |          $0      |          80% to a lifetime maximum benefit of $50,000      |          20% and amounts over the $50,000 lifetime maximum      |    
  
    Rev. 8/05 
    PLAN D 
  MEDICARE (PART A)—HOSPITAL SERVICES—PER BENEFIT PERIOD 
    *A benefit period begins on the first day you receive service  as an inpatient in a hospital and ends after you have been out of the hospital  and have not received skilled care in any other facility for 60 days in a row. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOSPITALIZATION*     Semiprivate room and board, general nursing and    miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $912 $1,068      |          $912 $1,068 (Part A Deductible)      |          $0      |    
       |      61st thru 90th day      |          All but $228 $267 a day      |          $228 $267 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $456 $534 a day      |          $456 $534 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare Eligible Expenses      |          $0**      |    
       |             |          Beyond the Additional 365 days      |          $0      |          $0      |          All Costs      |    
       |      SKILLED NURSING FACILITY CARE*     You must meet Medicare's requirements, including having been    in a hospital for at least 3 days and entered a Medicare-approved facility    within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $114 $133.50 a day      |          Up to $114 $133.50 a day      |          $0      |    
       |      101st day and after      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          3 pints      |          $0      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      Available as long as your doctor certifies you are    terminally ill and you elect to receive these services You must meet    Medicare's requirements, including a doctor's certification of terminal    illness.      |          All but very limited copayment/coinsurance for    outpatient drugs and inpatient respite care      |          $0 Medicare copayment/coinsurance      |          Balance $0      |    
        |      |      |      |      |      |    
  
    **NOTICE: When your  Medicare Part A hospital benefits are exhausted, the insurer stands in the  place of Medicare and will pay whatever amount Medicare would have paid for up  to an additional 365 days as provided in the policy's "core  benefits." During this time the hospital is prohibited from billing you  for the balance based on any difference between its billed charges and the  amount Medicare would have paid.
    PLAN D 
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    *Once you have been billed $110 $135 of  Medicare-Approved amounts for covered services (which are noted with an  asterisk), your Part B Deductible will have been met for the calendar year. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      MEDICAL EXPENSES - IN OR OUT OF THE HOSPITAL AND    OUTPATIENT HOSPITAL TREATMENT, such as physician's services, inpatient and    outpatient medical and surgical services and supplies, physical and speech    therapy, diagnostic tests, durable medical equipment      |                 |                 |                 |    
       |      First $110 $135 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 $135 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 20%      |          $0      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          All Costs      |          $0      |    
       |      Next $110 $135 of Medicare-Approved Amounts*      |          $0      |          $0      |          $110 $135 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 $135 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 $135 (Part B Deductible)      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      AT-HOME RECOVERY SERVICES - NOT COVERED BY MEDICARE      |                 |                 |                 |    
       |      Home care certified by your doctor, for personal care    during recovery from an injury or sickness for which Medicare-approved a Home    Care Treatment Plan       |                 |                 |                 |    
       |      Benefit for each visit      |          $0      |          Actual charges to $40 a visit      |          Balance      |    
       |      Number of visits covered (must be received within 8 weeks    of last Medicare-Approved visit)      |          $0      |          Up to the number of Medicare-approved visits not to    exceed 7 each week      |                 |    
       |      Calendar year maximum      |          $0      |          $1,600      |                 |    
  
    OTHER BENEFITS—NOT COVERED BY MEDICARE 
           |      FOREIGN TRAVEL -      NOT COVERED BY MEDICARE       |                 |                 |                 |    
       |      Medically necessary emergency care services beginning during    the first 60 days of each trip outside the USA      |                 |                 |                 |    
       |             |          First $250 each calendar year      |          $0      |          $0      |          $250      |    
       |             |          Remainder of Charges      |          $0      |          80% to a lifetime maximum benefit of $50,000      |          20% and amounts over the $50,000 lifetime maximum      |    
  
    Rev. 8/05 
    PLAN E 
  MEDICARE (PART A)—HOSPITAL SERVICES—PER BENEFIT PERIOD 
    *A benefit period begins on the first day you receive  service as an inpatient in a hospital and ends after you have been out of the  hospital and have not received skilled care in any other facility for 60 days  in a row. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOSPITALIZATION*     Semiprivate room and board, general nursing and    miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $912      |          $912 (Part A Deductible)      |          $0      |    
       |      61st thru 90th day      |          All but $228 a day      |          $228 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $456 a day      |          $456 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare eligible expenses      |          $0      |    
       |             |          Beyond the additional 365 days      |          $0      |          $0      |          All costs      |    
       |      SKILLED NURSING FACILITY CARE*     You must meet Medicare's requirements, including having    been in a hospital for at least 3 days and entered a Medicare-approved    facility within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $114 a day      |          Up to $114 a day      |          $0      |    
       |      101st day and after      |          $0      |          $0      |          All costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          3 pints      |          $0      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      Available as long as your doctor certifies you are    terminally ill and you elect to receive these services      |          All but very limited coinsurance for outpatient drugs and    inpatient respite care      |          $0      |          Balance      |    
        |      |      |      |      |      |    
  
    PLAN E 
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    *Once you have been billed $110 of Medicare-Approved  amounts for covered services (which are noted with an asterisk), your Part B  Deductible will have been met for the calendar year. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      MEDICAL EXPENSES - IN OR OUT OF THE    HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT, such as physician's services,    inpatient and outpatient medical and surgical services and supplies, physical    and speech therapy, diagnostic tests, durable medical equipment      |                 |                 |                 |    
       |      First $110 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 20%      |          $0      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          $0      |          All costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          All costs      |          $0      |    
       |      Next $110 of Medicare-Approved Amounts*      |          $0      |          $0      |          $110 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOME HEALTH CARE         MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 (Part B Deductible)      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
  
    Rev. 8/05 
    PLAN E 
  OTHER BENEFITS—NOT COVERED BY MEDICARE 
           |      FOREIGN TRAVEL -      NOT COVERED BY MEDICARE       |                 |                 |                 |    
       |      Medically necessary emergency care services beginning    during the first 60 days of each trip outside the USA      |                 |                 |                 |    
       |             |          First $250 each calendar year      |          $0      |          $0      |          $250      |    
       |             |          Remainder of Charges      |          $0      |          80% to a lifetime maximum benefit of $50,000      |          20% and amounts over the $50,000 lifetime maximum      |    
       |      ***PREVENTIVE MEDICAL CARE BENEFIT -      NOT COVERED BY MEDICARE      |                 |                 |                 |    
       |      Some annual physical and preventive tests and services    administered or ordered by your doctor when not covered by Medicare      |                 |                 |                 |    
       |             |          First $120 each calendar year      |          $0      |          $120      |          $0      |    
       |             |          Additional charges      |          $0      |          $0      |          All costs      |    
  
    ***Medicare benefits are  subject to change. Please consult the latest Guide to Health Insurance for  People with Medicare. 
    Rev. 8/05 
    PLAN F or HIGH DEDUCTIBLE PLAN F 
  MEDICARE (PART A)—HOSPITAL SERVICES—PER BENEFIT PERIOD 
    *A benefit period begins on the first day you receive service  as an inpatient in a hospital and ends after you have been out of the hospital  and have not received skilled care in any other facility for 60 days in a row. 
    **This high deductible plan pays the same benefits as Plan F  after one has paid a calendar year $1730 $2,000 deductible.  Benefits from the high deductible Plan F will not begin until out-of-pocket  expenses are $1730 $2,000. Out-of-pocket expenses for this  deductible are expenses that would ordinarily be paid by the policy. This  includes the Medicare deductibles for Part A and Part B, but does not include  the plan's separate foreign travel emergency deductible. 
                |       SERVICES       |            MEDICARE PAYS       |            AFTER YOU PAY $1730 $2,000 DEDUCTIBLE,** PLAN     PAYS       |            IN ADDITION TO $1730 $2,000 DEDUCTIBLE,** YOU     PAY       |     
         |       HOSPITALIZATION*      Semiprivate room and board, general nursing and     miscellaneous services and supplies       |                    |                    |                    |     
         |       First 60 days       |            All but $912 $1,068       |            $912 $1,068 (Part A Deductible)       |            $0       |     
         |       61st thru 90th day       |            All but $228 $267 a day       |            $228 $267 a day       |            $0       |     
         |       91st day and after:       |                    |                    |                    |     
         |               |            While using 60 lifetime reserve days       |            All but $456 $534 a day       |            $456 $534 a day       |            $0       |     
         |       Once lifetime reserve days are used:       |                    |                    |                    |     
         |               |            Additional 365 days       |            $0       |            100% of Medicare Eligible Expenses       |            $0**       |     
         |               |            Beyond the Additional 365 days       |            $0       |            $0       |            All Costs       |     
         |       SKILLED NURSING FACILITY CARE*      You must meet Medicare's requirements, including having     been in a hospital for at least 3 days and entered a Medicare-approved     facility within 30 days after leaving the hospital       |                    |                    |                    |     
         |       First 20 days       |            All approved amounts       |            $0       |            $0       |     
         |       21st thru 100th day       |            All but $114 $133.50 a day       |            Up to $114 $133.50 a day       |            $0       |     
         |       101st day and after       |            $0       |            $0       |            All Costs       |     
         |       BLOOD       |                    |                    |                    |     
         |       First 3 pints       |            $0       |            3 pints       |            $0       |     
         |       Additional amounts       |            100%       |            $0       |            $0       |     
         |       HOSPICE CARE       |                    |                    |                    |     
         |       Available as long as your doctor certifies you are     terminally ill and you elect to receive these services You must meet     Medicare's requirements, including a doctor's certification of terminal     illness.       |            All but very limited copayment/coinsurance for     outpatient drugs and inpatient respite care       |            $0 Medicare copayment/coinsurance       |            Balance $0       |     
           |      |      |      |      |      |    
  
    **NOTICE: When your  Medicare Part A hospital benefits are exhausted, the insurer stands in the  place of Medicare and will pay whatever amount Medicare would have paid up to  an additional 365 days as provided in the policy's "core benefits."  During this time the hospital is prohibited from billing you for the balance  based on any difference between its billed charges and the amount Medicare  would have paid.
    PLAN F or HIGH DEDUCTIBLE PLAN F 
  MEDICARE (PART B) - MEDICAL SERVICES - PER CALENDAR YEAR 
    *Once you have been billed $110 $135 of  Medicare-Approved amounts for covered services (which are noted with an  asterisk), your Part B deductible will have been met for the calendar year. 
    **This high deductible plan pays the same benefits as Plan F  after one has paid a calendar year $1730 $2,000 deductible.  Benefits from the high deductible plan F will not begin until out-of-pocket  expenses are $1730 $2,000. Out-of-pocket expenses for this  deductible are expenses that would ordinarily be paid by the policy. This  includes the Medicare deductibles for Part A and Part B, but does not include  the plan's separate foreign travel emergency deductible. 
                |       SERVICES       |            MEDICARE PAYS       |            AFTER YOU PAY $1730 $2,000 DEDUCTIBLE,** PLAN     PAYS       |            IN ADDITION TO $1730 $2,000 DEDUCTIBLE,** YOU     PAY       |     
         |       MEDICAL EXPENSES - IN OR OUT OF THE HOSPITAL AND     OUTPATIENT HOSPITAL TREATMENT, such as physician's services, inpatient and     outpatient medical and surgical services and supplies, physical and speech     therapy, diagnostic tests, durable medical equipment       |                    |                    |                    |     
         |       First $110 $135 of Medicare-Approved amounts*            |            $0       |            $110 $135 (Part B Deductible)       |            $0       |     
         |       Remainder of Medicare-Approved amounts       |            Generally 80%       |            Generally 20%       |            $0       |     
         |       PART B EXCESS CHARGES        |                    |                    |                    |     
         |       (Above Medicare Approved Amounts)       |            $0       |            100%       |            $0       |     
         |       BLOOD       |                    |                    |                    |     
         |       First 3 pints       |            $0       |            All Costs       |            $0       |     
         |       Next $110 $135 of Medicare-Approved Amounts*       |            $0       |            $110 $135 (Part B Deductible)       |            $0       |     
         |       Remainder of Medicare-Approved Amounts       |            80%       |            20%       |            $0       |     
         |       CLINICAL LABORATORY SERVICES -        |                    |                    |                    |     
         |       TESTS FOR DIAGNOSTIC SERVICES       |            100%       |            $0       |            $0       |     
     
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          AFTER YOU PAY $2,000 DEDUCTIBLE,** PLAN PAYS      |          IN ADDITON TO $2,000 DEDUCTIBLE,** YOU PAY      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 $135 of Medicare-Approved Amounts*       |          $0      |          $110 $135 (Part B Deductible)      |          $0      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
  
    OTHER BENEFITS - NOT COVERED BY MEDICARE 
           |      FOREIGN TRAVEL -      NOT COVERED BY MEDICARE       |                 |                 |                 |    
       |      Medically necessary emergency care services beginning during    the first 60 days of each trip outside the USA      |                 |                 |                 |    
       |             |          First $250 each calendar year      |          $0      |          $0      |          $250      |    
       |             |          Remainder of charges      |          $0      |          80% to a lifetime maximum benefit of $50,000      |          20% and amounts over the $50,000 lifetime maximum      |    
  
    Rev. 8/05 
    PLAN G 
  MEDICARE (PART A)—HOSPITAL SERVICES—PER BENEFIT PERIOD 
    *A benefit period begins on the first day you receive service  as an inpatient in a hospital and ends after you have been out of the hospital  and have not received skilled care in any other facility for 60 days in a row. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOSPITALIZATION*     Semiprivate room and board, general nursing and    miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $912 $1,068      |          $912 $1,068 (Part A Deductible)      |          $0      |    
       |      61st thru 90th day      |          All but $228 $267 a day      |          $228 $267 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $456 $534 a day      |          $456 $534 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare Eligible Expenses      |          $0**      |    
       |             |          Beyond the Additional 365 days      |          $0      |          $0      |          All costs      |    
       |      SKILLED NURSING FACILITY CARE*     You must meet Medicare's requirements, including having been    in a hospital for at least 3 days and entered a Medicare-approved facility    within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $114 $133.50 a day      |          Up to $114 $133.50 a day      |          $0      |    
       |      101st day and after      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          3 pints      |          $0      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      Available as long as your doctor certifies you are    terminally ill and you elect to receive these services You must meet    Medicare's requirements, including a doctor's certification of terminal    illness.      |          All but very limited copayment/coinsurance for    outpatient drugs and inpatient respite care      |          $0 Medicare copayment/coinsurance      |          Balance $0      |    
        |      |      |      |      |      |    
  
    **NOTICE: When your Medicare Part A hospital benefits are  exhausted, the insurer stands in the place of Medicare and will pay whatever  amount Medicare would have paid for up to an additional 365 days as provided in  the policy's "core benefits." During this time the hospital is  prohibited from billing you for the balance based on any difference between its  billed charges and the amount Medicare would have paid.
    PLAN G 
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    *Once you have been billed $110 $135 of Medicare-Approved  amounts for covered services (which are noted with an asterisk), your Part B  deductible will have been met for the calendar year. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      MEDICAL EXPENSES - IN OR OUT OF THE HOSPITAL AND    OUTPATIENT HOSPITAL TREATMENT, such as physician's services, inpatient and    outpatient medical and surgical services and supplies, physical and speech    therapy, diagnostic tests, durable medical equipment      |                 |                 |                 |    
       |      First $110 $135 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 $135 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 20%      |          $0      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          80% 100%      |          20% $0      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          All costs      |          $0      |    
       |      Next $110 $135 of Medicare-Approved Amounts*      |          $0      |          $0      |          $110 $135 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 $135 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 $135 (Part B deductible)      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      AT-HOME RECOVERY SERVICES - NOT COVERED BY MEDICARE      |                 |                 |                 |    
       |      Home care certified by your doctor, for personal care    during recovery from an injury or sickness for which Medicare-approved a Home    Care Treatment Plan       |                 |                 |                 |    
       |      Benefit for each visit      |          $0      |          Actual charges to $40 a visit      |          Balance      |    
       |      Number of visits covered (must be received within 8 weeks    of last Medicare-approved visit)      |          $0      |          Up to the number of Medicare-approved visits not to    exceed 7 each week      |                 |    
       |      Calendar year maximum      |          $0      |          $1,600      |                 |    
  
    OTHER BENEFITS—NOT COVERED BY MEDICARE 
           |      FOREIGN TRAVEL -      NOT COVERED BY MEDICARE       |                 |                 |                 |    
       |      Medically necessary emergency care services beginning during    the first 60 days of each trip outside the USA      |                 |                 |                 |    
       |             |          First $250 each calendar year      |          $0      |          $0      |          $250      |    
       |             |          Remainder of Charges      |          $0      |          80% to a lifetime maximum benefit of $50,000      |          20% and amounts over the $50,000 lifetime maximum      |    
  
    Rev. 8/05 
    PLAN H 
  MEDICARE (PART A) - HOSPITAL SERVICES - PER BENEFIT PERIOD 
    *A benefit period begins on the first day you receive  service as an inpatient in a hospital and ends after you have been out of the  hospital and have not received skilled care in any other facility for 60 days  in a row. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOSPITALIZATION*     Semiprivate room and board, general nursing and    miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $912      |          $912 (Part A Deductible)      |          $0      |    
       |      61st thru 90th day      |          All but $228 a day      |          $228 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $456 a day      |          $456 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare Eligible Expenses      |          $0      |    
       |             |          Beyond the additional 365 days      |          $0      |          $0      |          All Costs      |    
       |      SKILLED NURSING FACILITY CARE*     You must meet Medicare's requirements, including having    been in a hospital for at least 3 days and entered a Medicare-approved    facility within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $114 a day      |          Up to $114 a day      |          $0      |    
       |      101st day and after      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          3 pints      |          $0      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      Available as long as your doctor certifies you are    terminally ill and you elect to receive these services      |          All but very limited coinsurance for outpatient drugs and    inpatient respite care      |          $0      |          Balance      |    
        |      |      |      |      |      |    
  
    PLAN H 
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    *Once you have been billed $110 of Medicare-Approved  amounts for covered services (which are noted with an asterisk), your Part B  Deductible will have been met for the calendar year. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      MEDICAL EXPENSES - IN OR OUT OF THE    HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT, such as physician's services,    inpatient and outpatient medical and surgical services and supplies, physical    and speech therapy, diagnostic tests, durable medical equipment      |                 |                 |                 |    
       |      First $110 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 20%      |          $0      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          0%      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          All Costs      |          $0      |    
       |      Next $110 of Medicare-Approved Amounts*      |          $0      |          $0      |          $110 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 (Part B Deductible)      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
  
    OTHER BENEFITS—NOT COVERED BY MEDICARE 
           |      FOREIGN TRAVEL -      NOT COVERED BY MEDICARE       |                 |                 |                 |    
       |      Medically necessary emergency care services beginning    during the first 60 days of each trip outside the USA      |                 |                 |                 |    
       |             |          First $250 each calendar year      |          $0      |          $0      |          $250      |    
       |             |          Remainder of charges      |          $0      |          80% to a lifetime maximum benefit of $50,000      |          20% and amounts over the $50,000 lifetime maximum      |    
  
    Rev. 8/05 
    PLAN I 
  MEDICARE (PART A)—HOSPITAL SERVICES—PER BENEFIT PERIOD 
    *A benefit period begins on  the first day you receive service as an inpatient in a hospital and ends after  you have been out of the hospital and have not received skilled care in any  other facility for 60 days in a row. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOSPITALIZATION*     Semiprivate room and    board, general nursing and miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $912      |          $912 (Part A Deductible)      |          $0      |    
       |      61st thru 90th day      |          All but $228 a day      |          $228 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $456 a day      |          $456 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare Eligible Expenses      |          $0      |    
       |             |          Beyond the additional 365 days      |          $0      |          $0      |          All Costs      |    
       |      SKILLED NURSING FACILITY CARE*     You must meet Medicare's requirements, including having    been in a hospital for at least 3 days and entered a Medicare-approved    facility within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $114 a day      |          Up to $114 a day      |          $0      |    
       |      101st day and after      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          3 pints      |          $0      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      Available as long as your doctor certifies you are    terminally ill and you elect to receive these services      |          All but very limited coinsurance for outpatient drugs and    inpatient respite care      |          $0      |          Balance      |    
        |      |      |      |      |      |    
  
    PLAN I 
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    *Once you have been billed $110 of Medicare-Approved  amounts for covered services (which are noted with an asterisk), your Part B  Deductible will have been met for the calendar year. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      MEDICAL EXPENSES - IN OR OUT OF THE    HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT, such as physician's services,    inpatient and outpatient medical and surgical services and supplies, physical    and speech therapy, diagnostic tests, durable medical equipment      |                 |                 |                 |    
       |      First $110 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 20%      |          $0      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          100%      |          $0      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          All Costs      |          $0      |    
       |      Next $110 of Medicare-Approved Amounts*      |          $0      |          $0      |          $110 (Part B Deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 of Medicare-Approved Amounts*       |          $0      |          $0      |          $110 (Part B Deductible)      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      AT-HOME RECOVERY SERVICES - NOT COVERED BY MEDICARE      |                 |                 |                 |    
       |      Home care certified by your doctor, for personal care    during recovery from an injury or sickness for which Medicare-approved a Home    Care Treatment Plan       |                 |                 |                 |    
       |      Benefit for each visit      |          $0      |          Actual charges to $40 a visit      |          Balance      |    
       |      Number of visits covered (must be received within 8 weeks    of last Medicare-Approved visit)      |          $0      |          Up to the number of Medicare-Approved visits not to    exceed 7 each week      |                 |    
       |      Calendar year maximum      |          $0      |          $1,600      |                 |    
  
    OTHER BENEFITS—NOT COVERED BY MEDICARE 
           |      FOREIGN TRAVEL -      NOT COVERED BY MEDICARE       |                 |                 |                 |    
       |      Medically necessary emergency care services beginning    during the first 60 days of each trip outside the USA      |                 |                 |                 |    
       |             |          First $250 each calendar year      |          $0      |          $0      |          $250      |    
       |             |          Remainder of charges      |          $0      |          80% to a lifetime maximum benefit of $50,000      |          20% and amounts over the $50,000 lifetime maximum      |    
  
    Rev. 8/05 
    PLAN J or HIGH DEDUCTIBLE PLAN J 
  MEDICARE (PART A) - HOSPITAL SERVICES - PER BENEFIT PERIOD 
    *A benefit period begins on the first day you receive  service as an inpatient in a hospital and ends after you have been out of the  hospital and have not received skilled care in any other facility for 60 days  in a row. 
    **This high deductible plan pays the same benefits as Plan  J after one has paid a calendar year $1730 deductible. Benefits from high  deductible plan J will not begin until out-of-pocket expenses are $1730.  Out-of-pocket expenses for this deductible are expenses that would ordinarily  be paid by the policy. This includes the Medicare deductibles for Part A and  Part B, but does not include the plan's separate foreign travel emergency  deductible. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOSPITALIZATION*     Semiprivate room and board, general nursing and    miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $912      |          $912 (Part A deductible)      |          $0      |    
       |      61st thru 90th day      |          All but $228 a day      |          $228 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $456 a day      |          $456 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare Eligible Expenses      |          $0      |    
       |             |          Beyond the Additional 365 days      |          $0      |          $0      |          All Costs      |    
       |      SKILLED NURSING FACILITY CARE*     You must meet Medicare's requirements, including having been    in a hospital for at least 3 days and entered a Medicare-approved facility    within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $114 a day      |          Up to $114 a day      |          $0      |    
       |      101st day and after      |          $0      |          $0      |          All Costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          3 pints      |          $0      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      Available as long as your doctor certifies you are    terminally ill and you elect to receive these services      |          All but very limited coinsurance for outpatient drugs and    inpatient respite care      |          $0      |          Balance      |    
        |      |      |      |      |      |    
  
    Rev. 8/05 
    PLAN J or HIGH DEDUCTIBLE PLAN J 
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    *Once you have been billed $110 of Medicare-Approved  amounts for covered services (which are noted with an asterisk), your Part B  Deductible will have been met for the calendar year. 
    **This high deductible plan pays the same benefits as Plan  J after one has paid a calendar year $1730 deductible. Benefits from high  deductible plan J will not begin until out-of-pocket expenses are $1730.  Out-of-pocket expenses for this deductible are expenses that would ordinarily  be paid by the policy. This includes the Medicare deductibles for Part A and  Part B, but does not include the plan's separate foreign travel emergency  deductible. 
           |      SERVICES      |          MEDICARE PAYS      |          AFTER YOU PAY $1730 DEDUCTIBLE,** PLAN PAYS      |          IN ADDITION TO $1730 DEDUCTIBLE,** YOU PAY      |    
       |      MEDICAL EXPENSES - IN OR OUT OF THE    HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT, such as physician's services,    inpatient and outpatient medical and surgical services and supplies, physical    and speech therapy, diagnostic tests, durable medical equipment      |                 |                 |                 |    
       |      First $110 of Medicare-Approved Amounts*       |          $0      |          $110 (Part B deductible)      |          $0      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 20%      |          $0      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          100%      |          $0      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          All Costs      |          $0      |    
       |      Next $110 of Medicare-Approved Amounts*      |          $0      |          $110 (Part B deductible)      |          $0      |    
       |      Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 of Medicare-Approved Amounts*       |          $0      |          $110 (Part B Deductible)      |          $0      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      AT-HOME RECOVERY SERVICES - NOT COVERED BY MEDICARE      |                 |                 |                 |    
       |      Home care certified by your doctor, for personal care    during recovery from an injury or sickness for which Medicare-approved a Home    Care Treatment Plan       |                 |                 |                 |    
       |      Benefit for each visit      |          $0      |          Actual charges to $40 a visit      |          Balance      |    
       |      Number of visits covered (must be received within 8 weeks    of last Medicare-Approved visit)      |          $0      |          Up to the number of Medicare-Approved visits not to    exceed 7 each week      |                 |    
       |      Calendar year maximum      |          $0      |          $1,600      |                 |    
  
    PLAN J or HIGH DEDUCTIBLE PLAN J 
  OTHER BENEFITS—NOT COVERED BY MEDICARE 
           |      SERVICES      |          MEDICARE PAYS      |          AFTER YOU PAY $1730 DEDUCTIBLE,** PLAN PAYS      |          IN ADDITION TO $1730 DEDUCTIBLE,** YOU PAY      |    
       |      FOREIGN TRAVEL -      NOT COVERED BY MEDICARE       |                 |                 |                 |    
       |      Medically necessary emergency care services beginning    during the first 60 days of each trip outside the USA      |                 |                 |                 |    
       |             |          First $250 each calendar year      |          $0      |          $0      |          $250      |    
       |             |          Remainder of Charges      |          $0      |          80% to a lifetime maximum benefit of $50,000      |          20% and amounts over the $50,000 lifetime maximum      |    
       |      ***PREVENTIVE MEDICAL CARE BENEFIT -      NOT COVERED BY MEDICARE      |                 |                 |                 |    
       |      Some annual physical and preventive tests and services    administered or ordered by your doctor when not covered by Medicare      |                 |                 |                 |    
       |             |          First $120 each calendar year      |          $0      |          $120      |          $0      |    
       |             |          Additional charges      |          $0      |          $0      |          All costs      |    
  
    ***Medicare benefits are  subject to change. Please consult the latest Guide to Health Insurance for  People with Medicare. 
    Eff. 8/05 
    PLAN K 
    *You will pay half the cost-sharing of some covered services  until you reach the annual out-of-pocket limit of $4000 $4,620  each calendar year. The amounts that count toward your annual limit are noted  with diamonds (♦) in the chart below. Once you reach the annual limit,  the plan pays 100% of your Medicare copayment and coinsurance for the rest of  the calendar year. However, this limit does NOT include charges from your  provider that exceed Medicare-approved amounts (these are called "Excess  Charges") and you will be responsible for paying this difference in the  amount charged by your provider and the amount paid by Medicare for the item or  service. 
    MEDICARE (PART A)—HOSPITAL SERVICES—PER BENEFIT PERIOD 
    **A benefit period begins on the first day you receive  service as an inpatient in a hospital and ends after you have been out of the  hospital and have not received skilled care in any other facility for 60 days  in a row. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY*      |    
       |      HOSPITALIZATION**     Semiprivate room and board, general nursing and    miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $912 $1,068      |          $456 $534 (50% of Part A deductible)      |          $456 $534 (50% of Part A deductible)♦      |    
       |      61st thru 90th day      |          All but $228 $267 a day      |          $228 $267 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $456 $534 a day      |          $456 $534 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare eligible expenses      |          $0***      |    
       |             |          Beyond the additional 365 days      |          $0      |          $0      |          All costs      |    
       |      SKILLED NURSING FACILITY CARE**     You must meet Medicare's requirements, including having been    in a hospital for at least 3 days and entered a Medicare-approved facility    within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $114 $133.50 a day      |          Up to $57 $66.75 a day      |          Up to $57 $66.75 a day♦      |    
       |      101st day and after      |          $0      |          $0      |          All costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          50%      |          50%♦      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      Available as long as your doctor certifies you are    terminally ill and you elect to receive these services You must meet    Medicare's requirements, including a doctor's certification of terminal    illness.       |          Generally, most Medicare-eligible expenses for    out-patient drugs and inpatient respite care All but very limited    copayment/coinsurance for outpatient drugs and inpatient respite care      |          50% of copayment/coinsurance or copayments      |          50% of Medicare copayment/coinsurance or    copayments♦      |    
        |      |      |      |      |      |    
  
    ***NOTICE: When your  Medicare Part A hospital benefits are exhausted, the insurer stands in the  place of Medicare and will pay whatever the amount Medicare would have paid for  up to an additional 365 days as provided in the policy's "core  benefits." During this time the hospital is prohibited from billing you  for the balance based on any difference between its billed charges and the  amount Medicare would have paid.
    PLAN K 
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    ****Once you have been billed $110 $135 of  Medicare-approved amounts for covered services (which are noted with an  asterisk), your Part B deductible will have been met for the calendar year. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY*      |    
       |      MEDICAL EXPENSES - IN OR OUT OF THE HOSPITAL AND    OUTPATIENT HOSPITAL TREATMENT, such as physician's services, inpatient and    outpatient medical and surgical services and supplies, physical and speech    therapy, diagnostic tests, durable medical equipment      |                 |                 |                 |    
       |      First $110 $135 of Medicare-Approved    Amounts****       |          $0      |          $0      |          $110 $135 (Part B deductible)****♦       |    
       |      Preventive Benefits for Medicare covered services      |          Generally 75% or more of Medicare-approved amounts      |          Remainder of Medicare-approved amounts      |          All costs above Medicare-approved amounts      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 10%      |          Generally 10%♦      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          $0      |          All costs (and they do not count toward annual out-of-pocket    limit of $4000)* $4620)*      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          50%      |          50%♦      |    
       |      Next $110 $135 of Medicare Approved    Amounts****      |          $0      |          $0      |          $110 $135 (Part B deductible)****♦      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 10%      |          Generally 10%♦      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    *This plan limits your annual out-of-pocket payments for  Medicare-approved amounts to $4000 $4,620 per year. However, this  limit does NOT include charges from your provider that exceed Medicare-approved  amounts (these are called "Excess Charges") and you will be  responsible for paying this difference in the amount charged by your provider and  the amount paid by Medicare for the item or service. 
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY*      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 $135 of Medicare-Approved    Amounts*****       |          $0      |          $0      |          $110 $135 (Part B deductible)♦      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          10%      |          10%♦      |    
  
    *****Medicare benefits are  subject to change. Please consult the latest Guide to Health Insurance for  People with Medicare. 
    Eff. 8/05 
    PLAN L 
    *You will pay one-fourth of the cost-sharing of some covered  services until you reach the annual out-of-pocket limit of $2000 $2,310  each calendar year. The amounts that count toward your annual limit are noted  with diamonds (♦) in the chart below. Once you reach the annual limit,  the plan pays 100% of your Medicare copayment and coinsurance for the rest of  the calendar year. However, this limit does NOT include charges from your  provider that exceed Medicare-approved amounts (these are called "Excess  Charges") and you will be responsible for paying this difference in the  amount charged by your provider and the amount paid by Medicare for the item or  service. 
    MEDICARE (PART A)—HOSPITAL SERVICES—PER BENEFIT PERIOD 
    **A benefit period begins on the first day you receive  service as an inpatient in a hospital and ends after you have been out of the  hospital and have not received skilled care in any other facility for 60 days  in a row. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY*      |    
       |      HOSPITALIZATION**     Semiprivate room and board, general nursing and    miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $912 $1,068      |          $684 $808.50 (75% of Part A deductible)      |          $228 $267 (25% of Part A deductible)♦      |    
       |      61st thru 90th day      |          All but $228 $267 a day      |          $228 $267 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $456 $534 a day      |          $456 $534 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare eligible expenses      |          $0***      |    
       |             |          Beyond the additional 365 days      |          $0      |          $0      |          All costs      |    
       |      SKILLED NURSING FACILITY CARE**     You must meet Medicare's requirements, including having been    in a hospital for at least 3 days and entered a Medicare-approved facility    within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $114 $133.50 a day      |          Up to $85.50 $100.13 a day      |          Up to $28.50 $33.38 a day♦      |    
       |      101st day and after      |          $0      |          $0      |          All costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          75%      |          25%♦      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      Available as long as your doctor certifies you are    terminally ill and you elect to receive these services You must meet    Medicare's requirements, including a doctor's certification of terminal    illness.      |          Generally, most Medicare eligible expenses for    out-patient drugs and inpatient respite care All but very limited    copayment/coinsurance for outpatient drugs and inpatient respite care      |          75% of copayment/coinsurance or copayments      |          25% of copayment/coinsurance or copayments♦      |    
        |      |      |      |      |      |    
  
    ***NOTICE: When your Medicare Part A hospital benefits are  exhausted, the insurer stands in the place of Medicare and will pay whatever  amount Medicare would have paid for up to an additional 365 days as provided in  the policy's "core benefits." During this time the hospital is  prohibited from billing you for the balance based on any difference between its  billed charge and the amount Medicare would have paid.
    PLAN L 
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    ****Once you have been billed $110 $135 of  Medicare-approved amounts for covered services (which are noted with an  asterisk), your Part B deductible will have been met for the calendar year. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY*      |    
       |      MEDICAL EXPENSES - IN OR OUT OF THE HOSPITAL AND    OUTPATIENT HOSPITAL TREATMENT, such as physician's services, inpatient and    outpatient medical and surgical services and supplies, physical and speech    therapy, diagnostic tests, durable medical equipment      |                 |                 |                 |    
       |      First $110 $135 of Medicare-Approved    Amounts****      |          $0      |          $0      |          $110 $135 (Part B deductible)****♦       |    
       |      Preventive Benefits for Medicare covered services      |          Generally 75% or more of Medicare-approved amounts      |          Remainder of Medicare-approved amounts      |          All costs above Medicare-approved amounts      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 15%      |          Generally 5%♦      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          $0      |          All costs (and they do not count toward annual out-of-pocket    limit of $2000)* $2,310)*      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          75%      |          25%♦      |    
       |      Next $110 $135 of Medicare Approved    Amounts****      |          $0      |          $0      |          $110 $135 (Part B deductible)♦      |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 15%      |          Generally 5%♦      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    *This plan limits your annual  out-of-pocket payments for Medicare-approved amounts to $2000 $2,310  per year. However, this limit does NOT include charges from your provider that  exceed Medicare-approved amounts (these are called "Excess Charges")  and you will be responsible for paying this difference in the amount charged by  your provider and the amount paid by Medicare for the item or service. 
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY*      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $110 $135 of Medicare-Approved    Amounts*****      |          $0      |          $0      |          $110 $135 (Part B deductible)♦      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          15%      |          5%♦      |    
  
    *****Medicare benefits are  subject to change. Please consult the latest Guide to Health Insurance for  People with Medicare. 
    PLAN M 
  MEDICARE (PART A)—HOSPITAL SERVICES—PER BENEFIT PERIOD 
    *A benefit period begins on the first day you receive  service as an inpatient in a hospital and ends after you have been out of the  hospital and have not received skilled care in any other facility for 60 days  in a row. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOSPITALIZATION*     Semiprivate room and board, general nursing and    miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $1,068      |          $534 (50% of Part A deductible)      |          $534 (50% of Part A deductible)      |    
       |      61st thru 90th day      |          All but $267 a day      |          $267 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $534 a day      |          $534 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare eligible expenses      |          $0**      |    
       |             |          Beyond the additional 365 days      |          $0      |          $0      |          All costs      |    
       |      SKILLED NURSING FACILITY CARE*     You must meet Medicare's requirements, including having    been in a hospital for at least 3 days and entered a Medicare-approved    facility within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $133.50 a day      |          Up to $133.50 a day      |          $0      |    
       |      101st day and after      |          $0      |          $0      |          All costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          3 pints      |          $0      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      You must meet Medicare's requirements, including a    doctor's certification of terminal illness.      |          All but very limited copayment/coinsurance for outpatient    drugs and inpatient respite care      |          Medicare copayment/coinsurance       |          $0      |    
        |      |      |      |      |      |    
  
    **NOTICE: When your Medicare Part A hospital benefits are  exhausted, the insurer stands in the place of Medicare and will pay whatever  amount Medicare would have paid for up to an additional 365 days as provided in  the policy's "core benefits." During this time the hospital is  prohibited from billing you for the balance based on any difference between its  billed charge and the amount Medicare would have paid.
    PLAN M
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    *Once you have been billed $135 of Medicare-approved  amounts for covered services (which are noted with an asterisk), your Part B  deductible will have been met for the calendar year. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      MEDICAL EXPENSES - IN OR OUT OF THE    HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT, such as physician's services,    inpatient and outpatient medical and surgical services and supplies, physical    and speech therapy, diagnostic tests, durable medical equipment      |                 |                 |                 |    
       |      First $135 of Medicare-Approved Amounts*      |          $0      |          $0      |          $135 (Part B deductible)       |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Generally 20%      |          $0      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          $0      |          All costs       |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          All costs      |          $0      |    
       |      Next $135 of Medicare Approved Amounts*      |          $0      |          $0      |          $135 (Part B deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $135 of Medicare-Approved Amounts*      |          $0      |          $0      |          $135 (Part B deductible)      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
  
    OTHER BENEFITS—NOT COVERED BY MEDICARE 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      FOREIGN TRAVEL -      NOT COVERED BY MEDICARE       |                 |                 |                 |    
       |      Medically necessary emergency care services beginning    during the first 60 days of each trip outside the USA      |                 |                 |                 |    
       |             |          First $250 each calendar year      |          $0      |          $0      |          $250      |    
       |             |          Remainder of Charges      |          $0      |          80% to a lifetime maximum benefit of $50,000      |          20% and amounts over the $50,000 lifetime maximum      |    
  
    PLAN N
  MEDICARE (PART A)—HOSPITAL SERVICES—PER BENEFIT PERIOD 
    *A benefit period begins on  the first day you receive service as an inpatient in a hospital and ends after  you have been out of the hospital and have not received skilled care in any  other facility for 60 days in a row. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOSPITALIZATION*     Semiprivate room and    board, general nursing and miscellaneous services and supplies      |                 |                 |                 |    
       |      First 60 days      |          All but $1,068      |          $1,068 (Part A deductible)      |          $0      |    
       |      61st thru 90th day      |          All but $267 a day      |          $267 a day      |          $0      |    
       |      91st day and after:      |                 |                 |                 |    
       |             |          While using 60 lifetime reserve days      |          All but $534 a day      |          $534 a day      |          $0      |    
       |             |          Once lifetime reserve days are used:      |                 |                 |                 |    
       |             |          Additional 365 days      |          $0      |          100% of Medicare eligible expenses      |          $0**      |    
       |             |          Beyond the additional 365 days      |          $0      |          $0      |          All costs      |    
       |      SKILLED NURSING FACILITY CARE*     You must meet Medicare's requirements, including having    been in a hospital for at least 3 days and entered a Medicare-approved    facility within 30 days after leaving the hospital      |                 |                 |                 |    
       |      First 20 days      |          All approved amounts      |          $0      |          $0      |    
       |      21st thru 100th day      |          All but $133.50 a day      |          Up to $133.50 a day      |          $0      |    
       |      101st day and after      |          $0      |          $0      |          All costs      |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          3 pints      |          $0      |    
       |      Additional amounts      |          100%      |          $0      |          $0      |    
       |      HOSPICE CARE      |                 |                 |                 |    
       |      You must meet Medicare's requirements, including a    doctor's certification of terminal illness.      |          All but very limited copayment/coinsurance for outpatient    drugs and inpatient respite care      |          Medicare copayment/coinsurance       |          $0      |    
        |      |      |      |      |      |    
  
    **NOTICE: When your Medicare Part A hospital benefits are  exhausted, the insurer stands in the place of Medicare and will pay whatever  amount Medicare would have paid for up to an additional 365 days as provided in  the policy's "core benefits." During this time the hospital is  prohibited from billing you for the balance based on any difference between its  billed charge and the amount Medicare would have paid.
    PLAN N 
  MEDICARE (PART B)—MEDICAL SERVICES—PER CALENDAR YEAR 
    *Once you have been billed  $135 of Medicare-approved amounts for covered services (which are noted with an  asterisk), your Part B deductible will have been met for the calendar year. 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      MEDICAL EXPENSES    - IN OR OUT OF THE HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT, such as    physician's services, inpatient and outpatient medical and surgical services    and supplies, physical and speech therapy, diagnostic tests, durable medical    equipment      |                 |                 |                 |    
       |      First $135 of Medicare-Approved Amounts*      |          $0      |          $0      |          $135 (Part B deductible)       |    
       |      Remainder of Medicare-Approved Amounts      |          Generally 80%      |          Balance, other than up to $20 per office visit and up to    $50 per emergency room visit. The copayment of up to $50 is waived if the    insured is admitted to any hospital and the emergency visit is covered as a    Medicare Part A expense.      |          Up to$20 per office visit and up to $50 per emergency    visit. The copayment of up to $50 is waived if the insured is admitted to any    hospital and the emergency room visit is covered as a Medicare Part A    expense.      |    
       |      PART B EXCESS CHARGES       |                 |                 |                 |    
       |      (Above Medicare-Approved Amounts)      |          $0      |          $0      |          All costs       |    
       |      BLOOD      |                 |                 |                 |    
       |      First 3 pints      |          $0      |          All costs      |          $0      |    
       |      Next $135 of Medicare Approved Amounts*      |          $0      |          $0      |          $135 (Part B deductible)      |    
       |      Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
       |      CLINICAL LABORATORY SERVICES -       |                 |                 |                 |    
       |      TESTS FOR DIAGNOSTIC SERVICES      |          100%      |          $0      |          $0      |    
  
    PARTS A & B 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      HOME HEALTH CARE      MEDICARE-APPROVED SERVICES       |                 |                 |                 |    
       |      Medically necessary skilled care services and medical    supplies      |          100%      |          $0      |          $0      |    
       |      Durable medical equipment      |                 |                 |                 |    
       |             |          First $135 of Medicare-Approved Amounts*      |          $0      |          $0      |          $135 (Part B deductible)      |    
       |             |          Remainder of Medicare-Approved Amounts      |          80%      |          20%      |          $0      |    
  
    OTHER BENEFITS—NOT COVERED BY MEDICARE 
           |      SERVICES      |          MEDICARE PAYS      |          PLAN PAYS      |          YOU PAY      |    
       |      FOREIGN TRAVEL -      NOT COVERED BY MEDICARE       |                 |                 |                 |    
       |      Medically necessary emergency care services beginning    during the first 60 days of each trip outside the USA      |                 |                 |                 |    
       |             |          First $250 each calendar year      |          $0      |          $0      |          $250      |    
       |             |          Remainder of Charges      |          $0      |          80% to a lifetime maximum benefit of $50,000      |          20% and amounts over the $50,000 lifetime maximum      |    
  
         
          E. Notice regarding policies or certificates which are not  Medicare supplement policies. 
    1. Any accident and sickness insurance policy or certificate  issued for delivery in this Commonwealth to persons eligible for Medicare,  other than a Medicare supplement policy, a policy issued pursuant to a contract  under § 1876 of the federal Social Security Act (42 USC § 1395 et seq.), a disability  income policy, or other policy identified in 14VAC5-170-20 B, shall notify  insureds under the policy that the policy is not a Medicare supplement policy  or certificate. The notice shall either be printed or attached to the first  page of the outline of coverage delivered to insureds under the policy, or if  no outline of coverage is delivered, to the first page of the policy, or  certificate delivered to insureds. The notice shall be in no less than 12 point  type and shall contain the following language: 
    "THIS [POLICY OR CERTIFICATE] IS NOT A MEDICARE  SUPPLEMENT [POLICY OR CONTRACT]. If you are eligible for Medicare, review the  Guide to Health Insurance for People with Medicare available from the  company." 
    2. Applications provided to persons eligible for Medicare for  the health insurance policies or certificates described in subdivision 1 of  this subsection shall disclose, using the applicable statement in Appendix C,  the extent to which the policy duplicates Medicare. The disclosure statement  shall be provided as a part of, or together with, the application for the  policy or certificate. 
    F. Notice requirements for attained age rated Medicare  supplement policies or certificates. Issuers of Medicare supplement policies or  certificates which use attained age rating shall provide a notice to all  prospective applicants at the time the application is presented, and except for  direct response policies or certificates, shall obtain an acknowledgement of  receipt of the notice from the applicant. The notice shall be in no less than  12 point type and shall contain the information included in Appendix D. The  notice shall be provided as part of, or together with, the application for the  policy or certificate. 
    14VAC5-170-215. Prohibition against use of genetic information  and requests for genetic testing.
    A. An issuer of a Medicare supplement policy or  certificate:
    1. Shall not deny or condition the issuance or  effectiveness of the policy or certificate (including the imposition of any  exclusion of benefits under the policy based on a preexisting condition) on the  basis of the genetic information with respect to such individual; and 
    2. Shall not discriminate in the pricing of the policy or  certificate (including the adjustment of premium rates) of an individual on the  basis of the genetic information with respect to such individual. 
    B. Nothing in subsection A of this section shall be  construed to limit the ability of an issuer, to the extent otherwise permitted  by law, from:
    1. Denying or conditioning the issuance or effectiveness of  the policy or certificate or increasing the premium for a group based on the  manifestation of a disease or disorder of an insured or applicant; or 
    2. Increasing the premium for any policy issued to an  individual based on the manifestation of a disease or disorder of an individual  who is covered under the policy (in such case, the manifestation of a disease  or disorder in one individual cannot also be used as genetic information about  other group members and to further increase the premium for the group).
    C. An issuer of a Medicare supplement policy or  certificate shall not request or require an individual or a family member of  such individual to undergo a genetic test. 
    D. Subsection C of this section shall not be construed to  preclude an issuer of a Medicare supplement policy or certificate from  obtaining and using the results of a genetic test in making a determination  regarding payment (as defined for the purposes of applying the regulations  promulgated under Part C of Title XI and § 264 of the Health Insurance  Portability and Accountability Act of 1996) and consistent with subsection A of  this section.
    E. For purposes of carrying out subsection D of this  section, an issuer of a Medicare supplement policy or certificate may request  only the minimum amount of information necessary to accomplish the intended  purpose. 
    F. Notwithstanding subsection C of this section, an issuer  of a Medicare supplement policy may request, but not require, that an  individual or a family member of such individual undergo a genetic test if each  of the following conditions is met: 
    1. The request is made pursuant to research that complies  with 45 CFR Part 46, and any applicable state or local law or regulations for  the protection of human subjects in research.
    2. The issuer clearly indicates to each individual, or in  the case of a minor child, to the legal guardian of such child, to whom the  request is made that:
    a. Compliance with the request is voluntary; and
    b. Noncompliance will have no effect on enrollment status  or premium or contribution amounts. 
    3. No genetic information collected or acquired under this  subsection shall be used for underwriting, determination of eligibility to  enroll or maintain enrollment status, premium rates, or the issuance, renewal,  or replacement of a policy or certificate. 
    4. The issuer notifies the U.S. Secretary of Health and  Human Services in writing that the issuer is conducting activities pursuant to  the exception provided for under this subsection, including a description of  the activities conducted. 
    5. The issuer complies with such other conditions as the  U.S. Secretary of Health and Human Services may by regulation require for  activities conducted under this subsection. 
    G. An issuer of a Medicare supplement policy or  certificate shall not request, require, or purchase genetic information for  underwriting purposes. 
    H. An issuer of a Medicare supplement policy or  certificate shall not request, require, or purchase genetic information with  respect to any individual prior to such individual’s enrollment under the  policy in connection with such enrollment. 
    I. If an issuer of a Medicare supplement policy or  certificate obtains genetic information incidental to the requesting,  requiring, or purchasing of other information concerning any individual, such  request, requirement, or purchase shall not be considered a violation of  subsection H of this section if such request, requirement, or purchase is not  in violation of subsection G of this section.
    J. For the purposes of this section only: 
    1. "Issuer of a Medicare supplement policy or  certificate" includes third-party administrator, or other person acting  for or on behalf of such issuer. 
    2. "Family member" means, with respect to an  individual, any other individual who is a first-degree, second-degree,  third-degree, or fourth-degree relative of such individual. 
    3. "Genetic information" means, with respect to  any individual, information about such individual’s genetic tests, the genetic  tests of family members of such individual, and the manifestation of a disease  or disorder in family members of such individual. Such term includes, with  respect to any individual, any request for, or receipt of, genetic services, or  participation in clinical research which includes genetic services, by such  individual or any family member of such individual. Any reference to genetic  information concerning an individual or family member of an individual who is a  pregnant woman, includes genetic information of any fetus carried by a pregnant  woman, or with respect to an individual or family member utilizing reproductive  technology, includes genetic information of any embryo legally held by an  individual or family member. The term "genetic information" does not  include information about the sex or age of any individual. 
    4. "Genetic services" means a genetic test,  genetic counseling (including obtaining, interpreting, or assessing genetic  information), or genetic education. 
    5. "Genetic test" means an analysis of human DNA,  RNA, chromosomes, proteins, or metabolites, that detect genotypes, mutations,  or chromosomal changes. The term "genetic test" does not mean an  analysis of proteins or metabolites that does not detect genotypes, mutations,  or chromosomal changes; or an analysis of proteins or metabolites that is  directly related to a manifested disease, disorder, or pathological condition  that could reasonably be detected by a health care professional with  appropriate training and expertise in the field of medicine involved. 
    6. "Underwriting purposes" means:
    a. Rules for, or determination of, eligibility (including  enrollment and continued eligibility) for benefits under the policy; 
    b. The computation of premium or contribution amounts under  the policy; 
    c. The application of any preexisting condition exclusion  under the policy; and
    d. Other activities related to the creation, renewal, or  replacement of a contract of health insurance or health benefits. 
    VA.R. Doc. No. R09-1737; Filed April 22, 2009, 11:43 a.m. 
TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
DEPARTMENT OF HEALTH PROFESSIONS
Final Regulation
        REGISTRAR'S NOTICE: The  Department of Health Professions is claiming an exclusion from the  Administrative Process Act in accordance with § 2.2-4006 A 4 a of the Code  of Virginia, which excludes regulations that are necessary to conform to  changes in Virginia statutory law where no agency discretion is involved. The  Department of Health Professions will receive, consider and respond to  petitions by any interested person at any time with respect to reconsideration  or revision.
         Title of Regulation: 18VAC76-40. Regulations  Governing Emergency Contact Information (amending 18VAC76-40-20).
    Statutory Authority: §§ 54.1-2400 and 54.1-2506.1  of the Code of Virginia.
    Effective Date: July 1, 2009.
    Agency Contact: Elaine J. Yeatts, Senior Policy Analyst,  Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, VA  23233-1463, telephone (804) 367-4688, FAX (804) 527-4475, or email  elaine.yeatts@dhp.virginia.gov.
    Summary:
    The current regulation states that emergency contact  information provided by a health care professional is used only in the event of  a public health emergency or for the purpose of disseminating notification of a  public health emergency. The amendment extends the use of such information for  the dissemination of public health information or for providing information  related to serving during a public health emergency.
    18VAC76-40-20. Emergency contact information.
    A. Upon a request from the department, a person or entity  listed in 18VAC76-40-10 shall be required to report the following information  for contact in the event of a public health emergency or for dissemination  of public health information: 
    1. A telephone number at which he may be contacted during  weekday business hours (8 a.m. to 5 p.m.); 
    2. A telephone number at which he may be contacted during  nonbusiness hours (5 p.m. to 8 a.m. weekdays and on weekends or holidays); 
    3. A fax number at which he may be sent information concerning  the emergency; and 
    4. An e-mail address at which he may be sent information  concerning the emergency. 
    B. A person or entity shall only be required to report those  fax numbers or e-mail addresses to which he has direct access. 
    C. Information collected for the purpose of disseminating  notification of a public health emergency or public health information or  providing information related to serving during a public health emergency  shall not be published or made available for any other purpose. 
    VA.R. Doc. No. R09-1863; Filed April 22, 2009, 10:17 a.m. 
TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF OPTOMETRY
Final Regulation
        REGISTRAR'S NOTICE: The  Board of Optometry is claiming an exclusion from the Administrative Process Act  in accordance with § 2.2-4006 A 4 a of the Code of Virginia, which excludes  regulations that are necessary to conform to changes in Virginia statutory law  where no agency discretion is involved. The Board of Optometry will receive,  consider and respond to petitions by any interested person at any time with  respect to reconsideration or revision.
         Title of Regulation: 18VAC105-20. Regulations  Governing the Practice of Optometry (amending 18VAC105-20-60).
    Statutory Authority: § 54.1-2400 of the Code of  Virginia.
    Effective Date: July 1, 2009.
    Agency Contact: Elizabeth A. Carter, Ph.D., Executive  Director, Board of Optometry, 9960 Mayland Drive, Suite 300, Richmond, VA  23233, telephone (804) 367-4426, FAX (804) 527-4466, or email  elizabeth.carter@dhp.virginia.gov.
    Summary:
    In compliance with Chapter 687 of the 2009 Acts of  Assembly, the Board of Optometry has amended its regulations relating to the  responsibility of the licensee or registrant to provide current addresses.  Every licensee and registrant is required to provide an address of record for  use by the board, and is permitted to provide a second address to be used as  the public address. If a second address is not provided, the address of record  becomes the public address. Regulations are amended to use the statutory  terminology of address of record and to clarify that the regulant has a  responsibility to notify the board within 30 days if there is a change in the  address of record or the public address, if different from the address of  record.
    18VAC105-20-60. Renewal of licensure; reinstatement; renewal  fees. 
    A. Every person authorized by the board to practice optometry  shall, on or before December 31 of every year, submit a completed renewal  application and pay the prescribed annual licensure fee. 
    B. It shall be the duty and responsibility of each licensee  to assure that the board has the licensee's current address of record and  the public address, if different from the address of record. All changes of  mailing address or name shall be furnished to the board within 30 days  after the change occurs. All notices required by law or by these rules and  regulations are to be deemed to be validly tendered when mailed to the address of  record given and shall not relieve the licensee of the obligation to  comply. 
    C. The license of every person who does not return the  completed form and fee by December 31 of each year may be renewed for up to one  year by paying the prescribed renewal fee and late fee, provided the  requirements of 18VAC105-20-70 have been met. After December 31, a license that  has not been renewed is lapsed. Practicing optometry in Virginia with a lapsed  license may subject the licensee to disciplinary action and additional fines by  the board. 
    D. An optometrist whose license has been lapsed for more than  one year and who wishes to resume practice in Virginia shall apply for  reinstatement. The executive director may grant reinstatement provided that: 
    1. The applicant can demonstrate continuing competence; 
    2. The applicant has satisfied current requirements for  continuing education for the period in which the license has been lapsed, not  to exceed two years; and 
    3. The applicant has paid the prescribed reinstatement  application fee. 
    E. The board may require an applicant who has allowed his  license to expire and who cannot demonstrate continuing competency to pass all  or parts of the board-approved examinations. 
    VA.R. Doc. No. R09-1862; Filed April 22, 2009, 10:17 a.m. 
TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF PHYSICAL THERAPY
Final Regulation
    Title of Regulation: 18VAC112-20. Regulations  Governing the Practice of Physical Therapy (amending 18VAC112-20-90, 18VAC112-20-130,  18VAC112-20-131, 18VAC112-20-150; adding 18VAC112-20-81). 
    Statutory Authority: §§ 54.1-2400 and 54.1-3482.1  of the Code of Virginia.
    Effective Date: June 10, 2009.
    Agency Contact: Lisa R. Hahn, Executive Director, Board  of Physical Therapy, 9960 Mayland Drive, Suite 300, Richmond, VA 23233,  telephone (804) 367-4424, FAX (804) 527-4413, or email  lisa.hahn@dhp.virginia.gov.
    Summary:
    The amendments (i) establish the qualifications and  application requirements for certification in direct access; (ii) set out the  responsibility for the physical therapist to obtain the medical release and  patient consent required by the statute; (iii) establish a biennial renewal of  certification with continuing education hours; and (iv) establish the fees for  direct access certification.
    Summary of Public Comments and Agency's Response: A  summary of comments made by the public and the agency's response may be  obtained from the promulgating agency or viewed at the office of the Registrar  of Regulations. 
    18VAC112-20-81. Requirements for direct access  certification.
    A. An applicant for certification to provide services to  patients without a referral as specified in § 54.1-3482.1 of the Code of  Virginia shall hold an active, unrestricted license as a physical therapist in  Virginia and shall submit evidence satisfactory to the board that he has one of  the following qualifications:
    1. Completion of a doctor of physical therapy program  approved by the American Physical Therapy Association;
    2. Completion of a transitional program in physical therapy  as recognized by the board; or
    3. At least three years of postlicensure, active practice  with evidence of 15 contact hours of continuing education in medical screening or  differential diagnosis, including passage of a postcourse examination. The  required continuing education shall be offered by a provider or sponsor listed  as approved by the board in 18VAC112-20-131 and may be face-to-face or online  education courses.
    B. In addition to the evidence of qualification for  certification required in subsection A of this section, an applicant seeking  direct access certification shall submit to the board:
    1. A completed application as provided by the board;
    2. Any additional documentation as may be required by the  board to determine eligibility of the applicant; and
    3. The application fee as specified in 18VAC112-20-150.
    18VAC112-20-90. General responsibilities.
    A. The physical therapist shall be responsible for managing  all aspects of the physical therapy care of each patient and shall provide:
    1. The initial evaluation for each patient and its  documentation in the patient record; and
    2. Periodic evaluations prior to patient discharge, including  documentation of the patient's response to therapeutic intervention.
    B. The physical therapist shall communicate the overall plan  of care to the patient or his legally authorized representative and shall also  communicate with a referring doctor of medicine, osteopathy, chiropractic, podiatry,  or dental surgery, nurse practitioner or physician assistant to the extent  required by § 54.1-3482 of the Code of Virginia.
    C. A physical therapist assistant may assist the physical  therapist in performing selected components of physical therapy intervention to  include treatment, measurement and data collection, but not to include the  performance of an evaluation as defined in 18VAC112-20-10.
    D. A physical therapist assistant's visits to a patient may  be made under general supervision.
    E. A physical therapist providing services with a direct  access certification as specified in § 54.1-3482 of the Code of Virginia  shall utilize the Direct Access Patient Attestation and Medical Release Form  prescribed by the board or otherwise include in the patient record the  information, attestation and written consent required by subsection B of § 54.1-3482  of the Code of Virginia.
    18VAC112-20-130. Biennial renewal of license and  certification.
    A. A physical therapist and physical therapist assistant who  intends to continue practice shall renew his license biennially by December 31  in each even-numbered year and pay to the board the renewal fee prescribed in  18VAC112-20-150.
    B. A licensee whose licensure has not been renewed by the  first day of the month following the month in which renewal is required shall  pay a late fee as prescribed in 18VAC112-20-150.
    C. In order to renew an active license, a licensee shall be  required to:
    1. Complete a minimum of 160 hours of active practice in the  preceding two years; and
    2. Comply with continuing competency requirements set forth in  18VAC112-20-131.
    D. In order to renew a direct access certification, a  licensee shall be required to:
    1. Hold an active, unrestricted license as a physical  therapist; and
    2. Comply with continuing education requirements set forth  in 18VAC112-20-131 I.
    18VAC112-20-131. Continued competency requirements for renewal  of an active license.
    A. In order to renew an active license biennially after  December 31, 2003, a physical therapist or a physical therapist assistant shall  complete at least 30 contact hours of continuing learning activities within the  two years immediately preceding renewal. In choosing continuing learning  activities or courses, the licensee shall consider the following: (i) the need  to promote ethical practice, (ii) an appropriate standard of care, (iii)  patient safety, (iv) application of new medical technology, (v) appropriate  communication with patients, and (vi) knowledge of the changing health care  system.
    B. To document the required hours, the licensee shall  maintain the Continued Competency Activity and Assessment Form that is provided  by the board and that shall indicate completion of the following:
    1. A minimum of 15 of the contact hours required for physical  therapists and 10 of the contact hours required for physical therapist  assistants shall be in Type 1 face-to-face courses. For the purpose of this  section, "course" means an organized program of study, classroom  experience or similar educational experience that is directly related to the  clinical practice of physical therapy and approved or provided by one of the  following organizations or any of its components:
    a. The Virginia Physical Therapy Association;
    b. The American Physical Therapy Association;
    c. Local, state or federal government agencies;
    d. Regionally accredited colleges and universities;
    e. Health care organizations accredited by the Joint  Commission on Accreditation of Healthcare Organizations (JCAHO);
    f. The American Medical Association - Category I Continuing  Medical Education course; and 
    g. The National Athletic Trainers Association.
    2. No more than 15 of the contact hours required for physical  therapists and 20 of the contact hours required for physical therapist  assistants may be Type 2 activities or courses, which may or may not be offered  by an approved organization but which shall be related to the clinical practice  of physical therapy. Type 2 activities may include but not be limited to  consultation with colleagues, independent study, and research or writing on  subjects related to practice.
    3. Documentation of specialty certification by the American  Physical Therapy Association may be provided as evidence of completion of  continuing competency requirements for the biennium in which initial  certification or recertification occurs.
    C. A licensee shall be exempt from the continuing competency  requirements for the first biennial renewal following the date of initial  licensure in Virginia.
    D. The licensee shall retain his records on the completed  form with all supporting documentation for a period of four years following the  renewal of an active license.
    E. The licensees selected in a random audit conducted by the  board shall provide the completed Continued Competency Activity and Assessment  Form and all supporting documentation within 30 days of receiving notification  of the audit.
    F. Failure to comply with these requirements may subject the  licensee to disciplinary action by the board.
    G. The board may grant an extension of the deadline for  continuing competency requirements for up to one year for good cause shown upon  a written request from the licensee prior to the renewal date.
    H. The board may grant an exemption for all or part of the  requirements for circumstances beyond the control of the licensee, such as temporary  disability, mandatory military service, or officially declared disasters.
    I. Physical therapists holding certification to provide  direct access without a referral shall include four contact hours as part of  the required 30 contact hours of continuing education in courses related to  clinical practice in a direct access setting.
    18VAC112-20-150. Fees.
    A. Unless otherwise provided, fees listed in this section  shall not be refundable.
    B. Licensure by examination.
    1. The application fee shall be $140 for a physical therapist  and $100 for a physical therapist assistant.
    2. The fees for taking all required examinations shall be paid  directly to the examination services.
    C. Licensure by endorsement. The fee for licensure by  endorsement shall be $140 for a physical therapist and $100 for a physical  therapist assistant.
    D. Licensure renewal and reinstatement.
    1. The fee for active license renewal for a physical therapist  shall be $135 and for a physical therapist assistant shall be $70 and shall be  due by December 31 in each even-numbered year. From January 1, 2006, through  December 31, 2006, the fee for active license renewal fee shall be $60 for a  physical therapist and $30 for a physical therapist assistant.
    2. A fee of $25 for a physical therapist assistant and $50 for  a physical therapist for processing a late renewal within one renewal cycle  shall be paid in addition to the renewal fee.
    3. The fee for reinstatement of a license that has expired for  two or more years shall be $180 for a physical therapist and $120 for a  physical therapist assistant and shall be submitted with an application for  licensure reinstatement.
    E. Other fees.
    1. The fee for an application for reinstatement of a license  that has been revoked shall be $1,000.
    2. The fee for a duplicate license shall be $5, and the fee  for a duplicate wall certificate shall be $15.
    3. The fee for a returned check shall be $35.
    4. The fee for a letter of good standing/verification to  another jurisdiction shall be $10.
    F. Direct access certification fees.
    1. The application fee shall be $75 for a physical  therapist to obtain certification to provide services without a referral.
    2. The fee for renewal on a direct access certification  shall be $35 and shall be due by December 31 in each even-numbered year.
    3. A fee of $15 for processing a late renewal of  certification within one renewal cycle shall be paid in addition to the renewal  fee.
        NOTICE: The forms used  in administering the above regulation are listed below. Any amended or added  forms are reflected in the listing and are published following the listing.
         FORMS (18VAC112-20)
    Application for Licensure by Examination to Practice as a  Physical Therapist/Physical Therapist Assistant (rev. 9/07). 
    Application for Licensure by Endorsement to Practice Physical  Therapy as a Physical Therapist/Physical Therapist Assistant (rev. 12/07).
    Application for Reinstatement of Licensure to Practice  Physical Therapy as a Physical Therapist/Physical Therapist Assistant (rev.  8/07). 
    Instructions for Licensure by Endorsement to Practice as a  Physical Therapist or Physical Therapist Assistant (Graduate of an  American/Approved Program) (rev. 11/07). 
    Instructions for Licensure by Endorsement to Practice as a  Physical Therapist or Physical Therapist Assistant (Graduate of a  Non-American/Nonapproved Program) (rev. 11/07). 
    Instructions for Licensure by Examination to Practice as a  Physical Therapist or Physical Therapist Assistant (Graduate of an  American/Approved Program) (rev. 8/07). 
    Instructions for Licensure by Examination to Practice as a  Physical Therapist or Physical Therapist Assistant (Graduate of a  Non-American/Nonapproved Program) (rev. 8/07). 
    Instructions - Reinstatement of Licensure to Practice as a  Physical Therapist/Physical Therapist Assistant (rev. 4/08). 
    Traineeship Application, Statement of Authorization (rev.  8/07). 
    Traineeship Application, Statement of Authorization  (1,000-hour traineeship) (rev. 8/07). 
    Traineeship Application, Statement of Authorization,  Relicensure (480-hour traineeship) (rev. 12/07). 
    Form #L, Certificate of Physical Therapy Education (rev.  7/08). 
    Continued Competency and Assessment Form (rev. 7/08). 
    480 Traineeship Completion Form (rev. 12/07).
    Instructions – Direct Access Certification (rev. [ 4/08)  4/09) ].
    Application for Direct Access Certification (rev. [ 4/08)  4/09) ].
    Patient Attestation Form (rev. 7/07). 
    
       
      VA.R. Doc. No. R08-857; Filed April 10, 2009, 8:55 a.m. 
TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF SOCIAL WORK
Final Regulation
        REGISTRAR'S NOTICE: The  Board of Social Work is claiming an exclusion from the Administrative Process  Act in accordance with § 2.2-4006 A 4 a of the Code of Virginia, which  excludes regulations that are necessary to conform to changes in Virginia  statutory law where no agency discretion is involved. The Board of Social Work  will receive, consider and respond to petitions by any interested person at any  time with respect to reconsideration or revision.
         Title of Regulation: 18VAC140-20. Regulations  Governing the Practice of Social Work (amending 18VAC140-20-100).
    Statutory Authority: § 54.1-2400 of the Code of  Virginia.
    Effective Date: July 1, 2009.
    Agency Contact: Evelyn B. Brown, Executive Director,  Board of Social Work, 9960 Mayland Drive, Suite 300, Richmond, VA 23233-1463,  telephone (804) 367-4488, FAX (804) 527-4435, or email evelyn.brown@dhp.virginia.gov.
    Summary:
    In compliance with Chapter 687 of the 2009 Acts of  Assembly, the Board of Social Work has amended its regulations relating to the  responsibility of the licensee or registrant to provide current addresses.  Every licensee and registrant is required to provide an address of record for  use by the board, and is permitted to provide a second address to be used as  the public address. If a second address is not provided, the address of record  becomes the public address. Regulations are amended to use the statutory  terminology of address of record and to clarify that the regulant has a  responsibility to notify the board within 30 days if there is a change in the  address of record or the public address, if different from the address of  record.
    18VAC140-20-100. Licensure renewal.
    A. All licensees shall renew their licenses on or before June  30 of each odd-numbered year and pay the renewal fee prescribed by the board. 
    B. Beginning with the 2003 renewal, licensees who wish to  maintain an active license shall pay the appropriate fee and document on the  renewal form compliance with the continued competency requirements prescribed  in 18VAC140-20-105. Newly licensed individuals are not required to document  continuing education on the first renewal date following initial licensure. 
    C. A licensee who wishes to place his license in inactive  status may do so upon payment of a fee equal to one-half of the biennial  license renewal fee as indicated on the renewal form. No person shall practice  social work or clinical social work in Virginia unless he holds a current  active license. A licensee who has placed himself in inactive status may become  active by fulfilling the reactivation requirements set forth in  18VAC140-20-110. 
    D. Failure to receive a renewal notice from the board  shall not relieve the licensee from the renewal requirement Each  licensee shall furnish the board his current address of record. All notices  required by law or by this chapter to be mailed by the board to any such  licensee shall be validly given when mailed to the latest address of record  given by the licensee. Any change in the address of record or the public  address, if different from the address of record, shall be furnished to the  board within 30 days of such change. 
    VA.R. Doc. No. R09-1927; Filed April 22, 2009, 10:17 a.m. 
TITLE 24. TRANSPORTATION AND MOTOR VEHICLES
COMMISSION ON THE VIRGINIA ALCOHOL SAFETY ACTION PROGRAM
Proposed Regulation
    Title of Regulation: 24VAC35-60. Ignition Interlock  Program Regulations (adding 24VAC35-60-10 through 24VAC35-60-110).
    Statutory Authority: § 18.2-270.2 of the Code of  Virginia.
    Public Hearing Information:
    May 13, 2009 - 10 a.m. - General Assembly Building, 910  Capitol Street, 3rd Floor East Conference Room, Richmond, VA
    Public Comments: Public comments may be submitted until  July 10, 2009.
    Agency Contact: Richard L. Foy, Technical Instructor,  Commission on the Virginia Alcohol Safety Action Program, 701 East Franklin  Street, Suite 1110, Richmond, VA 23219, telephone (804) 786-5895, FAX (804)  786-6286, or email rfoy.vasap@state.va.us.
    Basis: Section 18.2-271.2 of the Code of Virginia  establishes the Commission on Virginia Alcohol Safety Action Program (VASAP) in  the legislative branch of state government. Section 18.2-270.2 A directs the  Executive Director of the Commission on VASAP or his designee to certify  ignition interlock systems in the Commonwealth and to adopt regulations and  forms for the installation, maintenance and certification of such ignition  interlock systems.
    Purpose: Presently, there are no existing ignition  interlock regulations. These new regulations are required by § 18.2-270.2  of the Code of Virginia. Section 18.2-271.1 of the Code of Virginia requires  persons convicted of a first offense DUI (who had a blood alcohol concentration  of 0.15 or above), and persons convicted of a second or subsequent DUI, to have  an ignition interlock device installed on their vehicle(s) as a condition of  issuance of a restricted driver’s license. Ignition interlocks prevent drivers  from starting their vehicles if they have been drinking. This protects the safety  of the offender, his family, and the public. Interlocks also serve a  probationary function by recording on the unit’s data chip the driving  activities of probationers. This regulation is designed to ensure that the  interlock devices installed in Virginia are reliable, accurate, and properly  installed. Furthermore, it ensures that interlock service centers are easily  accessible to all Virginia citizens and that quality service is provided in a  timely manner.
    Substance: The new regulations will provide information  regarding the certification of ignition interlock devices and ignition  interlock service providers in Virginia. Procedures for the installation,  maintenance, and removal of ignition interlock devices will be outlined as well  as requirements for reporting and recordkeeping.
    Issues: These regulations provide detailed information  and outline performance standards for the Commonwealth’s ignition interlock  program. Information about what interlock companies need to do to conduct  business is included so that multiple vendors can potentially operate in the  state, thereby giving customers more options. The regulations further ensure  that both the public and ignition interlock service providers are aware of the  commission’s performance expectations and the potential consequences of  noncompliance. The regulations provide a mechanism for the government to award  contracts to qualifying companies and to cancel contracts with companies that  do not meet minimum standards. These provisions should result in better service  provision to the citizens of the Commonwealth.  No apparent disadvantages  to the public or the government are noted; however, provisions in the  regulations that prohibit interlock companies from subcontracting installations  might bar some interested businesses in Virginia from doing contract work for  interlock vendors.
    The Department of Planning and Budget's Economic Impact  Analysis:
    Summary of the Proposed Amendments to Regulation. Commission on  Virginia Alcohol Safety Action Program proposes to establish regulations for  the ignition interlock program that has been operating since 1994. While most  of the proposed rules have already been followed in practice, a number of new  fees are proposed.
    Result of Analysis. There is insufficient data to accurately  compare the magnitude of the benefits versus the costs.
    Estimated Economic Impact. The Code of Virginia1  requires persons with certain DUI convictions to have installed an ignition  interlock device on their vehicles as a condition of restricted driving privileges.  Installation, maintenance, and certification of ignition interlock systems have  been administered without regulations since 1994 based on the language in the  Code of Virginia, interlock RFP and vendor contract. The proposed regulations  will establish rules addressing the ignition interlock program.
    According to the Commission on Virginia Alcohol Safety Action  Program (VASAP) the proposed regulations, for the most part, have already been  followed in practice. The parts of the proposed regulations that address policy  and procedures already in effect are not expected to create any immediate  economic impact as they have been already in place since 1994. Probably the  main economic effect of these changes will be the ease of access to and  improved clarity of the policies and procedures regarding ignition interlock  program. Among others, the proposed regulations address issues such as  approval, cancellation, suspension, and revocation of manufacturers, services  providers, and ignition interlock devices; device specifications; device  installation procedures; calibration an monitoring visits; device removal;  maintenance of records and reporting by service providers.
    VASAP indicates that the main change included in the  regulations is the establishment of numerous fees. The proposed fees are a $250  application fee, a contract review fee, a service center fee, a fee for VASAP,  and a fee for local serving ASAP.2 With the exception of the  application fee, the amounts of fees are not specified in the proposed regulations.
    The $250 application fee will be collected from vendors wishing  to conduct business in Virginia to cover the costs of processing required  paperwork, evaluating potential vendors, and contracting. The total revenues  generated by this fee will depend on the number of vendor applications which is  not expected to be many.
    Even though the amount of the contract review fee is not  specified in the regulations, VASAP is planning to collect $250 annually from  vendors to cover the costs of overseeing them to ensure their compliance with  the state law, agency regulations, and their contract. Similarly, the total  revenues from this fee will depend on the number of vendors doing business in  Virginia which is not expected to be many. 
    The planned amount of the service center fee is $75 annually  per facility to cover the costs of yearly compliance audits and site visits.  This fee will be paid by the vendor. There were a total of 23 service  facilities in 2008 which implies that $1,725 would have been collected from the  vendor.
    The proposed changes also establish a fee for VASAP on each  offender. The planned fee for VASAP is $10 per month per offender with an  ignition interlock device installed until the device is removed. Last year  there were 4,137 devices installed in Virginia which would result in  approximately $496,440 in annual revenues (assuming no devices were uninstalled  and all were installed at the beginning of the year).
    Finally, proposed changes establish a monthly fee for local  ASAP on each offender. In practice, a $5 fee has been sent to local ASAP to  cover their administrative costs for this program. Although not specified in  the regulations, VASAP plans to increase this fee from $5 per month to $10 per  month per offender with an ignition interlock device installed until the device  is removed. This fee would generate the same amount of revenues as the previous  fee discussed.
    In general, collecting revenues from the entities who are  responsible for generating costs would prevent economic externalities and help  support the free market dynamics working toward an efficient allocation of  economic resources. However, the proposed regulations with the exception of one  fee do not specify the amount of fees that will eventually be imposed. Thus,  there is not enough information on whether the fees imposed in practice will be  commensurate with the costs they intended to cover and be economically  beneficial.
    Businesses and Entities Affected. The proposed regulations  apply to ignition interlock manufacturers, vendors, service providers, and  offenders with an ignition interlock installed on their vehicles. In 2008,  there were 4,137 devices installed in Virginia by one vendor with 23  facilities.
    Localities Particularly Affected. The proposed regulations  apply throughout the Commonwealth.
    Projected Impact on Employment. Since most of the regulations  proposed have already been in effect in practice, no significant economic  effect is expected upon promulgation of these already enforced provisions. The  proposed establishment of fees, on the other hand, could have an impact on the  demand for labor through changing compliance costs and new revenues. However,  the proposed regulations do not specify the amount of fees. Also, who will  eventually end up paying the proposed fees cannot be determined from the  limited information available. It may or may not be possible for service  providers to pass on the fees to the offenders, or the vendor depending on the  specifics of the contractual arrangements or other market factors.
    Effects on the Use and Value of Private Property. While the  ignition interlock program has a direct effect on the use and value of  vehicles, the main change in the proposed regulations is the establishment of  authority to impose fees which are not believed to have a direct effect on the  use and value of private property. The additional fees imposed may affect the  asset value of the service centers or the vendor depending on who will  eventually absorb the additional fees.
    Small Businesses: Costs and Other Effects. The proposed  regulations are not believed to have an effect on small businesses.
    Small Businesses: Alternative Method that Minimizes Adverse  Impact. The proposed regulations are not believed to have an effect on small  businesses.
    Real Estate Development Costs. The proposed regulations are not  believed to have an effect on real estate development costs.
    Legal Mandate. The Department of Planning and Budget (DPB) has  analyzed the economic impact of this proposed regulation in accordance with  § 2.2-4007.04 of the Administrative Process Act and Executive Order Number  36 (06). Section 2.2-4007.04 requires that such economic impact analyses  include, but need not be limited to, the projected number of businesses or  other entities to whom the regulation would apply, the identity of any  localities and types of businesses or other entities particularly affected, the  projected number of persons and employment positions to be affected, the  projected costs to affected businesses or entities to implement or comply with  the regulation, and the impact on the use and value of private property.  Further, if the proposed regulation has adverse effect on small businesses,  § 2.2-4007.04 requires that such economic impact analyses include (i) an  identification and estimate of the number of small businesses subject to the  regulation; (ii) the projected reporting, recordkeeping, and other  administrative costs required for small businesses to comply with the  regulation, including the type of professional skills necessary for preparing  required reports and other documents; (iii) a statement of the probable effect  of the regulation on affected small businesses; and (iv) a description of any  less intrusive or less costly alternative methods of achieving the purpose of  the regulation. The analysis presented above represents DPB’s best estimate of  these economic impacts.
    ______________________
    1 Section 18.2-271.1
    2 The proposed regulations do not address the  installation and monthly monitoring fee that will be paid by the offender to  the service provider.
    Agency's Response to the Department of Planning and Budget's  Economic Impact Analysis: The Commission on VASAP concurs with the economic  impact analysis. With regard to the section entitled "Projected Impact on  Employment," it is not the desire of the commission to publish associated  fee schedules in the regulations, and in the alternative, to address fees  contractually with participating vendors. This will permit the commission to be  more responsive to changing market conditions without requiring the frequent  issuance of new regulations when a change in fees is warranted. The portion of  fees required to be submitted to the Commission on VASAP and the local ASAPs  will be made by the vendor.
    Summary:
    The proposed regulation provides information regarding the  certification of service providers and ignition interlock devices in Virginia.  Procedures for the installation, maintenance, and removal of ignition interlock  devices are outlined as well as requirements for reporting and recordkeeping.
    CHAPTER 60 
  IGNITION INTERLOCK PROGRAM REGULATIONS 
    24VAC35-60-10. Purpose.
    The purpose of these regulations is to establish a set of  standards for the Commonwealth of Virginia's ignition interlock program.  Authority to issue these regulations is granted to the Executive Director of  the Commission on Virginia Alcohol Safety Action Program (VASAP) or authorized  designee by § 18.2-270.2 of the Code of Virginia.
    24VAC35-60-20. Definitions.
    The following words and terms when used in this chapter  shall have the following meanings unless the context clearly indicates  otherwise:
    "Alcohol" means ethyl alcohol, also called  ethanol (C2H5OH).
    "BAC" or "blood alcohol concentration"  means the amount of alcohol in an offender's blood or breath as determined by  chemical analysis, which shall be measured by the number of grams of alcohol  per 100 milliliters of blood, or 210 liters of breath.
    "Breath test" means an analysis of the breath  alcohol concentration of a deep lung breath sample.
    "Calibration" means the process that ensures an  accurate alcohol concentration reading is being obtained on the ignition  interlock device.
    "Commission" means the Commission on Virginia  Alcohol Safety Action Program (VASAP).
    "Deep lung breath sample," also known as  "alveolar breath sample," means an air sample that is the last  portion of a prolonged, uninterrupted exhalation and that gives a quantitative  measurement of alcohol concentration from which breath alcohol concentrations  can be determined. "Alveolar" refers to the aveoli, which are the  smallest air passages in the lungs, surrounded by capillary blood vessels and  through which an interchange of gases occurs during respiration.
    "Device" means a breath alcohol ignition  interlock device.
    "Device certification" means the testing and  approval process required by the Commission on Virginia Alcohol Safety Action  Program (VASAP).
    "DMV" means the Virginia Department of Motor  Vehicles.
    "Fail point" means the point at which the breath  alcohol level of 0.02% is met.
    "Free restart" means the ability to start the  engine again within a preset period of time without completion of another  breath test, when the condition exists where a breath test is successfully  completed and the motor vehicle is started, but then the engine stops for any  reason (including stalling).
    "Ignition interlock system" means a device that  (i) connects a motor vehicle ignition system to an analyzer that measures an  offender's blood alcohol concentration; (ii) prevents a motor vehicle ignition  from starting if the offender's blood alcohol concentration is at or above the  fail point; and (iii) is equipped with the ability to perform a rolling retest  and to electronically log the blood alcohol concentration during ignition,  attempted ignition, and rolling retest.
    "Interlock event" means vehicle operator  activity that is recorded by the ignition interlock to include, but not limited  to, vehicle starts and attempted starts, rolling retests, breath tests,  lockouts, ignition shutoffs, power outages, and interlock tampering.
    "Licensing" means the process of determining  that a service center meets the requirements set by the Commission on VASAP.
    "Lockout" means the ability of the ignition  interlock device to prevent a motor vehicle's engine from starting.
    "Manufacturer" means the actual maker of the ignition  interlock device who assembles the product and distributes it to service  providers.
    "Motor vehicle" means every vehicle as defined  in § 46.2-100 of the Code of Virginia, that is self-propelled, or designed for  self-propulsion, to exclude bicycles, electric power-assisted mobility devices,  electric powered-assisted bicycles, and mopeds.
    "Offender" means the individual required by the  court or the Department of Motor Vehicles to drive only motor vehicles that  have certified ignition interlock devices installed. 
    "Permanent lockout" means a feature of the  ignition interlock device in which a motor vehicle will not start until the  ignition interlock device is reset by a service provider.
    "Retest" means an additional opportunity to  provide a deep lung breath sample below the alcohol fail point.
    "Rolling retest" means a test of the offender's  blood alcohol concentration required at random intervals during operation of  the motor vehicle, which triggers the sounding of the horn and flashing of  lights if (i) the test indicates that the offender has a blood alcohol  concentration that is at or above the fail point or (ii) the offender fails to  take the test.
    "Service center" means the physical location  where the service provider installs, calibrates, and removes the ignition  interlock device on the offender's vehicle.
    "Service provider" means the authorized supplier  and installer of the approved ignition interlock devices.  In some cases,  the service provider may also be a manufacturer of an ignition interlock device.
    "Tampering" means an unlawful act or attempt to  disable or circumvent the legal operation of the ignition interlock device to  include providing samples other than the natural breath of the offender,  starting the motor vehicle without using the ignition switch, any other act  intended to start the motor vehicle without first taking and passing a breath  test, or physically tampering with the device to disable or otherwise  disconnect the device from its power source.
    "Temporary lockout" means a feature of the  ignition interlock device that will not allow the motor vehicle to start for a  preset time period after a breath test result indicates a BAC at or above the  fail point.
    "Vendor certification" means the process of  determining that a vendor has been approved to provide services in the  Commonwealth of Virginia.
    "Violation" means an event, such as a breath  test indicating a BAC at or above the fail point upon initial startup, a  refusal to provide a rolling retest deep lung breath sample, a rolling retest  with a BAC at or above the fail point, or tampering, which breaches the  guidelines for use of the interlock device.
    "Violation reset" means a feature of the  ignition interlock device in which a service reminder is activated due to a  violation.
    24VAC35-60-30. When ignition interlock devices are required.
    Ignition interlock devices are required: 
    1. When ordered by a court of proper jurisdiction pursuant  to § 18.2-270.1 of the Code of Virginia; or
    2. When administratively enforced by DMV pursuant to § 46.2-391.01 of the Code of Virginia.
    24VAC35-60-40. Approval of manufacturers and service  providers.
    A. The commission shall issue a request for proposals  (RFPs) in compliance with the state procurement procedures to contract with  ignition interlock service providers for the services and commodities required  for the implementation and maintenance of the Commonwealth's ignition interlock  program. Contracts will be for three years with an optional two-year renewal.
    B. Integrity of the Ignition Interlock Program shall be  upheld by restricting the delivery of interlock client service to the actual  provider of the product (authorized service provider), thereby effectively  preventing the extension of subcontracts to other persons or businesses who  lack long-term investment, long-term experience, or in-depth knowledge of  product and service, potentially resulting in a higher likelihood of neglect of  duty or illegal exchange of funds. Denial of subcontracting of the interlock  service to the consumer is an integral part of protecting the chain of evidence  for court testimony and evidentiary procedures.
    C. Each service provider seeking to contract with the  commission shall submit:
    1. Evidence of a strong background in the development and  maintenance of a statewide ignition interlock service program and evidence of  operational programs in other states. The service provider must be dedicated to  the installation and maintenance of ignition interlock devices and must supply  and train staff and service center supervisors to assure good customer service  and compliance with all contract requirements. Any personnel hired to install,  calibrate, or inspect ignition interlock devices may not have ever been  convicted of a felony or a crime substantially related to the qualifications, functions,  and duties associated with the installation and inspection of the devices, or  within a five-year period prior to hiring been convicted of a misdemeanor  potentially punishable by confinement. The service provider must be able to  ensure that technicians are trained and available to testify in court if  required for noncompliance hearings.
    2. A description of the service provider's present or  planned provisions for distribution of the device in Virginia including all  locations in the state where the device may be installed, serviced, repaired,  calibrated, inspected, and monitored. Each facility shall be approved by the  Commission on VASAP prior to its use and meet the following criteria:
    a. Must pay an annual review fee to the Commission on  VASAP.
    b. Must comply with all local business license and zoning  regulations, and with all federal, state, and local health, fire, and building  code requirements.
    c. Must meet the offender's physical needs for access.
    d. Must maintain offender records in a manner that complies  with federal confidentiality guidelines.
    In addition, all services must be available statewide  within a 50-mile drive to the home location of all residents of the  Commonwealth.
    3. Documentation of insurance covering product liability,  including coverage in Virginia, with a minimum policy limit of $1 million per  occurrence, and $3 million aggregate total. The service provider shall provide  a signed statement from the manufacturer holding harmless the Commonwealth of  Virginia, the commission, and its members, employees, and agents from all  claims, demands, and actions, as a result of damage or injury to persons or  property that may arise, directly or indirectly, out of any act or omission by  the manufacturer or their service provider relating to the installation,  service, repair, use, and/or removal of an ignition interlock device.
    4. Documentation that the service provider will provide a  full-time state ignition interlock coordinator who will work exclusively with  the Virginia interlock program and reside in the Richmond, Virginia area. Among  other duties, the coordinator will be expected to (i) respond promptly to any  problems in the field, (ii) testify in court upon request, and (iii) assist and  provide training to VASAP staff.
    D. Provided that all vendor and device certification  requirements are met, the commission shall contract with those manufacturers or  service providers, and may approve multiple makes and models of ignition  interlock devices for use in the Commonwealth.
    24VAC35-60-50. Fees.
    A. All potential service providers desiring to conduct  business in the Commonwealth of Virginia’s ignition interlock program shall  submit a $250 nonrefundable application fee.
    B. The Commission on VASAP will establish by contract the  following additional fees to be paid by the service provider:
    1. Annual contract review fee to the Commission on VASAP.
    2. Annual review fee for each service center to the  Commission on VASAP.
    3. Monthly fee to the Commission on VASAP for each offender  with an ignition interlock installed until the device is removed.
    4. Monthly fee to the local servicing ASAP for each  offender with an ignition interlock device installed until the device is  removed.
    C. All service providers shall create and maintain an  indigency fund for offenders who are eligible for a reduction in fees based  upon a declaration of indigency by the court and approval by the commission.
    24VAC35-60-60. Cancellation, suspension, and revocation of  manufacturers, service providers, and ignition interlock devices.
    A. The commission may cancel, suspend, or revoke  certification of an ignition interlock device and/or its manufacturer and  service provider for the following reasons:
    1. When there is a voluntary request by a manufacturer to  cancel certification of a device.
    2. When a device is discontinued by the manufacturer.
    3. When the manufacturer's liability insurance is  terminated or cancelled.
    4. When the manufacturer or service provider attempts to  conceal its true ownership.
    5. When materially false or inaccurate information is  provided relating to a device's performance standards.
    6. When there are defects in design, materials, or  workmanship causing repeated failures of a device.
    7. When the manufacturer or service provider knowingly  permits nonqualified service technicians to perform work.
    8. When a manufacturer or service provider assists users  with circumventing or tampering with a device.
    9. When service or the submission of required reports is  not provided in a timely manner.
    10. When required fees are not paid to the commission or  local programs.
    11. When there is a pattern of substandard customer  service.
    12. When the manufacturer or service provider interferes  with or obstructs a site review or investigation by the commission.
    13. When there are any other violations of the provisions  contained in the Code of Virginia, commission regulations, or the ignition  interlock contract.
    14. When a manufacturer or service provider solicits the  employment of another manufacturer's or service provider's technician, facility  manager, or state ignition interlock coordinator.
    15. When a manufacturer or service provider solicits  business outside of the VASAP, or otherwise solicits individual ASAP branches  through operational incentives, gratuities, or any other personal incentives.
    16. When a manufacturer or service provider solicits  business via direct influence or marketing to judicial, court, or DMV  personnel.
    B. If such cancellation, suspension, or revocation occurs,  the manufacturer or service provider may request (within 15 days of  notification) a hearing with the commission to contest the decision. Should the  cancellation, suspension, or revocation be upheld, the manufacturer or service  provider shall remain responsible for removal of all devices from customers'  motor vehicles, and will bear the costs associated with the required removal  and installation of a new approved device.
    24VAC35-60-70. Ignition interlock device specifications.
    A. All ignition interlock devices used pursuant to §§ 18.2-270.1 and 46.2-391.01 of the Code of Virginia must be approved by the  commission. The commission shall maintain a list of approved ignition interlock  devices.
    B. Each service provider seeking to contract with the  commission shall submit:
    1. The name and address of the ignition interlock device  manufacturer.
    2. The name and model number of the ignition interlock  device.
    3. A detailed description of the device including drawings,  schematics, wiring protocols, and instructions for its installation and  operation.
    C. The manufacturer or service provider shall provide to  the commission, for distribution to the local ASAPs, literature promoting its  device.
    D. The manufacturer or service provider shall provide  certification from an independent laboratory that its ignition interlock device  has been tested in accordance with the latest model specifications published in  the Federal Register by the National Highway Traffic Safety Administration, and  that the ignition interlock device meets or exceeds those specifications.  Included with the certification report should be the name and location of the  testing laboratory, the address and phone number of the testing laboratory, a  description of the tests performed, copies of the data and results of the  testing procedures, and the names and qualifications of the individuals  performing the tests.
    E. If a device is submitted for approval by a service  provider other than the manufacturer, the submitting party shall submit a  notarized affidavit from the manufacturer of the device certifying that the  submitting party is an authorized manufacturer's representative.
    F. All ignition interlock devices will be required to meet  the model specifications for Breath Alcohol Ignition Interlock Devices (BAIID)  as set forth in the most recent model specifications published in the Federal  Register by the National Highway Traffic Safety Administration (NHTSA). At a  minimum, the following specifications will be met:
    1. The ignition interlock device shall work accurately and  reliably in an unsupervised environment, at minimal inconvenience to others,  and without impeding the safe operation of the motor vehicle.
    2. The ignition interlock device shall be able to analyze a  specimen of alveolar breath for alcohol concentration, correlate accurately  with established measures of blood alcohol concentration, and be calibrated  according to the manufacturer's specifications.
    3. The ignition interlock device shall be alcohol specific,  using an electrochemical fuel cell that reacts to and measures ethanol,  minimizing positive results from any other substance. 
    4. The ignition interlock device shall indicate when a  sufficient sample of breath has been collected and shall indicate this by  audible or visual means.
    5. The ignition interlock device shall detect and record a  BAC that is at or above the fail point for each ignition, attempted ignition,  and rolling retest.
    6. The results of the test shall be noted through the use  of green, yellow, and red signals or similar pass/fail indicators. No digital  blood alcohol concentration shall be indicated to the offender.
    7. The ignition interlock device shall lock out an offender  when a BAC at or above the fail point is detected.
    8. The ignition interlock device shall have the ability to  prevent the normal operation of the motor vehicle by an offender who fails to  retest.
    9. The ignition interlock device shall have the ability to  perform a permanent lockout if the offender fails to appear for a scheduled  monitoring appointment after the applicable five-day grace period.
    10. The ignition interlock device shall automatically purge  alcohol before allowing subsequent analyses.
    11. The ignition interlock device shall issue a warning of  an impending lockout.
    12. The ignition interlock device shall be capable of  random retesting and timed retesting.
    13. The ignition interlock device shall warn the offender  of upcoming service appointments for three days prior to the appointment.  Should the offender fail to appear, the device shall lock out on the fifth day  after the scheduled appointment, and the motor vehicle shall not be operable  until the service provider has reset the device.
    14. The internal memory of the ignition interlock device  shall be capable of recording and storing a minimum of 500 interlock events and  shall enter a service reminder if the memory reaches 90% of capacity.
    15. The ignition interlock device shall be designed and  installed in such manner as to minimize opportunities to be tampered with,  altered, bypassed, or circumvented. The ignition interlock device shall not  spontaneously bypass the ignition system nor shall it be able to be made  operational by any mechanical means of providing air to simulate alveolar  breath. Any bogus breath anti-circumvention features used to pass laboratory  testing of the ignition interlock device shall be turned on.
    16. The ignition interlock device shall be capable of  recording and providing evidence of any actual or attempted tampering,  alteration, bypass, or circumvention.
    17. The ignition interlock device must operate at  temperatures between -20 and 70 degrees Celsius.
    18. The ignition interlock device shall operate up to  altitudes of 2.5 km above sea level.
    19. The readings of the ignition interlock device shall not  be affected by humidity, dust, electromagnetic interference, smoke, exhaust  fumes, food substance, or normal automobile vibration.
    20. The operation of the ignition interlock device shall  not be affected by normal fluctuations of power source voltage.
    G. All ignition interlock devices that have been approved  by the commission shall have affixed a warning label with the following  language: "Any person tampering with or attempting to circumvent this  ignition interlock system shall be guilty of a Class 1 misdemeanor and, upon  conviction, be subject to a fine or incarceration or both." The cost and  supply of the warning labels to be affixed to the ignition interlock devices  shall be borne by the manufacturer or service provider. The manufacturer or  service provider shall submit to the commission a prototype of the warning  label for approval.
    H. For initial startup of the motor vehicle:
    1. The ignition interlock device shall enable the ignition  relay after the successful completion of a breath alcohol test. 
    2. The device shall allow two minutes to elapse between the  time the ignition is enabled and the start of the motor vehicle.
    3. The ignition interlock device shall allow the motor  vehicle to be restarted within two minutes of the engine being stopped without  requiring an additional test.
    4. If the initial test results in a lockout due to the  offender's BAC level, the ignition interlock device shall not allow an  additional attempt for five minutes.
    5. If the offender's BAC is at or above the fail point on  the second retest, the machine shall lock out for an additional 15 minutes and  shall do so thereafter for each failed retest. A violation reset message shall  instruct the offender to return the ignition interlock device to the service  provider for servicing within five days.
    6. If the ignition interlock device is not reset within  five days, a permanent lockout will occur.
    I. A rolling retest feature is required for all ignition  interlock devices.
    1. An ignition interlock device shall require a rolling  retest within the first 10 to 20 minutes after the start of the motor vehicle  and randomly thereafter at least once every 20 to 40 minutes as long as the  motor vehicle is in operation. 
    2. The ignition interlock device shall produce a visual and  audible signal of the need to produce a breath sample for the rolling retest.  The offender shall have six minutes in which to provide the required rolling  retest breath sample.
    3. A free restart shall not apply if the ignition interlock  device was awaiting a rolling retest that was not delivered.
    4. Any deep lung breath sample at or above the fail point  or any failure to provide a rolling retest deep lung breath sample within the  required time, shall activate the motor vehicle's horn and cause the motor  vehicle's headlights, parking lights, or emergency lights to flash until the  engine is shut off by the offender.
    5. Once the vehicle has been turned off, all prestart  requirements shall become applicable.
    6. The violations reset message shall instruct the offender  to return the ignition interlock device to the service provider for servicing  within five days.
    7. If the ignition interlock device is not reset within  five days, a permanent lockout will occur.
    J. Additional technical specifications for the operation  and installation of the ignition interlock device may be described in the  contract between the commission and the service provider.
    24VAC35-60-80. Ignition interlock device installation.
    A. No offender who has a case pending in the court system  shall have an interlock installed in Virginia unless enrolled in, and monitored  by, the ASAP program in the area where the case originated. This enables VASAP  to maintain consistency in policy and use of ignition interlock devices in the  Commonwealth, and allows for a consistent pattern of instruction to the service  provider.
    B. The ignition interlock device must be installed by a manufacturer  or authorized service provider within 30 days of the date of the court order;  if not, the service provider will notify the ASAP.
    C. All agreements between the service provider and the  offender shall be in the form of a contract and be signed by the service  provider and the offender. Copies of the written contract shall be retained by  the service provider with a copy given to the offender and the local ASAP  office.
    D. Prior to installation of the ignition interlock device,  offenders must provide to the service provider:
    1. Photo identification.
    2. The name and policy number of their automobile  insurance.
    3. The vehicle identification number (VIN) of all motor  vehicles owned or routinely driven by the offender, and a statement disclosing  the names of all other operators of the motor vehicles owned or driven by the  offender.
    4. A notarized affidavit from the registered owner of the  vehicle granting permission to install the device if the car is not registered  to the offender.
    5. Written authorization from the commission if the air  volume requirement, blow pressure, or anti-circumvention features of the  ignition interlock device are to be lowered or disabled in order to compensate  for an offender's diminished lung capacity.
    E. Under no circumstances shall an offender be permitted  to observe the installation of the device.
    F. The service provider must inspect all motor vehicles  prior to installation of the device to ensure that they are in acceptable  mechanical and electrical condition. Under no circumstances shall staff of the  authorized service provider install any device until, and unless, the motor  vehicle is approved following the inspection.
    G. Each installation shall include all of the  tamper-resistant features required by the service provider such as unique  seals, epoxies, or resins at all openings and exposed electrical connections.
    H. An oral, written, or video orientation to the ignition  interlock device will be developed and delivered by the service provider to the  offender and other persons who may drive the motor vehicle, including  information on the use and maintenance of the device as well as all service  center locations, and procedures for regular and emergency servicing. A  demonstration interlock will be available at each installation site for use in  the training of customers.
    I. If, during the installation, the offender fails to pass  the initial breath test, the installation will be halted and the ASAP notified.
    J. The manufacturer and/or service provider must maintain  a toll-free 24-hour emergency phone service that may be used to request  assistance in the event of failure of the ignition interlock device or motor  vehicle problems related to operation of the ignition interlock device. The  assistance provided by the authorized service provider shall include technical  information and aid in obtaining towing or roadside service. The expense of  towing and roadside service shall be borne by the offender unless it is  determined by the service center technician that the ignition interlock device  failed through no fault of the offender, in which case the manufacturer or  service provider will be responsible for applicable expenses. The ignition  interlock device shall be made functional within 48 hours of the call for  assistance or the ignition interlock device shall be replaced.
    K. At the time of device installation, a service provider  may charge an installation fee. The maximum permissible cost for installation  shall be set by the Commission on VASAP through contract, and service providers  will not be permitted to exceed the maximum fee established by the commission.  A portion of these fees shall include costs for offender indigency funds.   In addition to the maximum fee permitted, service providers may collect  applicable taxes and charge for optional insurance to cover device theft or  damage. No installation fees shall be collected from the user until such  services have been provided.
    L. The manufacturer or service provider must provide  indigent service to those offenders who are eligible for a reduction in fees  based upon a declaration of indigence by the court and approval by the  commission.
    M. No later than the first service appointment, the  offender must provide to the service provider a statement from every licensed  driver who will be driving the offender's motor vehicle acknowledging their  understanding of the requirements of the use of the ignition interlock device.
    24VAC35-60-90. Calibration and monitoring visit.
    A. The offender must present photo identification to the  service provider for all required services.
    B. The service provider must:
    1. Provide service/monitoring of the ignition interlock  device every 30 days; the offender will be given a five-day grace period to  have the device inspected.
    2. Calibrate the ignition interlock device at each service  appointment using a dry gas reference sample.
    3. Retrieve data from the ignition interlock device data  log for the previous period and electronically submit it to the local ASAP  within 24 hours of calibration.
    4. Record the odometer reading of the motor vehicle in  which the ignition interlock device is installed.
    5. Check the ignition interlock device and wiring for signs  of circumvention or tampering, and electronically report to the local ASAP any  violation within 24 hours of servicing.
    6. Collect the monthly monitoring fee from the offender.
    C. All malfunctions of the ignition interlock device will  be repaired or the ignition interlock device replaced by the service provider  within 48 hours at no additional expense to the offender. If it is shown that  the malfunction is due to mistreatment by the offender, and the offender has  not purchased optional insurance, then the offender will be responsible for  applicable repair fees.
    D. A certified technician shall be available at the  service center during specified hours to answer questions and to deal with any  mechanical concerns that may arise with a motor vehicle as a result of the  ignition interlock device.
    E. The ignition interlock device shall record, at a  minimum, the following data:
    1. The time and date of each failed breath test;
    2. The time and date of each passed breath test;
    3. The breath alcohol level of each test; and
    4. The time and date of any attempt to tamper or circumvent  the ignition interlock device.
    F. At the time of device calibration, a service provider  may charge a monthly monitoring fee. The maximum permissible cost for  monitoring and calibration shall be set by the Commission on VASAP through  contract, and service providers shall not be permitted to exceed the maximum  fee established by the commission. A portion of these fees shall include costs  for VASAP administrative support and offender indigency funds. In addition to  the maximum fee permitted, service providers may collect applicable taxes and  charge for optional insurance to cover device theft or damage. Fees for the  first monthly monitoring and calibration visit will be collected from the user  in advance at the time of installation and monthly thereafter as such services  are rendered.
    24VAC35-60-100. Ignition interlock device removal.
    A. Prior to removal of the ignition interlock device, the  service provider must receive written authorization from the ASAP.
    B. Offenders may not have their ignition interlock device  removed or replaced by another manufacturer without written authorization from  the ASAP.
    C. If, at the time of removal, the service provider  notices any failed tests that have not been backed up by a successful test  within 10-15 minutes of the original test, the ASAP will be notified for  approval before the removal is made.
    D. Once the interlock has been removed, the service  provider will send an authorized removal report to the ASAP via fax, email, or  online database, documenting that the ignition interlock device has been  removed and that all fees have been paid. Once verification of an authorized  removal has been received by the ASAP, DMV will be notified that the offender  has successfully completed the interlock requirements.
    E. Whenever an ignition interlock device is removed, all  components of the motor vehicle altered by the installation or servicing of the  ignition interlock device must be restored to their original, preinstallation  condition and removed in such a manner as not to impair the safe operation of  the vehicle. All severed wires must be permanently reconnected (soldered) and  insulated with heat shrink tubing or its equivalent.
    F. No fee shall be charged to the offender for removal of  the ignition interlock device.
    24VAC35-60-110. Records and reporting.
    A. The service provider shall be subject to announced or  unannounced site reviews for the purpose of inspecting the facilities and  offender records. Access to all service provider locations, records, and  financial information shall be provided to any member of the commission staff  for the purpose of verifying compliance with state law, commission regulations,  and the service provider agreement. 
    B. In accordance with federal confidentiality guidelines,  all personal and medical information provided to the service provider regarding  offenders shall be kept confidential, maintained in individual offender files  and secured within a lockable filing cabinet at the offender’s service center.  This filing cabinet shall remain locked during any period that the service  center is unattended by a service provider employee.
    C. Within 24 hours of installing an interlock, the service  provider will provide the ASAP with an installation report that includes:
    1. The name, address, and telephone number of the offender;
    2. The owner, make, model, year, vehicle identification  number, license plate number, and registration information of the motor  vehicle; and
    3. The serial number of the ignition interlock device  installed. 
    D. Within 24 hours after performing a  monitoring/calibration check, the service provider shall submit to the local  ASAP all data generated to include:
    1. Name of the offender whose device was monitored.
    2. Name, address, and telephone number of the monitoring  official.
    3. Date of monitoring/calibration.
    4. Motor vehicle make, model, year, identification number,  and odometer.
    5. Number of miles driven during the monitoring period.
    6. Make, model, and serial number of the ignition interlock  device.
    7. Any change out of the device (handset and/or control  box) and reason for the change out.
    8. Any data indicating that the offender has attempted to  start or drive the motor vehicle with a positive BAC at or above the fail  point.
    9. Any attempts to alter, tamper, circumvent, bypass, or  otherwise remove the device.
    10. Any noncompliance with conditions of the ASAP or  interlock program.
    11. Any offender concerns.
    12. All charges incurred for the monitoring visit.
    13. Date of next scheduled monitoring visit.
    E. In addition, the service provider must have available  monthly reports detailing:
    1. All installations during the period covered.
    2. All calibrations performed during the period, by date  and offender name, detailing any unit replacements made during the monitoring  period.
    3. All datalogger information from each ignition interlock  device.
    4. Any evidence of misuse, abuse, or attempts to tamper  with the ignition interlock device.
    5. Any device failure due to material defect or improper  installation.
    6. A summary of all complaints received and corrective  action taken.
    F. The service provider shall be responsible for  purchasing and providing necessary computer hardware and software to convey all  data and information requested by the commission if such equipment is not  already present at the commission office or local ASAP.
    G. Reports shall be submitted to the local ASAP in the  format specified by the Commission on VASAP.
    VA.R. Doc. No. R09-1589; Filed April 17, 2009, 12:39 p.m.