135-48.30. Powers and duties of the State Treasurer.
(a) The State Treasurer shall have the following powers and duties:
(1) Administer and operate the State Health Plan for Teachers and State Employees in accordance with G.S. 135-48.2 and the provisions of this Article.
(2) Set benefits, premium rates, co-pays, deductibles, and coinsurance percentages and maximums, subject to approval by the Board of Trustees. In setting premium rates, the State Treasurer may set a partially contributory rate of zero dollars, subject to approval by the Board of Trustees.
(3) Set the allowable charges for medical and prescription drug benefits, as necessary.
(4) Design and implement coordination of benefits policies.
(5) May offer wellness incentives.
(6) Set administrative and medical policies that are not in direct conflict with this Article.
(7) Adopt and implement, in consultation with the Board of Trustees, utilization review and internal grievance procedures that are substantially equivalent to those required under G.S. 58-50-61 and G.S. 58-50-62. External review of determinations shall be conducted in accordance with Part 4 of Article 50 of Chapter 58 of the General Statutes.
(8) Implement and administer pharmacy and medical utilization management programs and programs to detect and address utilization abuse of benefits.
(9) Establish and operate fraud detection and audit programs.
(10) Expend funds for any independent audit.
(11) Establish procedures to require prior medical approval and implement the procedures after consultation with the Board of Trustees.
(12) Prepare and submit to the Governor and the General Assembly cost estimates for the Plan, including those required by Article 15 of Chapter 120 of the General Statutes.
(13) Disclose to the Governor and the General Assembly changes or additions to the health benefits programs and health care cost containment programs offered under the Plan, together with statements of financial and actuarial effects as required by Article 15 of Chapter 120 of the General Statutes.
(14) Secure and maintain tax qualification of the Plan under any applicable provisions of the Internal Revenue Code.
(15), (16) Repealed by Session Laws 2012-173, s. 3(c), effective January 1, 2013.
(17) Optionally offer Medicare-related options under G.S. 135-48.38.
(18) In accordance with G.S. 135-48.39 and subject to approval by the Board of Trustees, issue an order declaring an option of deferring premium or debt payments when there is a state of disaster or emergency.
(b) The State Treasurer may delegate his or her powers and duties under this section to the Executive Administrator, the Board of Trustees, and employees of the Plan. In delegating powers or duties, however, the State Treasurer maintains the responsibility for the performance of those powers or duties. (2011-85, s. 2.10; 2012-173, s. 3(c), 4(b); 2020-3, s. 4.21(a).)
Structure North Carolina General Statutes
North Carolina General Statutes
Article 3B - State Health Plan for Teachers and State Employees.
§ 135-48.1 - General definitions.
§ 135-48.4 - Conflict with federal law.
§ 135-48.5 - Health benefit trust funds created.
§ 135-48.8 - Statements of public interest.
§ 135-48.10 - Confidentiality of information and medical records; provider contracts.
§ 135-48.12 - Committee on Actuarial Valuation of Retired Employees' Health Benefits.
§ 135-48.15 - Whistle-blower protections related to the State Health Plan.
§ 135-48.16 - Fraud detection and audit programs.
§ 135-48.20 - Board of Trustees established.
§ 135-48.21 - Board officers, quorum, meetings.
§ 135-48.22 - Board powers and duties.
§ 135-48.23 - Executive Administrator.
§ 135-48.24 - Administrative review.
§ 135-48.27 - Reports to the General Assembly; General Assembly access to information.
§ 135-48.28 - Auditing of the Plan.
§ 135-48.30 - Powers and duties of the State Treasurer.
§ 135-48.32 - Contracts to provide benefits.
§ 135-48.34 - Contracts not subject to Article 3 of Chapter 143 of the General Statutes.
§ 135-48.37 - Liability of third person; right of subrogation; right of first recovery.
§ 135-48.37A - Employing unit cooperation in collection of amounts owed to Plan.
§ 135-48.38 - Persons eligible for Medicare; optional participation in other Medicare products.
§ 135-48.39 - Operations during state of disaster or emergency.
§ 135-48.40 - Categories of eligibility.
§ 135-48.41 - Additional eligibility provisions.
§ 135-48.43 - Effective dates of coverage.
§ 135-48.44 - Cessation of coverage.
§ 135-48.46 - Settlement agreements by employing units.
§ 135-48.47 - Participation in State Health Plan by local government employees and dependents.
§ 135-48.49 - IRC Sections 6055 and 6056 regulatory reporting.
§ 135-48.50 - Coverage mandates.
§ 135-48.51 - Coverage and operational mandates related to Chapter 58 of the General Statutes.
§ 135-48.52 - General limitations and exclusions.
§ 135-48.56 - Education of covered active and retired employees.
§ 135-48.57 - Payments for county or city ambulance service.
§ 135-48.58 - Premiums for firefighters, rescue squad workers, and members of National Guard.