North Carolina General Statutes
Article 3B - State Health Plan for Teachers and State Employees.
§ 135-48.45 - Conversion.

135-48.45. Conversion.
(a) Upon a cessation of group coverage under the Plan and/or eligibility for group coverage under the Plan, an employee or dependent shall be entitled to a conversion to nongroup coverage without the necessity of a physical examination. Such conversion coverage shall include hospitalization, surgical, and medical benefits as contained in the major medical and alternative plan conversion provisions of Article 53 of Chapter 58 of the General Statutes. The State Treasurer in his or her sole discretion shall approve the conversion coverage, which shall be administered by the Claims Processor through an insurance contract arranged by the Claims Processor, or administered as otherwise directed by the State Treasurer. An eligible employee or dependent must apply for conversion coverage within 30 days after termination of group eligibility.
(b) The State Treasurer shall provide for the continuation of conversion privilege exercised under the predecessor plan, on a fully contributory basis. The State Treasurer shall consult with the Board of Trustees before taking action under this subsection. (1981 (Reg. Sess., 1982), c. 1398, s. 6; 1983, c. 922, s. 21.6; 1985, c. 732, ss. 30, 56; 1985 (Reg. Sess., 1986), c. 1020, s. 20; 2008-168, ss. 1(a), 3(a), (r); 2011-85, ss. 2.6(i), 2.10.)

Structure North Carolina General Statutes

North Carolina General Statutes

Chapter 135 - Retirement System for Teachers and State Employees; Social Security; State Health Plan for Teachers and State Employees

Article 3B - State Health Plan for Teachers and State Employees.

§ 135-48.1 - General definitions.

§ 135-48.2 - Undertaking.

§ 135-48.3 - Right to amend.

§ 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.

§ 135-48.25 - Rules.

§ 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.

§ 135-48.33 - Contracting provisions; large contract review by Board of Trustees and Attorney General, auditing, no cost plus contracts.

§ 135-48.34 - Contracts not subject to Article 3 of Chapter 143 of the General Statutes.

§ 135-48.35 - Contract disputes not contested case under the Administrative Procedure Act, Chapter 150B 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.

§ 135-48.42 - Enrollment.

§ 135-48.43 - Effective dates of coverage.

§ 135-48.44 - Cessation of coverage.

§ 135-48.45 - Conversion.

§ 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.

§ 135-48.54 - Optional participation for charter schools operated by private nonprofit corporations or municipalities.

§ 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.