58-2-46. State of disaster automatic stay of proof of loss requirements; premium and debt deferrals; loss adjustments for separate windstorm policies.
Whenever (i) a state of disaster is proclaimed for the State or for an area within the State under G.S. 166A-19.21 or whenever the President of the United States has issued a major disaster declaration for the State or for an area within the State under the Stafford Act, 42 U.S.C. 5121, et seq., as amended and (ii) if the Commissioner has issued an order declaring subdivisions (1) through (4) of this section effective for the specific disaster:
(1) The application of any provision in an insurance policy insuring real property and its contents that are located within the geographic area designated in the proclamation or declaration, which provision requires an insured to file a proof of loss within a certain period of time after the occurrence of the loss, shall be stayed for the time period not exceeding the earlier of (i) the expiration of the disaster proclamation or declaration and all renewals of the proclamation or (ii) the expiration of the Commissioner's order declaring subdivisions (1) through (4) of this section effective for the specific disaster, as determined by the Commissioner.
(2) As used in this subdivision, "insurance company" includes a service corporation, HMO, MEWA, surplus lines insurer, and the underwriting associations under Articles 45 and 46 of this Chapter. All insurance companies, premium finance companies, collection agencies, and other persons subject to this Chapter shall give their customers who reside within the geographic area designated in the proclamation or declaration the option of deferring premium or debt payments that are due during the earlier of (i) [the time period covered by the proclamation or declaration or (ii)] the time period prior to the expiration of the Commissioner's order declaring subdivisions (1) through (4) of this section effective for the specific disaster, as determined by the Commissioner. This deferral period shall be 30 days from the last day the premium or debt payment may be made under the terms of the policy or contract. This deferral period shall also apply to any statute, rule, or other policy or contract provision that imposes a time limit on an insurer, insured, claimant, or customer to perform any act during the time period covered by the proclamation or declaration, including the transmittal of information, with respect to insurance policies or contracts, premium finance agreements, or debt instruments when the insurer, insured, claimant, or customer resides or is located in the geographic area designated in the proclamation or declaration. Likewise, the deferral period shall apply to any time limitations imposed on insurers under the terms of a policy or contract or provisions of law related to individuals who reside within the geographic area designated in the proclamation or declaration. Likewise, the deferral period shall apply to any time limitations imposed on insurers under the terms of a policy or contract or provisions of law related to individuals who reside within the geographic area designated in the proclamation or declaration. The Commissioner may extend any deferral period in this subdivision, depending on the nature and severity of the proclaimed or declared disaster. No additional rate or contract filing shall be necessary to effect any deferral period.
(3) With respect to health benefit plans, after a deferral period has expired, all premiums in arrears shall be payable to the insurer. If premiums in arrears are not paid, coverage shall lapse as of the date premiums were paid up, and preexisting conditions shall apply as permitted under this Chapter; and the insured shall be responsible for all medical expenses incurred since the effective date of the lapse in coverage.
(4) Repealed by Session Laws 2014-115, s. 39.2, effective August 11, 2014. (2006-145, s. 3; 2012-12, s. 2(i); 2013-199, s. 22(a); 2014-115, s. 39.2.)
Structure North Carolina General Statutes
North Carolina General Statutes
Article 2 - Commissioner of Insurance.
§ 58-2-1 - Department established.
§ 58-2-5 - Commissioner's election and term of office.
§ 58-2-10 - Salary of Commissioner.
§ 58-2-15 - Chief deputy commissioner.
§ 58-2-25 - Other deputies, actuaries, examiners and employees.
§ 58-2-30 - Appointments of committees or councils.
§ 58-2-31 - Seniors' Health Insurance Information Program.
§ 58-2-35 - Seal of Department.
§ 58-2-40 - Powers and duties of Commissioner.
§ 58-2-45 - Orders of Commissioner; when writing required.
§ 58-2-50 - Examinations, hearings, and investigations.
§ 58-2-52 - Appeals and rate-making hearings before the Commissioner.
§ 58-2-53 - Filing approvals and disapprovals; clarification of law.
§ 58-2-55 - Designated hearing officers.
§ 58-2-60 - Restraining orders; criminal convictions.
§ 58-2-65 - License surrenders.
§ 58-2-70 - Civil penalties or restitution for violations; administrative procedure.
§ 58-2-75 - Court review of orders and decisions.
§ 58-2-80 - Court review of rates and classification.
§ 58-2-85 - Procedure on appeal under § 58-2-80.
§ 58-2-90 - Extent of review under § 58-2-80.
§ 58-2-95 - Commissioner to supervise local inspectors.
§ 58-2-100 - Office of Commissioner a public office; records, etc., subject to inspection.
§ 58-2-105 - Confidentiality of medical and credentialing records.
§ 58-2-110 - Original documents and certified copies as evidence.
§ 58-2-115 - Admissibility of certificate as evidence of agent's authority.
§ 58-2-120 - Reports of Commissioner to the Governor and General Assembly.
§ 58-2-121 - Report of Department to General Assembly committees on various relief funds.
§ 58-2-125 - Authority over all insurance companies; no exemptions from license.
§ 58-2-128 - Interagency consultation.
§ 58-2-131 - Examinations to be made; authority, scope, scheduling, and conduct of examinations.
§ 58-2-132 - Examination reports.
§ 58-2-133 - Conflict of interest; cost of examinations; immunity from liability.
§ 58-2-134 - Cost of certain examinations.
§ 58-2-136 - Insurer records sent to Department for examination; expenses.
§ 58-2-150 - Oath required for compliance with law.
§ 58-2-155 - Investigation of charges.
§ 58-2-161 - False statement to procure or deny benefit of insurance policy or certificate.
§ 58-2-162 - Embezzlement by insurance producers or administrators.
§ 58-2-163 - Report to Commissioner.
§ 58-2-164 - Rate evasion fraud; prevention programs.
§ 58-2-165 - Annual, semiannual, monthly, or quarterly statements to be filed with Commissioner.
§ 58-2-171 - Qualifications of actuaries.
§ 58-2-180 - Punishment for making false statement.
§ 58-2-185 - Record of business kept by companies and insurance producers; Commissioner may inspect.
§ 58-2-190 - Commissioner may require special reports.
§ 58-2-200 - Books and papers required to be exhibited.
§ 58-2-205 - CPA audits of financial statements.
§ 58-2-210 - Rules for mortgage insurance consolidations.
§ 58-2-215 - Consumer Protection Fund.
§ 58-2-230 - Commissioner to share information with Department of Labor.
§ 58-2-240 - Market conduct analysis, financial analysis, and related information not public record.
§ 58-2-245 - Access to employer taxpayer identification numbers contained in public documents.
§ 58-2-250 - Electronic filings.
§ 58-2-255 - Electronic insurance communications and records.