North Carolina General Statutes
Article 3 - General Regulations for Insurance.
§ 58-3-155 - Business transacted with insurer-controlled brokers.

58-3-155. Business transacted with insurer-controlled brokers.
(a) As used in this section:
(1) "Broker" means a person who, being a licensed agent, obtains insurance for another party through a duly authorized agent of an insurer that is licensed to do business in this State but for which the broker is not authorized to act as agent.
(2) "Control" or "controlled" means the direct or indirect possession of the power to direct or cause the direction of the management and policies of a person, whether through the ownership of voting securities, by contract other than a commercial contract for goods or nonmanagement services, or otherwise, unless the power is the result of an official position with or a corporate office held by the person. Control is presumed to exist if any person directly or indirectly owns, controls, holds with the power to vote, or holds proxies representing ten percent (10%) or more of the voting securities of any other person.
(b) The Commissioner may determine, after furnishing all persons in interest notice and opportunity to be heard and making specific findings of fact to support that determination, that control exists in fact, notwithstanding the absence of a presumption to that effect. The Commissioner may determine upon application that any person does not or will not upon the taking of some proposed action control another person. The Commissioner may prospectively revoke or modify that determination, after notice and opportunity to be heard whenever in the Commissioner's judgment revocation or modification is consistent with this section.
(c) No licensed property or casualty insurer that has control of a broker may accept insurance from the broker in any transaction in which the broker, when the insurance is placed, is acting as such on behalf of the insured for any compensation, commission, or thing of value unless the broker, before the effective date of the coverage, delivers written notice to the prospective insured disclosing the relationship between the insurer and broker. The disclosure must be signed by the insured and must be retained in the insurer's underwriting file until the completion and release of the examination report under G.S. 58-2-131 through G.S. 58-2-134 for the period in which the coverage is in effect. If the insurance is placed through a subbroker that is not a controlled broker, the controlling insurer shall retain in its records a signed commitment from the subbroker that the subbroker is aware of the relationship between the insurer and the broker and that the subbroker has notified or will notify the insured.
(d) This section does not affect the rights of policyholders, claimants, creditors, or other third parties. (1991, c. 681, s. 9; 1999-132, s. 11.1.)

Structure North Carolina General Statutes

North Carolina General Statutes

Chapter 58 - Insurance

Article 3 - General Regulations for Insurance.

§ 58-3-1 - State law governs insurance contracts.

§ 58-3-5 - No insurance contracts except under Articles 1 through 64 of this Chapter.

§ 58-3-6 - Charitable gift annuities.

§ 58-3-7 - Certain accountable care organizations not subject to this Chapter.

§ 58-3-8 - Medical direct primary care agreements not subject to this Chapter.

§ 58-3-10 - Statements in application not warranties.

§ 58-3-15 - Additional or coinsurance clause.

§ 58-3-20 - Group plans other than life, annuity or accident and health.

§ 58-3-25 - Discriminatory practices prohibited.

§ 58-3-30 - Meaning of terms "accident", "accidental injury", and "accidental means".

§ 58-3-33 - Insurer conditionally required to provide information.

§ 58-3-35 - Stipulations as to jurisdiction and limitation of actions.

§ 58-3-40 - Proof of loss forms required to be furnished.

§ 58-3-45 - Insurance as security for a loan by the company.

§ 58-3-50 - Companies must do business in own name; emblems, insignias, etc.

§ 58-3-55 - Must not pay death benefits in services.

§ 58-3-60 - Publication of assets and liabilities; penalty for failure.

§ 58-3-65 - Publication of financial information.

§ 58-3-71 - Unearned premium reserves.

§ 58-3-72 - Premium deficiency reserves.

§ 58-3-75 - Loss and loss expense reserves of fire and marine insurance companies.

§ 58-3-81 - Loss and loss expense reserves of casualty insurance and surety companies.

§ 58-3-85 - Corporation or association maintaining office in State required to qualify and secure license.

§ 58-3-100 - Insurance company licensing provisions.

§ 58-3-105 - Limitation of risk.

§ 58-3-110 - Limitation of liability assumed.

§ 58-3-115 - Twisting with respect to insurance policies; penalties.

§ 58-3-120 - Discrimination forbidden.

§ 58-3-121 - Discrimination against coverage of certain bones and joints prohibited.

§ 58-3-122 - Anesthesia and hospital charges necessary for safe and effective administration of dental procedures for young children, persons with serious mental or physical conditions, and persons with significant behavioral problems; coverage in he...

§ 58-3-130 - Insurance producer, adjuster, etc., acting without a license or violating insurance law.

§ 58-3-135 - Certain insurance activities by lenders with customers prohibited.

§ 58-3-137 - Prohibition on provisions relating to replacement cost estimators.

§ 58-3-140 - Temporary contracts of insurance permitted.

§ 58-3-145 - Solicitation, negotiation or payment of premiums on insurance policies.

§ 58-3-147 - Credit card guaranty or collateral prohibited.

§ 58-3-149 - Certificates of insurance.

§ 58-3-150 - Forms to be approved by Commissioner.

§ 58-3-151 - Deemer provisions.

§ 58-3-152 - Excess liability policies; uninsured and underinsured motorist coverages.

§ 58-3-155 - Business transacted with insurer-controlled brokers.

§ 58-3-160 - Sale of company or major reorganization; license to be restricted.

§ 58-3-165 - Business transacted with producer-controlled property or casualty insurers.

§ 58-3-167 - Applicability of acts of the General Assembly to health benefit plans.

§ 58-3-168 - Coverage for postmastectomy inpatient care.

§ 58-3-169 - Required coverage for minimum hospital stay following birth.

§ 58-3-170 - Requirements for maternity coverage.

§ 58-3-171 - Uniform claim forms.

§ 58-3-172 - Notice of claim denied.

§ 58-3-174 - Coverage for bone mass measurement for diagnosis and evaluation of osteoporosis or low bone mass.

§ 58-3-175 - Direct payment to government agencies.

§ 58-3-176 - Treatment discussions not limited.

§ 58-3-177 - Uniform prescription drug identification cards.

§ 58-3-178 - Coverage for prescription contraceptive drugs or devices and for outpatient contraceptive services; exemption for religious employers.

§ 58-3-179 - Coverage for colorectal cancer screening.

§ 58-3-180 - Motor vehicle repairs; selection by claimant.

§ 58-3-181 - Synchronization of prescription refills.

§ 58-3-185 - Lien created for payment of past-due child support obligations.

§ 58-3-190 - Coverage required for emergency care.

§ 58-3-191 - Managed care reporting and disclosure requirements.

§ 58-3-192 - Coverage for autism spectrum disorder.

§ 58-3-200 - Miscellaneous insurance and managed care coverage and network provisions.

§ 58-3-215 - Genetic information in health insurance.

§ 58-3-220 - Mental illness benefits coverage.

§ 58-3-221 - Access to nonformulary and restricted access prescription drugs.

§ 58-3-223 - Managed care access to specialist care.

§ 58-3-225 - Prompt claim payments under health benefit plans.

§ 58-3-227 - Health plans fee schedules.

§ 58-3-228 - Coverage for extra prescriptions during a state of emergency or disaster.

§ 58-3-230 - Uniform provider credentialing.

§ 58-3-231 - Payment under locum tenens arrangements.

§ 58-3-235 - Selection of specialist as primary care provider.

§ 58-3-240 - Direct access to pediatrician for minors.

§ 58-3-245 - Provider directories; cost tools for insured.

§ 58-3-247 - Insurance identification card.

§ 58-3-250 - Payment obligations for covered services.

§ 58-3-255 - Coverage of clinical trials.

§ 58-3-256 - Coverage related to organ transplants.

§ 58-3-260 - Insurance coverage for newborn hearing screening mandated.

§ 58-3-265 - Prohibition on managed care provider incentives.

§ 58-3-270 - Coverage for surveillance tests for women at risk for ovarian cancer.

§ 58-3-275 - Closure of a block of business.

§ 58-3-280 - Coverage for the diagnosis and treatment of lymphedema.

§ 58-3-285 - Coverage for hearing aids.

§ 58-3-290 - Nondependent child coverage defined; open enrollment.

§ 58-3-300 - Health insurance issuers subject to certain requirements of federal law.