58-47-180. Premium collection and payment of claims.
(a) The TPA or service company, at a minimum, shall:
(1) Periodically render an accounting to the self-insurer detailing all transactions performed by the TPA or service company pertaining to the business underwritten, premium or other charges collected, and claims paid by the self-insurer, when applicable.
(2) Deposit all receipts directly into an account maintained in the name of the self-insurer.
(3) Pay claims on drafts or checks of and authorized by the self-insurer.
(4) Not withdraw from the self-insurer's account except for authority limited to pay claims and refund premiums.
(5) Remit return premium, directly from the self-insurer's account, to the person entitled to the return premium.
(b) Any check disbursement authority granted to the TPA or service company may be terminated upon the self-insurer's written notice to the TPA or service company or upon termination of the agreement. The self-insurer may suspend the check disbursement authority during the pendency of any dispute regarding the cause for termination. (1997-362, s. 3.)
Structure North Carolina General Statutes
North Carolina General Statutes
Article 47 - Workers' Compensation Self-Insurance.
§ 58-47-65 - Licensing; qualification for approval.
§ 58-47-70 - License denial; termination; revocation; restrictions.
§ 58-47-75 - Reporting and records.
§ 58-47-80 - Assets and invested assets.
§ 58-47-85 - Surplus requirements.
§ 58-47-95 - Excess insurance and reinsurance.
§ 58-47-105 - Dividends and other distributions.
§ 58-47-115 - Premium payment requirements.
§ 58-47-120 - Board; composition, powers, duties, and prohibitions.
§ 58-47-125 - Admission and termination of group members.
§ 58-47-135 - Assessment plan and indemnity agreement.
§ 58-47-140 - Other provisions of this Chapter.
§ 58-47-155 - TPAs and service companies; authority; qualifications.
§ 58-47-160 - Written agreement; composition; restrictions.
§ 58-47-165 - Books and records.
§ 58-47-170 - Payments to TPA or service company.
§ 58-47-175 - Approval of advertising.
§ 58-47-180 - Premium collection and payment of claims.
§ 58-47-185 - Notices; disclosure.