58-47-190. Compensation.
A TPA or service company shall not enter into any agreement or understanding with a self-insurer that makes the amount of the TPA's or service company's commissions, fees, or charges contingent upon savings affected in the adjustment, settlement, and payment of losses covered by the self-insurer's obligations. This section does not prohibit a TPA or service company from receiving performance-based compensation for providing medical services through a physician-based network or auditing services and does not prevent the compensation of a TPA or service company from being based on premiums or charges collected or the number of claims paid or processed. (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.