58-50A-20. Health plan requirements.
Any group health plan offered by a sponsoring association must meet all of the following requirements:
(1) Neither be offered nor advertised to the public generally.
(2) Provides a level of coverage equal to or greater than sixty percent (60%) of the actuarial value of allowed costs for covered benefits.
(3) Provides coverage for hospital and physician services.
(4) Complies with the provisions of G.S. 58-3-150. (2019-202, s. 1.)
Structure North Carolina General Statutes
North Carolina General Statutes
Article 50A - Association Health Plans and Multiple Employer Welfare Arrangements.
§ 58-50A-5 - Compliance with requirements.
§ 58-50A-10 - Sponsoring association requirements.
§ 58-50A-15 - Membership requirements.
§ 58-50A-20 - Health plan requirements.
§ 58-50A-25 - Solvency requirements.
§ 58-50A-30 - Nondiscrimination.
§ 58-50A-35 - Premium contributions.
§ 58-50A-40 - Use of licensed insurance producers.
§ 58-50A-60 - Multiple employer welfare arrangements; administrators.
§ 58-50A-65 - Multiple employer welfare arrangements; license required; penalty.
§ 58-50A-70 - Qualifications for licensure.
§ 58-50A-75 - Certain words prohibited in name of MEWA.
§ 58-50A-80 - Filing of application.
§ 58-50A-85 - Examinations; deposits; solvency regulation.
§ 58-50A-90 - Annual reports; actuarial certifications; quarterly reports.