58-53-85. Preexisting conditions.
The converted policy shall not exclude, as a preexisting condition, any condition covered by the group policy. However, the converted policy may provide for a reduction of its hospital, surgical or medical benefits by the amount of any such benefits payable under the group policy after the individual's insurance terminates thereunder. The converted policy may also provide that during the first policy year the benefits payable under the converted policy, together with the benefits payable under the group policy, shall not exceed those that would have been payable had the individual's insurance under the group policy remained in force and effect. (1981, c. 706, s. 1.)
Structure North Carolina General Statutes
North Carolina General Statutes
Article 53 - Group Health Insurance Continuation and Conversion Privileges.
§ 58-53-20 - Benefits not included.
§ 58-53-25 - Notification to employee.
§ 58-53-30 - Payment of premiums.
§ 58-53-35 - Termination of continuation.
§ 58-53-41 - Extension of election period and effect on coverage.
§ 58-53-85 - Preexisting conditions.
§ 58-53-90 - Basic coverage plans.
§ 58-53-95 - Major medical plans.
§ 58-53-100 - Alternative plans.