58-56-41. Notice to covered individuals; disclosure of charges and fees.
(a) When the services of a TPA are used, the TPA shall provide a written notice approved by the insurer to covered individuals advising them of the identity of, and relationship among, the TPA, the policyholder, and the insurer.
(b) When a TPA collects funds, the reason for collection of each item must be identified to the insured party and each item must be shown separately from any premium. Additional charges may not be made for services to the extent the services have been paid for by the insurer.
(c) The TPA shall disclose to the insurer all charges, fees and commissions received from all services in connection with the provision of administrative services for the insurer, including any fees or commissions paid by insurers providing reinsurance. (1991, c. 627, s. 1.)
Structure North Carolina General Statutes
North Carolina General Statutes
Article 56 - Third Party Administrators.
§ 58-56-6 - Written agreement necessary.
§ 58-56-16 - Records to be kept.
§ 58-56-21 - Approval of advertising.
§ 58-56-26 - Responsibilities of the insurer.
§ 58-56-31 - Premium collection and payment of claims.
§ 58-56-36 - Compensation to the TPA.
§ 58-56-41 - Notice to covered individuals; disclosure of charges and fees.
§ 58-56-46 - Delivery of materials to covered individuals.
§ 58-56-51 - License required.
§ 58-56-56 - Waiver of application for license.
§ 58-56-65 - Committee on Third Party Administrators.
§ 58-56-66 - Grounds for suspension or revocation of license.