58-65-1. Regulation and definitions; application of other laws; profit and foreign corporations prohibited.
(a) Any corporation organized under the general corporation laws of the State of North Carolina for the purpose of maintaining and operating a nonprofit dental, health care, medical, or vision service plan whereby dental, health care, medical, or vision care or services may be provided in whole or in part by the corporation or by hospitals, physicians, optometrists, or dentists participating in the plan, or plans, shall be governed by this Article and Article 66 of this Chapter and shall be exempt from all other provisions of the insurance laws of this State, unless otherwise provided.
(a1) With the approval of the Commissioner, any corporation organized and subject to the provisions of this Article, the certificate of authority of which authorizes the operation of either a dental, health care, medical, or vision service plan, or any combination of those plans, may do both of the following:
(1) Issue subscribers' contracts or certificates for the provision of, or the payment of fees for, dental, health care, medical, or vision service or care, or any or all of those services or care as applicable.
(2) Enter into contracts with hospitals, physicians, dentists, optometrists, or any or all of those health care providers, for the provision of, or the payment of fees for, services or care under a dental, health care, medical, or vision service plan, or any combination of those plans.
(b) through (c) Repealed by Session Laws 2001-297.
(d) No foreign or alien hospital service corporation shall be authorized to do business in this State. ( 1941, c. 338, s. 1; 1943, c. 537, s. 1; 1953, c. 1124, s. 1; 1961, c. 1149; 1965, c. 396, s. 1; c. 1169, s. 1; 1967, c. 690, s. 1; 1973, c. 642; 1977, c. 601, ss. 1, 31/2; 1985, c. 735, s. 2; 1993, c. 347, s. 3; c. 375, s. 4; 464, s. 3.1; 1995, c. 223, s. 2; c. 406, s. 4; 1997-197, ss. 1, 2; 1999-186, s. 1; 1999-199, s. 2; 1999-210, ss. 5, 6; 2001-297, s. 2; 2001-487, ss. 40(h), 105(a), 105(b); 2003-212, s. 17; 2009-451, s. 21.13(a); 2018-120, s. 4.6(c); 2021-169, s. 1.)
Structure North Carolina General Statutes
North Carolina General Statutes
Article 65 - Hospital Service Corporations.
§ 58-65-1.1 - Definitions applicable to this Article.
§ 58-65-2 - Other laws applicable to all service corporations.
§ 58-65-5 - Contract for joint assumption or underwriting of risks.
§ 58-65-10 - Premium or dues paid.
§ 58-65-20 - Members of governing boards.
§ 58-65-25 - Hospital, physician, dentist, and optometrist contracts.
§ 58-65-30 - Dentists' services.
§ 58-65-35 - Nurses' services.
§ 58-65-36 - Physician services provided by physician assistants.
§ 58-65-50 - Application for certificate of authority or license.
§ 58-65-55 - Issuance and continuation of license.
§ 58-65-60 - Subscribers' contracts; required and prohibited provisions.
§ 58-65-65 - Coverage for active medical treatment in tax-supported institutions.
§ 58-65-70 - Contracts to cover any person possessing the sickle cell trait or hemoglobin C trait.
§ 58-65-75 - Coverage for chemical dependency treatment.
§ 58-65-80 - Meaning of terms "accident", "accidental injury", and "accidental means".
§ 58-65-85 - Discriminatory practices prohibited.
§ 58-65-90 - No discrimination against mentally ill or chemically dependent individuals.
§ 58-65-91 - Coverage for certain treatment of diabetes.
§ 58-65-92 - Coverage for mammograms and cervical cancer screening.
§ 58-65-93 - Coverage for prostate-specific antigen (PSA) tests.
§ 58-65-94 - Coverage of certain prescribed drugs for cancer treatment.
§ 58-65-95 - Investments and reserves.
§ 58-65-96 - Coverage for reconstructive breast surgery following mastectomy.
§ 58-65-100 - Statements filed with Commissioner.
§ 58-65-105 - Visitations and examinations.
§ 58-65-115 - Licensing and regulation of agents.
§ 58-65-125 - Revocation and suspension of license; unfair trade practices.
§ 58-65-130 - Amendments to certificate of incorporation.
§ 58-65-131 - Findings; definitions; conversion plan.
§ 58-65-132 - Review and approval of conversion plan; new corporation.
§ 58-65-133 - Creation and operation of foundation.
§ 58-65-135 - Cost plus plans.
§ 58-65-145 - Preexisting hospital service corporations.
§ 58-65-150 - Construction of Chapter as to single employer plans; associations exempt.
§ 58-65-155 - Merger or consolidation, proceedings for.
§ 58-65-166 - Policy statement and definitions.
§ 58-65-167 - Authority to indemnify.
§ 58-65-168 - Mandatory indemnification.
§ 58-65-169 - Advance for expenses.
§ 58-65-170 - Court-ordered indemnification.
§ 58-65-171 - Determination and authorization of indemnification.
§ 58-65-172 - Indemnification of officers, employees, and agents.