58-65-1.1. Definitions applicable to this Article.
The following definitions apply in this Article:
(1) Dental service plan. - A contract for the provision of, or the payment of fees for, dental care or dental services, including any other professional services authorized or permitted to be provided by a duly licensed dentist.
(2) Full-service corporation. - Any corporation organized under the provisions of this Article that offers a medical service plan or a health care service plan.
(3) Health care service plan. - Any contract for the provision of, or the payment of fees for, hospital care, laboratory facilities, X-ray facilities, drugs, health care appliances, anesthesia, nursing care, operating and obstetrical equipment, or health care accommodations, including any other services permitted to be provided by a hospital under the laws of this State and approved by the North Carolina Hospital Association or the American Medical Association.
(4) Hospital service corporation. - Any nonprofit corporation that operates one or any combination of the following:
a. Dental service plan.
b. Health care service plan.
c. Medical service plan.
d. Vision service plan.
(5) Medical service plan. - Any contract for the furnishing of, or the payment of fees for, any of the following:
a. Medical, obstetrical, surgical, or any other professional services authorized or permitted to be provided by a duly licensed physician or other provider listed in G.S. 58-50-30.
b. Professional medical services authorized or permitted to be provided by a health care provider licensed under Chapter 90 of the General Statutes.
(6) Preferred provider. - A health care provider who has agreed to accept, from a corporation organized for the purposes authorized by this Article, special reimbursement terms in exchange for providing services to beneficiaries of a plan administered pursuant to this Article.
(7) Single-service corporation. - Any corporation organized under the provisions of this Article that offers any of the following:
a. Only a dental service plan.
b. Only a vision service plan.
c. Both a dental service plan and a vision service plan, but no other plans.
(8) Vision service plan. - Any contract for the provision of, or the payment of fees for, vision care or vision services, including any other professional services permitted to be provided by a duly licensed optometrist or ophthalmologist. (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.