58-65-40. Supervision of Commissioner of Insurance; form of contract with subscribers; schedule of rates.
No hospital service corporation shall enter into any contract with subscribers unless and until it shall have filed with the Commissioner of Insurance a specimen copy of the contract or certificate and of all applications, riders, and endorsements for use in connection with the issuance or renewal thereof to be formally approved by him as conforming to the section of this Article entitled "Subscribers' contracts," and conforms to all rules and regulations promulgated by the Commissioner of Insurance under the provisions of this Article and Article 66 of this Chapter. The Commissioner of Insurance shall, within a reasonable time after the filing of any such form, notify the corporation filing the same either of his approval or of his disapproval of such form.
No corporation subject to the provisions of this Article and Article 66 of this Chapter shall enter into any contract with a subscriber after the enactment hereof unless and until it shall have filed with the Commissioner of Insurance a full schedule of rates to be paid by the subscribers to such contracts and shall have obtained the Commissioner's approval thereof. The Commissioner may refuse approval if he finds that such rates are excessive, inadequate, or unfairly discriminatory; or do not exhibit a reasonable relationship to the benefits provided by such contracts. At all times such rates and form of subscribers' contracts shall be subject to modification and approval of the Commissioner of Insurance under rules and regulations adopted by the Commissioner, in conformity to this Article and Article 66 of this Chapter. (1941, c. 338, s. 4; 1989, c. 485, s. 57.)
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.