North Carolina General Statutes
Article 67 - Health Maintenance Organization Act.
§ 58-67-100 - Examinations.

58-67-100. Examinations.
(a) The Commissioner may make an examination of the affairs of any health maintenance organization and the contracts, agreements or other arrangements pursuant to its health care plan as often as the Commissioner deems it necessary for the protection of the interests of the people of this State but not less frequently than once every five years. Examinations shall otherwise be conducted under G.S. 58-2-131 through G.S. 58-2-134.
(b) Repealed by Session Laws 1997-519, s. 1, effective January 1, 1998.
(c) Repealed by Session Laws 1995, c. 360, s. 2(m).
(d) Instead of conducting an examination, the Commissioner may accept the report of an examination made by the HMO regulator of another state. (1977, c. 580, s. 1; 1979, c. 876, s. 1; 1995, c. 360, s. 2(m); 1997-519, s. 1.4; 1999-132, s. 11.10; 2007-127, s. 16.)

Structure North Carolina General Statutes

North Carolina General Statutes

Chapter 58 - Insurance

Article 67 - Health Maintenance Organization Act.

§ 58-67-1 - Short title.

§ 58-67-5 - Definitions.

§ 58-67-10 - Establishment of health maintenance organizations.

§ 58-67-11 - Additional HMO application information.

§ 58-67-12 - Commissioner use of consultants and other professionals.

§ 58-67-15 - Health maintenance organization of bordering states may be admitted to do business; reciprocity.

§ 58-67-20 - Issuance and continuation of license.

§ 58-67-25 - Deposits.

§ 58-67-30 - Management and exclusive agreements; custodial agreements.

§ 58-67-35 - Powers of health maintenance organizations.

§ 58-67-45 - Fiduciary responsibilities.

§ 58-67-50 - Evidence of coverage and premiums for health care services.

§ 58-67-55 - Statements filed with Commissioner.

§ 58-67-60 - Investments.

§ 58-67-65 - Prohibited practices.

§ 58-67-66 - Collaboration with local health departments.

§ 58-67-70 - Coverage for chemical dependency treatment.

§ 58-67-74 - Coverage for certain treatment of diabetes.

§ 58-67-75 - No discrimination against mentally ill or chemically dependent individuals.

§ 58-67-76 - Coverage for mammograms and cervical cancer screening.

§ 58-67-77 - Coverage for prostate-specific antigen (PSA) tests.

§ 58-67-78 - Coverage of certain prescribed drugs for cancer treatment.

§ 58-67-79 - Coverage for reconstructive breast surgery following mastectomy.

§ 58-67-80 - Meaning of terms "accident", "accidental injury", and "accidental means".

§ 58-67-85 - Master group contracts, filing requirement; required and prohibited provisions.

§ 58-67-88 - Continuity of care.

§ 58-67-90 - Licensing and regulation of agents.

§ 58-67-95 - Powers of insurers, hospitals, prepaid health plans, and medical service corporations.

§ 58-67-100 - Examinations.

§ 58-67-105 - Hazardous financial condition.

§ 58-67-110 - Protection against insolvency.

§ 58-67-115 - Hold harmless agreements or special deposit.

§ 58-67-120 - Continuation of benefits.

§ 58-67-125 - Enrollment period.

§ 58-67-130 - Replacement coverage.

§ 58-67-135 - Incurred but not reported claims.

§ 58-67-140 - Suspension or revocation of license.

§ 58-67-145 - Rehabilitation, liquidation, or conservation of health maintenance organization.

§ 58-67-150 - Regulations.

§ 58-67-155 - Administrative procedures.

§ 58-67-160 - Fees.

§ 58-67-165 - Penalties and enforcement.

§ 58-67-170 - Statutory construction and relationship to other laws.

§ 58-67-171 - Other laws applicable to HMOs.

§ 58-67-175 - Filings and reports as public documents.

§ 58-67-180 - Confidentiality of medical information.

§ 58-67-185 - Severability.