58-67-105. Hazardous financial condition.
(a) Whenever the financial condition of any health maintenance organization indicates a condition such that the continued operation of the health maintenance organization might be hazardous to its enrollees, creditors, or the general public, then the Commissioner may order the health maintenance organization to take such action as may be reasonably necessary to rectify the existing condition, including but not limited to one or more of the following steps:
(1) To reduce the total amount of present and potential liability for benefits by reinsurance;
(2) To reduce the volume of new business being accepted;
(3) To reduce the expenses by specified methods;
(4) To suspend or limit the writing of new business for a period of time; or
(5) To require an increase to the health maintenance organization's net worth by contribution.
(b) The Commissioner may adopt rules to set uniform standards and criteria for the early warning that the continued operation of any health maintenance organization might be hazardous to its enrollees, creditors, or the general public, and to set standards for evaluating the financial condition of any health maintenance organization, which standards shall be consistent with the purposes expressed in subsection (a) of this section. (1987, c. 631, s. 5.)
Structure North Carolina General Statutes
North Carolina General Statutes
Article 67 - Health Maintenance Organization Act.
§ 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.
§ 58-67-20 - Issuance and continuation of license.
§ 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.
§ 58-67-65 - 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.
§ 58-67-105 - 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.
§ 58-67-155 - Administrative procedures.
§ 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.