North Carolina General Statutes
Article 67 - Health Maintenance Organization Act.
§ 58-67-171 - Other laws applicable to HMOs.

58-67-171. Other laws applicable to HMOs.
The following provisions of this Chapter are applicable to HMOs that are subject to this Article are as follows:
G.S. 58-2-125................... Authority over all insurance companies; no exemptions from license.
G.S. 58-2-150................... Oath required for compliance with law.
G.S. 58-2-155................... Investigation of charges.
G.S. 58-2-160................... Reporting and investigation of insurance and reinsurance fraud and the financial condition of licensees; immunity from liability.
G.S. 58-2-162................... Embezzlement by insurance agents, brokers, or administrators.
G.S. 58-2-185................... Record of business kept by companies and agents; Commissioner may inspect.
G.S. 58-2-190................... Commissioner may require special reports.
G.S. 58-2-195................... Commissioner may require records, reports, etc., for agencies, agents, and others.
G.S. 58-2-200................... Books and papers required to be exhibited.
G.S. 58-3-50..................... Companies must do business in own name; emblems, insignias, etc.
G.S. 58-3-100(c),(e)......... Insurance company licensing provisions.
G.S. 58-3-115................... Twisting with respect to insurance policies; penalties.
G.S. 58-7-46..................... Notification to Commissioner for president or chief executive officer changes.
G.S. 58-7-73..................... Dissolution of insurers.
Part 7 of Article 10.......... Annual Financial Reporting.
G.S. 58-50-35................... Notice of nonpayment of premium required before forfeiture.
G.S. 58-51-15(a)(2)b........ Accident and health policy provisions.
G.S. 58-51-17................... Portability for accident and health insurance.
G.S. 58-51-25................... Policy coverage to continue as to children with an intellectual or physical disability or dependent students on medically necessary leave of absence.
G.S. 58-51-35................... Insurers and others to afford coverage to children with an intellectual or physical disability.
G.S. 58-51-45................... Policies to be issued to any person possessing the sickle-cell trait or hemoglobin C trait.
G.S. 58-62........................ Life and Health Insurance Guaranty Association. (1999-244, s. 2; 2005-215, s. 20; 2009-382, s. 7; 2009-384, s. 4; 2018-47, s. 7(f); 2018-120, s. 1.2(b).)

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.