58-93-70. Protection against insolvency.
(a) The Commissioner shall require deposits in accordance with the provisions of G.S. 58-93-35.
(b) Each PHP shall maintain a minimum capital and surplus equal to the greater of one million dollars ($1,000,000) or the amount required under the risk-based capital provisions of Article 12 of this Chapter.
(c) Every PHP shall have and maintain at all times an adequate plan for protection against insolvency acceptable to the Commissioner. In determining the adequacy of such a plan, the Commissioner may consider all of the following:
(1) A reinsurance agreement preapproved by the Commissioner covering excess loss, stop loss, or catastrophes. The agreement must provide that the Commissioner will be notified no less than 60 days prior to cancellation or reduction of coverage.
(2) Any other arrangements offering protection against insolvency that the Commissioner may require. (2018-49, s. 1(a).)
Structure North Carolina General Statutes
North Carolina General Statutes
Article 93 - Prepaid Health Plan Licensing Act.
§ 58-93-5 - (Effective until contingency met see note) Definitions.
§ 58-93-10 - Maximize federal reimbursement.
§ 58-93-15 - Commissioner use of consultants and other professionals.
§ 58-93-25 - Issuance and continuation of license.
§ 58-93-40 - Management and exclusive agreements; custodial agreements.
§ 58-93-45 - Fiduciary responsibilities.
§ 58-93-50 - Statements filed with Commissioner.
§ 58-93-65 - Hazardous financial condition.
§ 58-93-70 - Protection against insolvency.
§ 58-93-75 - Continuation of health care services.
§ 58-93-80 - Incurred but not reported claims.
§ 58-93-85 - Suspension or revocation of license.
§ 58-93-90 - Rehabilitation or liquidation of PHP.
§ 58-93-95 - Administrative procedures.
§ 58-93-100 - Penalties and enforcement.