58-93-95. Administrative procedures.
(a) When the Commissioner has cause to believe that grounds for the denial of an application for a license exist, or that grounds for the suspension or revocation of a license exist, notification shall be given to the PHP in writing and a copy of the notice shall be provided to DHHS. This notice shall specifically state the grounds for denial, suspension, or revocation and shall set a date for a hearing on the matter at least 30 days after notice is given.
(b) After such hearing, or upon the failure of the PHP to appear at such hearing, the Commissioner shall take action as is deemed advisable and issue written findings that shall be mailed to the PHP. The Commissioner shall provide DHHS with an explanation of the action taken and a copy of the written findings.
(c) The action of the Commissioner taken under subsection (b) of this section shall be subject to review by the Superior Court of Wake County. The court may, in disposing of the issue before it, modify, affirm, or reverse the order of the Commissioner in whole or in part.
(d) The provisions of Chapter 150B of the General Statutes of this State shall apply to proceedings under this section to the extent that they are not in conflict with this section. (2018-49, s. 1(a); 2019-179, s. 9(e).)
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.