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§ 58-50-1 - Waiver by insurer. - 58-50-1. Waiver by insurer. The acknowledgment by any insurer of...
§ 58-50-5 - Application. - 58-50-5. Application. (a) On and after January 1, 1956, each...
§ 58-50-15 - Conforming to statute. - 58-50-15. Conforming to statute. (a) Other Policy Provisions. - No...
§ 58-50-20 - Age limit. - 58-50-20. Age limit. If any such policy contains a provision...
§ 58-50-25 - Nurses' services. - 58-50-25. Nurses' services. (a) No agency, institution or physician providing...
§ 58-50-26 - Physician services provided by physician assistants. - 58-50-26. Physician services provided by physician assistants. No agency, institution,...
§ 58-50-30 - Right to choose services of certain providers. - 58-50-30. Right to choose services of certain providers. (a) Repealed...
§ 58-50-35 - Notice of nonpayment of premium required before forfeiture. - 58-50-35. Notice of nonpayment of premium required before forfeiture. No...
§ 58-50-40 - Willful failure to pay group insurance premiums; willful termination of a group health plan; notice to persons insured; penalty; restitution; examination of insurance transactions. - 58-50-40. Willful failure to pay group insurance premiums; willful termination...
§ 58-50-45 - Group health or life insurers to notify insurance fiduciaries of obligations. - 58-50-45. Group health or life insurers to notify insurance fiduciaries...
§ 58-50-46 - Recodified as G.S108A-55.4 by Session Laws 2006-221, s9(a), effective January 1, 2007. - 58-50-46: Recodified as G.S. 108A-55.4 by Session Laws 2006-221, s....
§ 58-50-56 - Insurers, preferred provider organizations, and preferred provider benefit plans. - 58-50-56. Insurers, preferred provider organizations, and preferred provider benefit plans....
§ 58-50-56.1 - Exclusive provider organizations, exclusive provider benefit plans. - 58-50-56.1. Exclusive provider organizations, exclusive provider benefit plans. (a) Definitions....
§ 58-50-56.2 - Exclusive provider organization continuity of care. - 58-50-56.2. Exclusive provider organization continuity of care. (a) Definitions. -...
§ 58-50-57 - Offsets against provider reimbursement for workers' compensation payments forbidden. - 58-50-57. Offsets against provider reimbursement for workers' compensation payments forbidden....
§ 58-50-61 - Utilization review. - 58-50-61. Utilization review. (a) Definitions. - As used in this...
§ 58-50-62 - Insurer grievance procedures. - 58-50-62. Insurer grievance procedures. (a) Purpose and Intent. - The...
§ 58-50-63 - Expired pursuant to Session Laws 2005-453, s3, effective July 1, 2005. - 58-50-63: Expired pursuant to Session Laws 2005-453, s. 3, effective...
§ 58-50-65 - Certain policies of insurance not affected. - 58-50-65. Certain policies of insurance not affected. (a) Nothing in...
§ 58-50-70 - Punishment for violation. - 58-50-70. Punishment for violation. Any company, association, society, or other...
§ 58-50-75 - Purpose, scope, and definitions. - 58-50-75. Purpose, scope, and definitions. (a) The purpose of this...
§ 58-50-77 - Notice of right to external review. - 58-50-77. Notice of right to external review. (a) An insurer...
§ 58-50-79 - Exhaustion of internal grievance process. - 58-50-79. Exhaustion of internal grievance process. (a) Except as provided...
§ 58-50-80 - Standard external review. - 58-50-80. Standard external review. (a) Within 120 days after the...
§ 58-50-82 - Expedited external review. - 58-50-82. Expedited external review. (a) Except as provided in subsection...
§ 58-50-84 - Binding nature of external review decision. - 58-50-84. Binding nature of external review decision. (a) An external...
§ 58-50-85 - Approval of independent review organizations. - 58-50-85. Approval of independent review organizations. (a) The Commissioner shall...
§ 58-50-87 - Minimum qualifications for independent review organizations. - 58-50-87. Minimum qualifications for independent review organizations. (a) As a...
§ 58-50-89 - Hold harmless for Commissioner and independent review organizations. - 58-50-89. Hold harmless for Commissioner and independent review organizations. The...
§ 58-50-90 - External review reporting requirements. - 58-50-90. External review reporting requirements. (a) An organization assigned under...
§ 58-50-92 - Funding of external review. - 58-50-92. Funding of external review. The insurer against which a...
§ 58-50-93 - Disclosure requirements. - 58-50-93. Disclosure requirements. (a) Each insurer shall include a description...
§ 58-50-94 - Selection of independent review organizations. - 58-50-94. Selection of independent review organizations. (a) At least every...
§ 58-50-100 - Title and reference. - 58-50-100. Title and reference. This section and G.S. 58-50-105 through...
§ 58-50-105 - Purpose and intent. - 58-50-105. Purpose and intent. The purpose and intent of this...
§ 58-50-110 - Definitions. - 58-50-110. Definitions. As used in this Act: (1) Repealed by...
§ 58-50-112 - Affiliated companies; HMOs. - 58-50-112. Affiliated companies; HMOs. For the purposes of this Act,...
§ 58-50-115 - Health benefit plans subject to Act. - 58-50-115. Health benefit plans subject to Act. (a) A health...
§ 58-50-125 - Health care plans; formation; approval; offerings. - 58-50-125. Health care plans; formation; approval; offerings. (a), (a1) Repealed...
§ 58-50-130 - Required health care plan provisions. - 58-50-130. Required health care plan provisions. (a) Health benefit plans...
§ 58-50-131 - Premium rates for health benefit plans; approval authority; hearing. - 58-50-131. Premium rates for health benefit plans; approval authority; hearing....
§ 58-50-149 - Limit on cessions to the Reinsurance Pool. - 58-50-149. Limit on cessions to the Reinsurance Pool. In addition...
§ 58-50-150 - North Carolina Small Employer Health Reinsurance Pool. - 58-50-150. North Carolina Small Employer Health Reinsurance Pool. (a) There...
§ 58-50-151 - (Recodified as § 58-51-116 effective July 1, 2002) ERISA plans may not require Medicaid to pay first. - 58-50-151. (Recodified as 58-51-116 effective July 1, 2002) ERISA plans...
§ 58-50-270 - Definitions. - 58-50-270. Definitions. Unless the context clearly requires otherwise, the following...
§ 58-50-275 - Notice contact provisions. - 58-50-275. Notice contact provisions. (a) All contracts shall contain a...
§ 58-50-280 - Contract amendments. - 58-50-280. Contract amendments. (a) A health benefit plan or insurer...
§ 58-50-285 - Policies and procedures. - 58-50-285. Policies and procedures. (a) A health benefit plan or...
§ 58-50-290 - Health benefit plans or insurers contracting for provision of dental services; no limitation on fees for noncovered services or on methods of claims payment. - 58-50-290. Health benefit plans or insurers contracting for provision of...
§ 58-50-292 - Dental provider networks; confidential business information. - 58-50-292. Dental provider networks; confidential business information. (a) The following...
§ 58-50-295 - Prohibited contract provisions related to reimbursement rates. - 58-50-295. Prohibited contract provisions related to reimbursement rates. No contract...
§ 58-50-300 - Health benefit plans or insurers contracting for provision of vision services or materials; no limitation on fees for noncovered services or materials. - 58-50-300. Health benefit plans or insurers contracting for provision of...