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N.C. Gen. Stat. § 58-50-84

Binding nature of external review decision

Known as the North Carolina Small Employer Group Health Coverage Reform Act

The act spans §§ 58–58 (62 sections).

2001-446, s. 4.5.

(a) An external review decision is binding on the insurer.

(b) An external review decision is binding on the covered person except to the extent the covered person has other remedies available under applicable federal or State law.

(c) A covered person may not file a subsequent request for external review involving the same noncertification appeal decision or second-level grievance review decision for which the covered person has already received an external review decision under this Part.

Official source: North Carolina General Assembly. Reproduced from public-domain North Carolina statutes; confirm against the official source for the current text. Not legal advice.