N.C. Gen. Stat. § 58-93-75
Continuation of health care services
Redline — June 1, 2021 → current.View current text →
Current — April 1, 2022
As of June 1, 2021
The Commissioner shall require that each PHP have a plan for handling insolvency. The plan must allow for health care services to be provided to enrollees until the PHP's enrollees whose enrollment in a PHP is not voluntary are enrolled in another PHP. In considering the plan, the Commissioner may require any of the following:
The Commissioner shall require that each PHP have a plan for handling insolvency. The plan must allow for health care services to be provided to enrollees until the PHP’s enrollees whose enrollment in a PHP is not voluntary are enrolled in another PHP. In considering the plan, the Commissioner may require any of the following:
(1) Insurance to cover the expenses to be paid for enrollee health care services after an insolvency.
(1) Insurance to cover the expenses to be paid for enrollee health care services after an insolvency.
(2) Provisions in provider contracts that obligate the provider to provide services for the duration of the period after the PHP's insolvency until the PHP's enrollees whose enrollment in a PHP is not voluntary are enrolled in another PHP.
(2) Provisions in provider contracts that obligate the provider to provide services for the duration of the period after the PHP’s insolvency until the PHP’s enrollees whose enrollment in a PHP is not voluntary are enrolled in another PHP.
(3) Insolvency reserves.
(3) Insolvency reserves.
(4) Letters of credit acceptable to the Commissioner.
(4) Letters of credit acceptable to the Commissioner.
(5) Any other arrangements to assure that health care services are provided to enrollees as specified in this section.
(5) Any other arrangements to assure that health care services are provided to enrollees as specified in this section.
History
(2018-49, s. 1(a).)
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.