Article

General Accident and Health Insurance Regulations

N.C. Gen. Stat. § 58-50-1— Waiver by insurer
N.C. Gen. Stat. § 58-50-5— Application
N.C. Gen. Stat. § 58-50-15— Conforming to statute
N.C. Gen. Stat. § 58-50-20— Age limit
N.C. Gen. Stat. § 58-50-25— Nurses' services
N.C. Gen. Stat. § 58-50-26— Physician services provided by physician assistants
N.C. Gen. Stat. § 58-50-30— Right to choose services of certain providers
N.C. Gen. Stat. § 58-50-35— Notice of nonpayment of premium required before forfeiture
N.C. Gen. Stat. § 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
N.C. Gen. Stat. § 58-50-45— Group health or life insurers to notify insurance fiduciaries of obligations
N.C. Gen. Stat. § 58-50-56— Insurers, preferred provider organizations, and preferred provider benefit plans
N.C. Gen. Stat. § 58-50-56.1— Exclusive provider organizations, exclusive provider benefit plans
N.C. Gen. Stat. § 58-50-56.2— Exclusive provider organization continuity of care
N.C. Gen. Stat. § 58-50-57— Offsets against provider reimbursement for workers' compensation payments forbidden
N.C. Gen. Stat. § 58-50-58— Reserved for future codification purposes
N.C. Gen. Stat. § 58-50-59— Reserved for future codification purposes
N.C. Gen. Stat. § 58-50-61— Utilization review
N.C. Gen. Stat. § 58-50-62— Insurer grievance procedures
N.C. Gen. Stat. § 58-50-64— Reserved for future codification purposes
N.C. Gen. Stat. § 58-50-65— Certain policies of insurance not affected
N.C. Gen. Stat. § 58-50-70— Punishment for violation
N.C. Gen. Stat. § 58-50-75— Purpose, scope, and definitions
N.C. Gen. Stat. § 58-50-77— Notice of right to external review
N.C. Gen. Stat. § 58-50-79— Exhaustion of internal grievance process
N.C. Gen. Stat. § 58-50-80— Standard external review
N.C. Gen. Stat. § 58-50-82— Expedited external review
N.C. Gen. Stat. § 58-50-84— Binding nature of external review decision
N.C. Gen. Stat. § 58-50-85— Approval of independent review organizations
N.C. Gen. Stat. § 58-50-87— Minimum qualifications for independent review organizations
N.C. Gen. Stat. § 58-50-89— Hold harmless for Commissioner and independent review organizations
N.C. Gen. Stat. § 58-50-90— External review reporting requirements
N.C. Gen. Stat. § 58-50-92— Funding of external review
N.C. Gen. Stat. § 58-50-93— Disclosure requirements
N.C. Gen. Stat. § 58-50-94— Selection of independent review organizations
N.C. Gen. Stat. § 58-50-100— Title and reference
N.C. Gen. Stat. § 58-50-105— Purpose and intent
N.C. Gen. Stat. § 58-50-110— Definitions
N.C. Gen. Stat. § 58-50-112— Affiliated companies; HMOs
N.C. Gen. Stat. § 58-50-115— Health benefit plans subject to Act
N.C. Gen. Stat. § 58-50-125— Health care plans; formation; approval; offerings
N.C. Gen. Stat. § 58-50-130— Required health benefit plan provisions
N.C. Gen. Stat. § 58-50-131— Premium rates for health benefit plans; approval authority; hearing
N.C. Gen. Stat. § 58-50-149— Limit on cessions to the Reinsurance Pool
N.C. Gen. Stat. § 58-50-150— North Carolina Small Employer Health Reinsurance Pool
N.C. Gen. Stat. § 58-50-151— (Recodified as § 58-51-116 effective July 1, 2002) ERISA plans may not require Medicaid to pay first
N.C. Gen. Stat. § 58-50-270— Definitions
N.C. Gen. Stat. § 58-50-275— Notice contact provisions
N.C. Gen. Stat. § 58-50-280— Contract amendments
N.C. Gen. Stat. § 58-50-285— Policies and procedures
N.C. Gen. Stat. § 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
N.C. Gen. Stat. § 58-50-292— Dental provider networks; confidential business information
N.C. Gen. Stat. § 58-50-295— Prohibited contract provisions related to reimbursement rates
N.C. Gen. Stat. § 58-50-296— Pharmacist credentialing
N.C. Gen. Stat. § 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
N.C. Gen. Stat. § 58-50-400— Definitions
N.C. Gen. Stat. § 58-50-405— Rights of a pharmacy/audits
N.C. Gen. Stat. § 58-50-410— Pharmacy audit recoupments
N.C. Gen. Stat. § 58-50-415— Reversals of approval
N.C. Gen. Stat. § 58-50-420— Mandatory appeals process
N.C. Gen. Stat. § 58-50-425— Applicability
N.C. Gen. Stat. § 58-50-429— Violations
N.C. Gen. Stat. § 58-50-430— Rulemaking