Article

Health Maintenance Organization Act

N.C. Gen. Stat. § 58-67-1— Short title
N.C. Gen. Stat. § 58-67-5— Definitions
N.C. Gen. Stat. § 58-67-10— Establishment of health maintenance organizations
N.C. Gen. Stat. § 58-67-11— Additional HMO application information
N.C. Gen. Stat. § 58-67-12— Commissioner use of consultants and other professionals
N.C. Gen. Stat. § 58-67-15— Health maintenance organization of bordering states may be admitted to do business; reciprocity
N.C. Gen. Stat. § 58-67-20— Issuance and continuation of license
N.C. Gen. Stat. § 58-67-25— Deposits
N.C. Gen. Stat. § 58-67-30— Management and exclusive agreements; custodial agreements
N.C. Gen. Stat. § 58-67-35— Powers of health maintenance organizations
N.C. Gen. Stat. § 58-67-45— Fiduciary responsibilities
N.C. Gen. Stat. § 58-67-50— Evidence of coverage and premiums for health care services
N.C. Gen. Stat. § 58-67-55— Statements filed with Commissioner
N.C. Gen. Stat. § 58-67-60— Investments
N.C. Gen. Stat. § 58-67-65— Prohibited practices
N.C. Gen. Stat. § 58-67-66— Collaboration with local health departments
N.C. Gen. Stat. § 58-67-70— Coverage for chemical dependency treatment
N.C. Gen. Stat. § 58-67-74— Coverage for certain treatment of diabetes
N.C. Gen. Stat. § 58-67-75— No discrimination against mentally ill or chemically dependent individuals
N.C. Gen. Stat. § 58-67-76— Coverage for mammograms and cervical cancer screening
N.C. Gen. Stat. § 58-67-77— Coverage for prostate-specific antigen (PSA) tests
N.C. Gen. Stat. § 58-67-78— Coverage of certain prescribed drugs for cancer treatment
N.C. Gen. Stat. § 58-67-79— Coverage for reconstructive breast surgery following mastectomy
N.C. Gen. Stat. § 58-67-80— Meaning of terms "accident", "accidental injury", and "accidental means"
N.C. Gen. Stat. § 58-67-85— Master group contracts, filing requirement; required and prohibited provisions
N.C. Gen. Stat. § 58-67-88— Continuity of care
N.C. Gen. Stat. § 58-67-90— Licensing and regulation of agents
N.C. Gen. Stat. § 58-67-95— Powers of insurers, hospitals, prepaid health plans, and medical service corporations
N.C. Gen. Stat. § 58-67-100— Examinations
N.C. Gen. Stat. § 58-67-105— Hazardous financial condition
N.C. Gen. Stat. § 58-67-110— Protection against insolvency
N.C. Gen. Stat. § 58-67-115— Hold harmless agreements or special deposit
N.C. Gen. Stat. § 58-67-120— Continuation of benefits
N.C. Gen. Stat. § 58-67-125— Enrollment period
N.C. Gen. Stat. § 58-67-130— Replacement coverage
N.C. Gen. Stat. § 58-67-135— Incurred but not reported claims
N.C. Gen. Stat. § 58-67-140— Suspension or revocation of license
N.C. Gen. Stat. § 58-67-145— Rehabilitation, liquidation, or conservation of health maintenance organization
N.C. Gen. Stat. § 58-67-150— Regulations
N.C. Gen. Stat. § 58-67-155— Administrative procedures
N.C. Gen. Stat. § 58-67-160— Fees
N.C. Gen. Stat. § 58-67-165— Penalties and enforcement
N.C. Gen. Stat. § 58-67-170— Statutory construction and relationship to other laws
N.C. Gen. Stat. § 58-67-171— Other laws applicable to HMOs
N.C. Gen. Stat. § 58-67-175— Filings and reports as public documents
N.C. Gen. Stat. § 58-67-180— Confidentiality of medical information
N.C. Gen. Stat. § 58-67-185— Severability