(a) Except as provided in subsection (b) of this section, the provisions of this Article apply to the certificates and contracts of direct insurance and health care coverage that are described in N.C. Gen. Stat. § 58-65-60(a) and (b).

(b) Nothing in this Article applies to:

(1) Any group contract or certificate, nor any group certificate delivered or issued for delivery outside of this State;

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Terms Used In North Carolina General Statutes 58-66-10

  • certificate: means an agreement as defined by N. See North Carolina General Statutes 58-66-15
  • Contract: A legal written agreement that becomes binding when signed.
  • Insurer: means every corporation providing contracts or certificates of coverage of insurance as described in N. See North Carolina General Statutes 58-66-15
  • state: when applied to the different parts of the United States, shall be construed to extend to and include the District of Columbia and the several territories, so called; and the words "United States" shall be construed to include the said district and territories and all dependencies. See North Carolina General Statutes 12-3

(2) Insurers who issue benefit booklets on group and nongroup bases explaining the certificates or contracts issued under N.C. Gen. Stat. § 58-65-60. In such cases, the provisions of this Article apply only to the benefit booklets furnished to the persons insured, and not to the certificates.

(c) No other provision of the General Statutes setting language simplification standards shall apply to any certificate forms covered by this Article.

(d) Any non-English language certificate delivered or issued for delivery in this State shall be deemed to be in compliance with this Article if the insurer certifies that such certificate is translated from an English language certificate which does comply with this Article. (1979, 2nd Sess., c. 1161, s. 1.)