§ 58-50-1 Waiver by insurer
§ 58-50-5 Application
§ 58-50-15 Conforming to statute
§ 58-50-20 Age limit
§ 58-50-25 Nurses’ services
§ 58-50-26 Physician services provided by physician assistants
§ 58-50-30 Right to choose services of certain providers
§ 58-50-35 Notice of nonpayment of premium required before forfeiture
§ 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
§ 58-50-45 Group health or life insurers to notify insurance fiduciaries of obligations
§ 58-50-56 Insurers, preferred provider organizations, and preferred provider benefit plans
§ 58-50-56.1 Exclusive provider organizations, exclusive provider benefit plans
§ 58-50-56.2 Exclusive provider organization continuity of care
§ 58-50-57 Offsets against provider reimbursement for workers’ compensation payments forbidden
§ 58-50-61 Utilization review
§ 58-50-62 Insurer grievance procedures
§ 58-50-65 Certain policies of insurance not affected
§ 58-50-70 Punishment for violation
§ 58-50-75 Purpose, scope, and definitions
§ 58-50-77 Notice of right to external review
§ 58-50-79 Exhaustion of internal grievance process
§ 58-50-80 Standard external review
§ 58-50-82 Expedited external review
§ 58-50-84 Binding nature of external review decision
§ 58-50-85 Approval of independent review organizations
§ 58-50-87 Minimum qualifications for independent review organizations
§ 58-50-89 Hold harmless for Commissioner and independent review organizations
§ 58-50-90 External review reporting requirements
§ 58-50-92 Funding of external review
§ 58-50-93 Disclosure requirements
§ 58-50-94 Selection of independent review organizations
§ 58-50-100 Title and reference
§ 58-50-105 Purpose and intent
§ 58-50-110 Definitions
§ 58-50-112 Affiliated companies; HMOs
§ 58-50-115 Health benefit plans subject to Act
§ 58-50-125 Health care plans; formation; approval; offerings
§ 58-50-130 Required health care plan provisions
§ 58-50-131 Premium rates for health benefit plans; approval authority; hearing
§ 58-50-149 Limit on cessions to the Reinsurance Pool
§ 58-50-150 North Carolina Small Employer Health Reinsurance Pool
§ 58-50-270 Definitions
§ 58-50-275 Notice contact provisions
§ 58-50-280 Contract amendments
§ 58-50-285 Policies and procedures
§ 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
§ 58-50-292 Dental provider networks; confidential business information
§ 58-50-295 Prohibited contract provisions related to reimbursement rates
§ 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

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Terms Used In North Carolina General Statutes > Chapter 58 > Article 50 - General Accident and Health Insurance Regulations

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Answer: The formal written statement by a defendant responding to a civil complaint and setting forth the grounds for defense.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Dependent: A person dependent for support upon another.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fiduciary: A trustee, executor, or administrator.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • following: when used by way of reference to any section of a statute, shall be construed to mean the section next preceding or next following that in which such reference is made; unless when some other section is expressly designated in such reference. See North Carolina General Statutes 12-3
  • Fraud: Intentional deception resulting in injury to another.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • in writing: may be construed to include printing, engraving, lithographing, and any other mode of representing words and letters: Provided, that in all cases where a written signature is required by law, the same shall be in a proper handwriting, or in a proper mark. See North Carolina General Statutes 12-3
  • Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Restitution: The court-ordered payment of money by the defendant to the victim for damages caused by the criminal action.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • 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
  • Statute: A law passed by a legislature.
  • Trustee: A person or institution holding and administering property in trust.
  • United States: shall be construed to include the said district and territories and all dependencies. See North Carolina General Statutes 12-3
  • Uphold: The decision of an appellate court not to reverse a lower court decision.