§ 58-53-1 Definitions
§ 58-53-5 Continuation of group hospital, surgical, and major medical coverage after termination of employment or membership
§ 58-53-10 Eligibility
§ 58-53-15 Exception
§ 58-53-20 Benefits not included
§ 58-53-25 Notification to employee
§ 58-53-30 Payment of premiums
§ 58-53-35 Termination of continuation
§ 58-53-40 Notification
§ 58-53-41 Extension of election period and effect on coverage
§ 58-53-45 Right to obtain individual policy upon termination of group hospital, surgical or major medical coverage
§ 58-53-50 Restrictions
§ 58-53-55 Time limit
§ 58-53-60 Premium
§ 58-53-65 Coverage
§ 58-53-70 Exclusions
§ 58-53-75 Information
§ 58-53-80 Excess benefits
§ 58-53-85 Preexisting conditions
§ 58-53-90 Basic coverage plans
§ 58-53-95 Major medical plans
§ 58-53-100 Alternative plans
§ 58-53-105 Insurer option
§ 58-53-110 Other conversion provisions
§ 58-53-115 Article inapplicable to certain plans

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Terms Used In North Carolina General Statutes > Chapter 58 > Article 53 - Group Health Insurance Continuation and Conversion Privileges

  • Contract: A legal written agreement that becomes binding when signed.
  • converted policy: means an individual health insurance policy issued by an insurance company or an individual contract issued by a service corporation or health maintenance organization or similar corporation or organization. See North Carolina General Statutes 58-53-1
  • 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.
  • Dependent: A person dependent for support upon another.
  • employee: includes an insured spouse or dependent of a member or of an employee. See North Carolina General Statutes 58-53-1
  • 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.
  • 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.
  • Group policy: means a group accident and health insurance policy issued by an insurance company and a group contract issued by a service corporation or health maintenance organization or similar corporation or organization. See North Carolina General Statutes 58-53-1
  • 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
  • insured: refer to coverage under a group policy, individual policy or converted policy on a premium-paying basis, and do not include coverage provided by reason of a disability extension. See North Carolina General Statutes 58-53-1
  • Insurer: means the entity issuing a group policy or an individual or converted policy. See North Carolina General Statutes 58-53-1
  • 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.
  • Medicare: means Title XVIII of the United States Social Security Act as added by the Social Security Amendments of 1965 or as later amended or superseded. See North Carolina General Statutes 58-53-1
  • Premium: includes any premium or other consideration payable for coverage under a group or individual policy. See North Carolina General Statutes 58-53-1
  • 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.
  • 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
  • United States: shall be construed to include the said district and territories and all dependencies. See North Carolina General Statutes 12-3