reglab/housing_qa huggingface dataset:
NC Gen Stat § 58-49-12 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-12 - Exceptions to jurisdiction; health care sharing organizations.

 58-49-12. Exceptions to jurisdiction; health care sharing organizations.A health care sharing organization shall not be subject to the jurisdiction of the Commissioner and shall not be considered to be engaging in the business of providing health care benefits as long as the health care sharing organization does the following:(1) Maintains nonprofit entity status under the Internal Revenue Code.(2) Limits its participants to those who share similar interests as defined by the organization.(3) Provides for the financial or medical needs of a participant through contributions from one participant to another in accordance with criteria established by the health care sharing organization.(4) Provides amounts that participants may contribute with no assumption of risk or promise to pay among the participants and no assumption of risk or promise to pay by the health care sharing organization to the participants.(5) Publishes a written monthly statement to all participants that lists the total dollar amount of qualified needs submitted to the health care sharing organization, as well as the amount published or assigned to participants for their contribution.(6) Provides a written disclaimer on or accompanying all applications and guideline materials distributed by or on behalf of the organization that reads, in substance, as follows:"NOTICE: The organization facilitating the sharing of medical expenses is not an insurance company and neither its guidelines nor its plan of operation is an insurance policy. Whether anyone chooses to assist you with your medical bills will be voluntary. No other participant will be compelled by law to contribute toward your medical bills. As such, participation in the organization or a subscription to any of its documents should never be considered to be insurance. Regardless of whether you receive any payment for medical expenses or whether this organization continues to operate, you are always personally liable for the payment of your own medical bills."  (2011-103, s. 1.)
NC Gen Stat § 58-49-15 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-15 - Examination.

 58-49-15. Examination.Any person that is unable to show under G.S. 58-49-10 that it is subject to the exclusive jurisdiction of another agency or subdivision of this State or of the federal government, shall submit to an examination by the Commissioner to determine the organization and solvency of the person, and to determine whether or not such person complies with the applicable provisions of this Chapter. (1985, c. 304, s. 1; 1993 (Reg. Sess., 1994), c. 569, s. 4.)
NC Gen Stat § 58-49-20 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-20 - Subject to State laws.

 58-49-20. Subject to State laws.Any person unable to show that it is subject to the exclusive jurisdiction of another agency or subdivision of this State or the federal government, shall be subject to all appropriate provisions of this Chapter regarding the conduct of its business. (1985, c. 304, s. 1; 1993 (Reg. Sess., 1994), c. 569, s. 5.)
NC Gen Stat § 58-49-25 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-25 - Disclosure.

 58-49-25. Disclosure.(a) Any production agency or administrator that advertises, sells, transacts, or administers the coverage in this State described in G.S. 58-49-5 and that is required to submit to an examination by the Commissioner under G.S. 58-49-15, shall, if said coverage is not fully insured or otherwise fully covered by an admitted life, accident, health, accident and health, or disability insurer, nonprofit hospital, medical, or dental service plan, or nonprofit health care plan, clearly and distinctly advise every purchaser, prospective purchaser, and covered person of such lack of insurance or other coverage.(b) Any administrator that advertises or administers the coverage in this State described in G.S. 58-49-5 and that is required to submit to an examination by the Commissioner under G.S. 58-49-15, shall advise any production agency of the elements of the coverage, including the amount of "stop-loss" insurance in effect. (1985, c. 304, s. 1.)
NC Gen Stat § 58-49-30 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-30 - Recodified as G.S. 58-50A-60.

 58-49-30. Recodified as G.S. 58-50A-60.
NC Gen Stat § 58-49-35 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-35 - Recodified as G.S. 58-50A-65.

 58-49-35. Recodified as G.S. 58-50A-65.
NC Gen Stat § 58-49-40 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-40 - Recodified as G.S. 58-50A-70.

 58-49-40. Recodified as G.S. 58-50A-70.
NC Gen Stat § 58-49-45 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-45 - Recodified as G.S. 58-50A-75.

 58-49-45. Recodified as G.S. 58-50A-75.
NC Gen Stat § 58-49-50 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-50 - Recodified as G.S. 58-50A-80.

 58-49-50. Recodified as G.S. 58-50A-80.
NC Gen Stat § 58-49-55 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-55 - Recodified as G.S. 58-50A-85.

 58-49-55. Recodified as G.S. 58-50A-85.
NC Gen Stat § 58-49-60 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-60 - Recodified as G.S. 58-50A-90.

 58-49-60. Recodified as G.S. 58-50A-90.
NC Gen Stat § 58-49-65 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 49 - Determination of Jurisdiction over Providers of Health Care Benefits.|§ 58-49-65 - Recodified as G.S. 58-50A-95.

 58-49-65. Recodified as G.S. 58-50A-95.
NC Gen Stat § 58-50-1 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-1 - Waiver by insurer.

 58-50-1. Waiver by insurer.The acknowledgment by any insurer of the receipt of notice given under any policy covered by Articles 49, 50 through 55, 65, or 67 of this Chapter, or the furnishing of forms for filing proofs of loss, or the acceptance of such proofs, or the investigation of any claim under the policy, shall not operate as a waiver of any of the rights of the insurer in defense of any claim arising under the policy. (1913, c. 91, s. 7; C.S., s. 6484; 1991, c. 720, s. 28; 1999-244, s. 10; 2000-140, s. 16.)
NC Gen Stat § 58-50-5 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-5 - Application.

 58-50-5. Application.(a) On and after January 1, 1956, each individual or family accident, health, hospitalization policy, certificate or service plan of hospitalization and medical and/or dental service corporations shall be issued only on application in writing signed by the insured or the head of the household or guardian. Any application or enrollment form that is taken by a resident agent shall also contain the certificate of the agent that he has truly and accurately recorded on the application or enrollment form the information supplied by the insured. Every policy subject to the provisions of this section shall contain as a part of such policy the original or a reproduction of the application required by this section. This section shall not apply to travel or dread disease policies or to policies issued pursuant to a group insurance conversion privilege. If any such policy delivered or issued for delivery to any person in this State shall be reinstated or renewed, and the insured or the beneficiary or assignee of such policy shall make written request to the insurer for a copy of the application, if any, for such reinstatement or renewal, the insurer shall within 15 days after the receipt of such request at his home office or any branch office of the insurer, deliver or mail to the person making such request, a copy of such application. If such copy shall not be so delivered or mailed, the insurer shall be precluded from introducing such application as evidence in any action or proceeding based upon or involving such policy or its reinstatement or renewal.(b) No alteration of any written application for any such policy shall be made by any person other than the applicant without his written consent, except that insertions may be made by the insurer, for administrative purposes only, in such manner as to indicate clearly that such insertions are not to be ascribed to the applicant.(c) The falsity of any statement in the application for any policy covered by Articles 50 through 55 of this Chapter may not bar the right to recover thereunder unless such false statement materially affected either the acceptance of the risk or the hazard assumed by the insurer. (1913, c. 91, s. 8; C.S., s. 6485; 1953, c. 1095, s. 9; 1955, c. 850, s. 6; 1961, c. 1149; 1985, c. 484, s. 4.2; 1991, c. 720, s. 29.)
NC Gen Stat § 58-50-15 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-15 - Conforming to statute.

 58-50-15. Conforming to statute.(a) Other Policy Provisions. - No policy provision which is not subject to G.S. 58-51-15 shall make a policy, or any portion thereof, less favorable in any respect to the insured or the beneficiary than the provisions thereof which are subject to Articles 50 through 55 of this Chapter.(b) Policy Conflicting with Articles 50 through 55 of this Chapter. - A policy delivered or issued for delivery to any person in this State in violation of Articles 50 through 55 of this Chapter shall be held valid but shall be construed as provided in Articles 50 through 55 of this Chapter. When any provision in a policy subject to Articles 50 through 55 of this Chapter is in conflict with any provision of Articles 50 through 55 of this Chapter, the rights, duties and obligations of the insurer, the insured and the beneficiary shall be governed by the provisions of Articles 50 through 55 of this Chapter. (1913, c. 91, s. 9; C.S., s. 6486; 1953, c. 1095, s. 10; 1991, c. 720, s. 29.)
NC Gen Stat § 58-50-20 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-20 - Age limit.

 58-50-20. Age limit.If any such policy contains a provision establishing, as an age limit or otherwise, a date after which the coverage provided by the policy will not be effective, and if such date falls within a period for which premium is accepted by the insurer or if the insurer accepts a premium after such date, the coverage provided by the policy will continue in force subject to any right of cancellation until the end of the period for which premium has been accepted. In the event the age of the insured has been misstated and if, according to the correct age of the insured, the coverage provided by the policy would not have become effective, or would have ceased prior to the acceptance of such premium or premiums, then the liability of the insurer shall be limited to the refund, upon request, of all premiums paid for the period not covered by the policy. (1953, c. 1095, s. 11.)
NC Gen Stat § 58-50-25 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-25 - Nurses' services.

 58-50-25. Nurses' services.(a) No agency, institution or physician providing a service for which payment or reimbursement is required to be made under a policy governed by Articles 1 through 64 of this Chapter shall be denied such payment or reimbursement on account of the fact that such services were rendered through a registered nurse acting under authority of rules and regulations adopted by the North Carolina Medical Board and the Board of Nursing pursuant to G.S. 90-6 and 90-171.23.(b) A licensed registered nurse who has successfully completed a program established under G.S. 90-171.38(b) may receive direct payment for conducting medical examinations or medical procedures for the purpose of collecting evidence from victims of offenses described in that subsection if the payment would have otherwise been permitted. (1973, c. 437; 1991, c. 720, s. 37; 1993, c. 347, s. 1; 1995, c. 94, s. 2; 1997-197, s. 1; 1997-375, s. 3.)
NC Gen Stat § 58-50-26 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-26 - Physician services provided by physician assistants.

 58-50-26. Physician services provided by physician assistants.No agency, institution, or physician providing a service for which payment or reimbursement is required to be made under a policy governed by Articles 1 through 64 of this Chapter shall be denied the payment or reimbursement on account of the fact that the services were rendered through a physician assistant acting under the authority of rules adopted by the North Carolina Medical Board pursuant to G.S. 90-18.1. (1999-210, s. 1.)
NC Gen Stat § 58-50-35 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-35 - Notice of nonpayment of premium required before forfeiture.

 58-50-35. Notice of nonpayment of premium required before forfeiture.No insurance company doing business in this State and issuing health and/or accident insurance policies, other than contracts of group insurance or disability and/or accidental death benefits in connection with policies of life insurance, the premium for which is to be collected in weekly, monthly, or other periodical installments by authority of a payroll deduction order executed by the assured and delivered to such insurance company or the assured's employer authorizing the deduction of such premium installments from the assured's salary or wages, shall, during the period for which such policy is issued, declare forfeited or lapsed any such policy hereafter issued or renewed until and unless a written or printed notice of the failure of the employer to remit said premium or installment thereof stating the amount or portion thereof due on such policy and to whom it must be paid, has been duly addressed and mailed to the person who is insured under such policy at least 15 days before said policy is canceled or lapsed. (1909, c. 884; C.S., s. 6465; 1929, c. 308, s. 1; 1931, c. 317; 1945, c. 379.)
NC Gen Stat § 58-50-45 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-45 - Group health or life insurers to notify insurance fiduciaries of obligations.

 58-50-45. Group health or life insurers to notify insurance fiduciaries of obligations.(a) Upon the issuance or renewal of any policy, contract, certificate, or evidence of coverage of group health or life insurance, the insurer, corporation, or health maintenance organization shall give written notice to the insurance fiduciary of the provisions of G.S. 58-50-40.(b) The notice required by subsection (a) of this section shall be printed in 10 point type and shall read as follows:"UNDER NORTH CAROLINA GENERAL STATUTE SECTION 58-50-40, NO PERSON, EMPLOYER, PRINCIPAL, AGENT, TRUSTEE, OR THIRD PARTY ADMINISTRATOR, WHO IS RESPONSIBLE FOR THE PAYMENT OF GROUP HEALTH OR LIFE INSURANCE OR GROUP HEALTH PLAN PREMIUMS, SHALL: (1) CAUSE THE CANCELLATION OR NONRENEWAL OF GROUP HEALTH OR LIFE INSURANCE, HOSPITAL, MEDICAL, OR DENTAL SERVICE CORPORATION PLAN, MULTIPLE EMPLOYER WELFARE ARRANGEMENT, OR GROUP HEALTH PLAN COVERAGES AND THE CONSEQUENTIAL LOSS OF THE COVERAGES OF THE PERSONS INSURED, BY WILLFULLY FAILING TO PAY THOSE PREMIUMS IN ACCORDANCE WITH THE TERMS OF THE INSURANCE OR PLAN CONTRACT, AND (2) WILLFULLY FAIL TO DELIVER, AT LEAST 45 DAYS BEFORE THE TERMINATION OF THOSE COVERAGES, TO ALL PERSONS COVERED BY THE GROUP POLICY A WRITTEN NOTICE OF THE PERSON'S INTENTION TO STOP PAYMENT OF PREMIUMS. THIS WRITTEN NOTICE MUST ALSO CONTAIN A NOTICE TO ALL PERSONS COVERED BY THE GROUP POLICY OF THEIR RIGHTS TO HEALTH INSURANCE CONVERSION POLICIES UNDER ARTICLE 53 OF CHAPTER 58 OF THE GENERAL STATUTES AND THEIR RIGHTS TO PURCHASE INDIVIDUAL POLICIES UNDER THE FEDERAL HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT AND UNDER ARTICLE 68 OF CHAPTER 58 OF THE GENERAL STATUTES. VIOLATION OF THIS LAW IS A FELONY. ANY PERSON VIOLATING THIS LAW IS ALSO SUBJECT TO A COURT ORDER REQUIRING THE PERSON TO COMPENSATE PERSONS INSURED FOR EXPENSES OR LOSSES INCURRED AS A RESULT OF THE TERMINATION OF THE INSURANCE." (1985, c. 507, s. 1; 1989 (Reg. Sess., 1990), c. 1055, s. 3; 1991, c. 644, s. 38; 2001-422, s. 2.)
NC Gen Stat § 58-50-46 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-46 - Recodified as G.S. 108A-55.4 by Session Laws 2006-221, s. 9(a), effective January 1, 2007.

 58-50-46: Recodified as G.S. 108A-55.4 by Session Laws 2006-221, s. 9(a), effective January 1, 2007.
NC Gen Stat § 58-50-57 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-57 - Offsets against provider reimbursement for workers' compensation payments forbidden.

 58-50-57. Offsets against provider reimbursement for workers' compensation payments forbidden.(a) An insurer that provides a health benefit plan as defined in G.S. 58-3-167 shall not offset or reverse a health plan payment against a provider reimbursement for other medical charges unless the health plan payment was for a specific medical charge for which the employee, employer, or carrier is liable or responsible according to a final adjudication of the claim under the Workers' Compensation Act, Article 1 of Chapter 97 of the General Statutes or an order of the North Carolina Industrial Commission approving a settlement agreement entered into under that Article.(b) No contract between an insurer that provides a health benefit plan as defined in G.S. 58-3-167 and a medical provider shall contain a provision that authorizes the insurer to offset or reverse a health plan payment against a provider reimbursement for other medical charges unless the health plan payment was for a specific medical charge for which the employee, employer, or carrier is liable or responsible according to a final adjudication of the claim under the Workers' Compensation Act, Article 1 of Chapter 97 of the General Statutes or an order of the North Carolina Industrial Commission approving a settlement agreement entered into under that Article. (2001-216, s. 5; 2001-487, s. 102(b).)
NC Gen Stat § 58-50-63 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-63 - Expired pursuant to Session Laws 2005-453, s. 3, effective July 1, 2005.

 58-50-63: Expired pursuant to Session Laws 2005-453, s. 3, effective July 1, 2005.
NC Gen Stat § 58-50-65 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-65 - Certain policies of insurance not affected.

 58-50-65. Certain policies of insurance not affected.(a) Nothing in Articles 50 through 55 of this Chapter applies to or affects any policy of liability or workers' compensation insurance, except that the provisions of G.S. 58-50-56(g) and (h) apply to policies of workers' compensation insurance and to individual and group self-funded workers' compensation insurance plans. If there is any conflict between managed care provisions of this Chapter and managed care provisions of Chapter 97 of the General Statutes with respect to workers' compensation insurance, the provisions of Chapter 97 govern.(b) Nothing in Articles 50 through 55 of this Chapter shall apply to or in any way affect contracts supplemental to contracts of life or endowment insurance where such supplemental contracts contain no provisions except such as operate to safeguard such insurance against lapse or to provide special benefits therefor in the event that the insured shall be totally, or totally and permanently disabled by reason of accidental bodily injury or by sickness, nor to contracts issued as supplements to life insurance contracts or contracts of endowment insurance, and intended to increase the amount insured by such life or endowment contracts in the event that the death or disability of the insured shall result from accidental bodily injuries: Provided, that no such supplemental contracts shall be issued or delivered to any person in this State unless and until a copy of the form thereof has been submitted to and approved by the Commissioner under such reasonable rules and regulations as he shall make concerning the provisions in such contracts, and their submission to and approval by him.(c) Nothing in Articles 50 through 55 of this Chapter shall apply to or in any way affect fraternal benefit societies.(d) The provisions of G.S. 58-51-5(5) and G.S. 58-51-15(a)(1), (4), and (10) may be omitted from railroad ticket policies sold only at railroad stations or at railroad ticket offices by railroad employees. (1911, c. 209, s. 5; 1913, c. 91, s. 12; C.S., s. 6489; 1921, c. 136, s. 5; 1945, c. 385; 1947, c. 721; 1991, c. 636, s. 3; c. 720, ss. 4, 42; 1993 (Reg. Sess., 1994), c. 679, s. 10.4; 1995, c. 193, s. 42; 1999-219, s. 4.1.)
NC Gen Stat § 58-50-70 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 50 - General Accident and Health Insurance Regulations.|§ 58-50-70 - Punishment for violation.

 58-50-70. Punishment for violation.Any company, association, society, or other insurer or any officer or agent thereof, which or who issues or delivers to any person in this State any policy in willful violation of Articles 50 through 55 of this Chapter, shall be guilty of a Class 3 misdemeanor and, upon conviction, shall be punished only by a fine of not more than five thousand dollars ($5,000) for each offense; and the Commissioner may revoke the license of any company, corporation, association, society, or other insurer of another state or country, or of the agent thereof, which or who willfully violates any provision of Articles 50 through 55 of this Chapter. (1911, c. 209, s. 6; 1913, c. 91, s. 13; C.S., s. 6490; 1985, c. 666, s. 28; 1991, c. 720, ss. 4, 42; 1993, c. 539, s. 467; 1994, Ex. Sess., c. 24, s. 14(c).)