reglab/housing_qa huggingface dataset:
NC Gen Stat § 58-67-165 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 67 - Health Maintenance Organization Act.|§ 58-67-165 - Penalties and enforcement.

 58-67-165. Penalties and enforcement.(a) The Commissioner may, in addition to or in lieu of suspending or revoking a license under G.S. 58-67-140, proceed under G.S. 58-2-70, provided that the health maintenance organization has a reasonable time within which to remedy the defect in its operations that gave rise to the procedure under G.S. 58-2-70.(b) Any person who violates this Article or any other provision of this Chapter that expressly applies to health maintenance organizations shall be guilty of a Class 1 misdemeanor.(c) (1) If the Commissioner shall for any reason have cause to believe that any violation of this Article or any other provision of this Chapter that expressly applies to health maintenance organizations has occurred or is threatened, the Commissioner may give notice to the health maintenance organization and to the representatives or other persons who appear to be involved in such suspected violation to arrange a conference with the alleged violators or their authorized representatives for the purpose of attempting to ascertain the facts relating to such suspected violation, and, in the event it appears that any violation has occurred or is threatened, to arrive at an adequate and effective means of correcting or preventing such violation.(2) Proceedings under this subsection shall not be governed by any formal procedural requirements, and may be conducted in such manner as the Commissioner may deem appropriate under the circumstances.(d) (1) The Commissioner may issue an order directing a health maintenance organization or a representative of a health maintenance organization to cease and desist from engaging in any act or practice in violation of the provisions of this Article or any other provision of this Chapter that expressly applies to health maintenance organizations.(2) Within 30 days after service of the cease and desist order, the respondent may request a hearing on the question of whether acts or practices have occurred that are in violation of this Article or any other provision of this Chapter that expressly applies to health maintenance organizations. The hearing shall be conducted under Article 3A of Chapter 150B of the General Statutes, and judicial review shall be available as provided by Article 4 of Chapter 150B of the General Statutes.(e) In the case of any violation of the provisions of this Article or any other provision of this Chapter that expressly applies to health maintenance organizations, if the Commissioner elects not to issue a cease and desist order, or in the event of noncompliance with a cease and desist order issued under subsection (d) of this section, the Commissioner may institute a proceeding to obtain injunctive relief, or seeking other appropriate relief, in the Superior Court of Wake County. (1977, c. 580, s. 1; 1979, c. 876, s. 1; 1985, c. 666, s. 52; 1987, c. 827, s. 1; 1993, c. 539, s. 470; 1994, Ex. Sess., c. 24, s. 14(c); 2001-5, s. 1.)
NC Gen Stat § 58-67-170 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 67 - Health Maintenance Organization Act.|§ 58-67-170 - Statutory construction and relationship to other laws.

 58-67-170. Statutory construction and relationship to other laws.(a) Except as otherwise provided in this Chapter, provisions of the insurance laws and service corporation laws do not apply to any health maintenance organization licensed under this Article. This subsection does not apply to an insurer or service corporation licensed and regulated under the insurance laws or the service corporation laws of this State except with respect to its health maintenance organization activities authorized and regulated under this Article or any other provision of this Chapter that expressly applies to health maintenance organizations.(b) Solicitation of enrollees by a health maintenance organization granted a license, or its representatives, shall not be construed to violate any provision of law relating to solicitation or advertising by health professionals.(c) Any health maintenance organization authorized under this Article shall not be deemed to be practicing medicine or dentistry and shall be exempt from the provisions of Chapter 90 of the General Statutes relating to the practice of medicine and dentistry; provided, however, that this exemption does not apply to individual providers under contract with or employed by the health maintenance organization. (1977, c. 580, s. 1; 1979, c. 876, s. 1; 1985, c. 30; 2001-5, s. 2.)
NC Gen Stat § 58-67-171 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 67 - Health Maintenance Organization Act.|§ 58-67-171 - Other laws applicable to HMOs.

 58-67-171. Other laws applicable to HMOs.The following provisions of this Chapter are applicable to HMOs that are subject to this Article are as follows:G.S. 58-2-125................... Authority over all insurance companies; no exemptions from license.G.S. 58-2-150................... Oath required for compliance with law.G.S. 58-2-155................... Investigation of charges.G.S. 58-2-160................... Reporting and investigation of insurance and reinsurance fraud and the financial condition of licensees; immunity from liability.G.S. 58-2-162................... Embezzlement by insurance agents, brokers, or administrators.G.S. 58-2-185................... Record of business kept by companies and agents; Commissioner may inspect.G.S. 58-2-190................... Commissioner may require special reports.G.S. 58-2-195................... Commissioner may require records, reports, etc., for agencies, agents, and others.G.S. 58-2-200................... Books and papers required to be exhibited.G.S. 58-3-50..................... Companies must do business in own name; emblems, insignias, etc.G.S. 58-3-100(c),(e)......... Insurance company licensing provisions.G.S. 58-3-115................... Twisting with respect to insurance policies; penalties.G.S. 58-7-46..................... Notification to Commissioner for president or chief executive officer changes.G.S. 58-7-73..................... Dissolution of insurers.Part 7 of Article 10.......... Annual Financial Reporting.G.S. 58-50-35................... Notice of nonpayment of premium required before forfeiture.G.S. 58-51-15(a)(2)b........ Accident and health policy provisions.G.S. 58-51-17................... Portability for accident and health insurance.G.S. 58-51-25................... Policy coverage to continue as to children with an intellectual or physical disability or dependent students on medically necessary leave of absence.G.S. 58-51-35................... Insurers and others to afford coverage to children with an intellectual or physical disability.G.S. 58-51-45................... Policies to be issued to any person possessing the sickle-cell trait or hemoglobin C trait.G.S. 58-62........................ Life and Health Insurance Guaranty Association.  (1999-244, s. 2; 2005-215, s. 20; 2009-382, s. 7; 2009-384, s. 4; 2018-47, s. 7(f); 2018-120, s. 1.2(b).)
NC Gen Stat § 58-67-175 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 67 - Health Maintenance Organization Act.|§ 58-67-175 - Filings and reports as public documents.

 58-67-175. Filings and reports as public documents.All applications, filings and reports required under this Article shall be treated as public documents. (1977, c. 580, s. 1; 1979, c. 876, s. 1.)
NC Gen Stat § 58-67-180 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 67 - Health Maintenance Organization Act.|§ 58-67-180 - Confidentiality of medical information.

 58-67-180. Confidentiality of medical information.Any data or information pertaining to the diagnosis, treatment, or health of any enrollee or applicant obtained from such person or from any provider by any health maintenance organization shall be held in confidence and shall not be disclosed to any person except to the extent that it may be necessary to carry out the purposes of this Article; or upon the express consent of the enrollee or applicant; or pursuant to statute; or pursuant to court order for the production of evidence or the discovery thereof; or in the event of claim or litigation between such person and the health maintenance organization wherein such data or information is pertinent. A health maintenance organization shall be entitled to claim any statutory privileges against such disclosure which the provider who furnished such information to the health maintenance organization is entitled to claim. (1977, c. 580, s. 1; 1979, c. 876, s. 1; 1999-272, s. 1.)
NC Gen Stat § 58-67-185 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 67 - Health Maintenance Organization Act.|§ 58-67-185 - Severability.

 58-67-185. Severability.If any section, term, or provision of this Article shall be adjudged invalid for any reason, such judgments shall not affect, impair, or invalidate any other section, term, or provision of this Article, but the remaining sections, terms, and provisions shall be and remain in full force and effect. (1977, c. 580, s. 1; 1979, c. 876, s. 1.)
NC Gen Stat § 58-68-35 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 68 - Health Insurance Portability and Accountability.|§ 58-68-35 - Prohibiting discrimination against individual participants and beneficiaries based on health status.

 58-68-35. Prohibiting discrimination against individual participants and beneficiaries based on health status.(a) In Eligibility To Enroll. - (1) In general. - Subject to subdivision (2) of this subsection, a group health insurer shall not establish rules for eligibility, including continued eligibility, of any individual to enroll under the terms of the health insurer's plan based on any of the following health status-related factors in relation to the individual or a dependent of the individual:a. Health status.b. Medical condition (including both physical and mental illnesses).c. Claims experience.d. Receipt of health care.e. Medical history.f. Genetic information.g. Evidence of insurability (including conditions arising out of acts of domestic violence).h. Disability.(2) No application to benefits or exclusions. - To the extent consistent with G.S. 58-68-30, subdivision (1) of this subsection shall not be construed:a. To require a group health insurance plan to provide particular benefits other than those provided under the terms of the plan, orb. To prevent the plan from establishing limitations or restrictions on the amount, level, extent, or nature of the benefits or coverage for similarly situated individuals enrolled in the plan.(3) Construction. - For the purposes of subdivision (1) of this subsection, rules for eligibility to enroll under a plan include rules defining any applicable waiting periods for the enrollment.(b) In Premium Contributions. - (1) In general. - A group health insurance plan shall not require any individual (as a condition of enrollment or continued enrollment under the plan) to pay a premium or contribution that is greater than the premium or contribution for a similarly situated individual enrolled in the plan on the basis of any health status-related factor in relation to the individual or to an individual enrolled under the plan as a dependent of individual.(2) Construction. - Nothing in subdivision (1) of this subsection shall be construed:a. To restrict the amount that an employer may be charged for coverage under a group health insurance plan; orb. To prevent a group health insurer from establishing premium discounts or modifying otherwise applicable copayments or deductibles in return for adherence to programs of health promotion and disease prevention. (1997-259, s. 1(c).)
NC Gen Stat § 58-68-50 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 68 - Health Insurance Portability and Accountability.|§ 58-68-50 - Disclosure of information.

 58-68-50. Disclosure of information.(a) Disclosure of Information by Health Insurers. - In connection with the offering of any health insurance coverage to a small employer, a health insurer:(1) Shall make a reasonable disclosure to the employer, as part of its solicitation and sales materials, of the availability of information described in subsection (b) of this section, and(2) Shall upon request of the small employer, provide the information.(b) Information Described. - (1) In general. - Subject to subdivision (3) of this subsection, with respect to a health insurer offering health insurance coverage to a small employer, information described in this subsection is information concerning:a. The provisions of the coverage concerning the health insurer's right to change premium rates and the factors that may affect changes in premium rates;b. The provisions of the coverage relating to renewability of coverage;c. The provisions of the coverage relating to any preexisting condition exclusion; andd. The benefits and premiums available under all health insurance coverage for which the employer is qualified.(2) Form of information. - Information under this subsection shall be provided to small employers in a manner determined to be understandable by the average small employer, and shall be sufficient to reasonably inform small employers of their rights and obligations under the health insurance coverage.(3) Exception. - A health insurer is not required under this section to disclose any information that is proprietary and trade secret information under applicable law. (1997-259, s. 1(c).)
NC Gen Stat § 58-68-55 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 68 - Health Insurance Portability and Accountability.|§ 58-68-55 - Exclusion of certain plans.

 58-68-55. Exclusion of certain plans.(a) Exception for Certain Benefits. - The requirements of Subparts 1 and 2 of this Part do not apply to any group health insurance coverage in relation to its provision of excepted benefits described in G.S. 58-68-25(b)(1).(b) Exception for Certain Benefits if Certain Conditions Met. - (1) Limited, excepted benefits. - The requirements of Subparts 1 and 2 of this Part do not apply to any group health insurance plan in relation to its provision of excepted benefits described in G.S. 58-68-25(b)(2) if the benefits:a. Are provided under a separate policy, certificate, or contract of insurance; orb. Are otherwise not an integral part of the plan.(2) Noncoordinated, excepted benefits. - The requirements of Subparts 1 and 2 of this Part do not apply to any group health insurance plan in relation to its provision of excepted benefits described in G.S. 58-68-25(b)(3) if all of the following conditions are met:a. The benefits are provided under a separate policy, certificate, or contract of insurance.b. There is no coordination between the provision of the benefits and any exclusion of benefits under any group health insurance plan maintained by the same policyholder.c. The benefits are paid with respect to an event without regard to whether benefits are provided with respect to that event under any group health insurance plan maintained by the same policyholder.(3) Supplemental, excepted benefits. - The requirements of this Part do not apply to any group health insurance plan in relation to its provision of excepted benefits described in G.S. 58-68-25(b)(4) if the benefits are provided under a separate policy, certificate, or contract of insurance. (1997-259, s. 1(c).)
NC Gen Stat § 58-68-70 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 68 - Health Insurance Portability and Accountability.|§ 58-68-70 - Certification of coverage.

 58-68-70. Certification of coverage.G.S. 58-68-30(e) applies to health insurance coverage offered by a health insurer in the individual market in the same manner that it applies to health insurance coverage offered by a health insurer in the small or large group market. (1997-259, s. 1(c).)
NC Gen Stat § 58-68-75 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 68 - Health Insurance Portability and Accountability.|§ 58-68-75 - General exceptions.

 58-68-75. General exceptions.(a) Exception for Certain Benefits. - This Part does not apply to any health insurance coverage in relation to its provision of excepted benefits described in G.S. 58-68-25(b)(1).(b) Exception for Certain Benefits if Certain Conditions Met. - This Part does not apply to any health insurance coverage in relation to its provision of excepted benefits described in G.S. 58-68-25(b)(2), (3), or (4) if the benefits are provided under a separate policy, certificate, or contract of insurance. (1997-259, s. 1(c).)
NC Gen Stat § 58-69-2 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 69 - Motor Clubs and Associations.|§ 58-69-2 - Definitions.

 58-69-2. Definitions.As used in this Article:(1) "Branch or district office" means any physical location, other than a motor club's home office, that is used by the motor club or its representatives as a principal place of business for conducting any type of business authorized under this Article and as a place of business that is used by clients or prospective clients in meeting or dealing with the motor club or its representatives in the normal course of business authorized under this Article.(2) "Licensee" means a motor club to which a license has been issued under this Article.(3) "Motor club" means any person, whether or not residing, domiciled, or chartered in this State, that, in consideration of dues, assessments, or periodic payments of money, promises its members to assist them in matters relating to the ownership, operation, use, or maintenance of motor vehicles by rendering three or more of the following services:a. Automobile theft reward service. - A reward payable to any person, law enforcement agency, or officer for information leading to the recovery of a member's stolen vehicle and to the apprehension and conviction of the person or persons unlawfully taking the vehicle.b. Bail or cash appearance bond service. - The furnishing of cash or a surety bond for a member accused of a violation of the motor vehicle law, or of any law of this State by reason of an automobile accident to secure the member's release and subsequent appearance in court.c. Emergency road service. - Roadside adjustment of a motor vehicle so that the vehicle may be operated under its own power.d. Legal service. - Providing for reimbursement to a member for attorneys' fees if criminal proceedings are instituted against the member as a result of the operation of a motor vehicle.e. Map service. - The furnishing of road maps to members without cost.f. Personal travel and accident insurance service. - Making available to members a personal travel and accident insurance policy issued by a duly licensed insurance company in this State.g. Touring service. - The furnishing of touring information to members without cost.h. Towing service. - Furnishing means to move a motor vehicle from one place to another under power other than its own. (1963, c. 698; 1983, c. 542; 1985, c. 666, s. 81; 1991, c. 401, s. 1; 1999-132, s. 12.2; 2000-122, s. 7.)
NC Gen Stat § 58-69-5 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 69 - Motor Clubs and Associations.|§ 58-69-5 - License required.

 58-69-5. License required.No motor club, district or branch office of a motor club, or franchise motor club shall engage in business in this State unless it holds a valid license issued to it by the Commissioner as provided in this Article. The license shall at all times be prominently displayed in each office of the entity to which the license is issued. (1963, c. 698; 1991, c. 644, s. 15.)
NC Gen Stat § 58-69-15 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 69 - Motor Clubs and Associations.|§ 58-69-15 - Issuance or refusal of license; notice of hearing on refusal; renewal.

 58-69-15. Issuance or refusal of license; notice of hearing on refusal; renewal.Within 60 days after an application for license is filed, the Commissioner shall issue a license to the applicant unless he shall find:(1) That the applicant has not met all of the requirements of this Article, or(2) That the applicant does not have sufficient financial responsibility to engage in business as a motor club in this State, or(3) That the applicant has failed to make a reasonable showing that its managers, officers, directors and agents are persons of reliability and integrity. If any such finding is made, the Commissioner shall notify the applicant as soon as practicable of the reason for his refusal to issue the license, and inform the applicant of its right to a hearing on the matters as provided in G.S. 58-69-25. All licenses issued hereunder, and all renewals thereof, shall expire on June 30 following such issuance or renewal. Renewal of all licenses not previously revoked or suspended shall be automatic upon timely payment by the licensee of the annual fee. (1963, c. 698.)
NC Gen Stat § 58-69-20 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 69 - Motor Clubs and Associations.|§ 58-69-20 - Powers of Commissioner.

 58-69-20. Powers of Commissioner.The Commissioner shall have the same powers and authority for the purpose of conducting investigations and hearings under this Article as that vested in him by G.S. 58-2-50 and 58-2-70.(1) To investigate possible violation of this Article and to report evidence thereof to the Attorney General who may recommend prosecution to the appropriate solicitor;(2) To suspend or revoke any license issued under this Article upon a finding, after notice and opportunity for hearing, that the holder of said license has violated any of the provisions of this Article, or has failed to maintain the standards requisite to original licensing as indicated in G.S. 58-69-15 hereof;(3) To require any licensee to cease doing business through any particular agent or representative upon a finding after notice and opportunity for hearing, that such agent or representative has intentionally made false or misleading statements concerning the motor club services offered by the motor club represented by him;(4) To approve or disapprove the name, trademarks, emblems, and all forms which an applicant for license or licensee employs or proposes to employ in connection with its business. If such name, trademarks or emblems is distinctive and not likely to confuse or mislead the public as to the nature or identity of the motor club using or proposing to use it, then it shall be approved, otherwise, the Commissioner may disapprove its use and effectuate such disapproval by the issuance of an appropriate order; and(5) To make any rules or regulations necessary to enforce the provisions of this Article. (1963, c. 698; 1987, c. 864, s. 3(c).)
NC Gen Stat § 58-69-25 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 69 - Motor Clubs and Associations.|§ 58-69-25 - Hearing on denial of license.

 58-69-25. Hearing on denial of license.Whenever the Commissioner denies an initial application for a license, he shall notify the applicant and advise, in writing, the applicant of the reasons for the denial or nonrenewal of the license. Within 30 days of receipt of notification the applicant may make written demand upon the Commissioner for a hearing to determine the reasonableness of the Commissioner's action. Such hearing shall be scheduled within 30 days from the date of receipt of the written demand. (1963, c. 698; 1989, c. 485, s. 32.)
NC Gen Stat § 58-69-30 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 69 - Motor Clubs and Associations.|§ 58-69-30 - Agent for service of process.

 58-69-30. Agent for service of process.Every motor club licensed hereunder shall appoint and maintain at all times an agent for service of process who shall be a resident of North Carolina. (1963, c. 698.)