reglab/housing_qa huggingface dataset:
NC Gen Stat § 58-65-65 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-65 - Coverage for active medical treatment in tax-supported institutions.

 58-65-65. Coverage for active medical treatment in tax-supported institutions.(a) No hospital or medical or dental service plan, contract, or certificate governed by this Article and Article 66 of this Chapter shall be delivered, issued, executed, or renewed in this State, or approved for issuance or renewal in this State, unless it provides for the payment of benefits for charges made for medical care rendered by duly licensed State tax-supported institutions on a basis no less favorable than the basis that would apply had the medical care been rendered by any other public or private institution or provider. The term "State tax-supported institutions" includes community mental health centers and other health clinics which are certified as Medicaid providers.(b) No plan, contract, or certificate shall exclude payment for charges of a duly licensed State tax-supported institution because of its being a specialty facility for one particular type of illness nor because it does not have an operating room and related equipment for the performance of surgery, but it is not required that benefits be payable for domiciliary or custodial care, rehabilitation, training, schooling, or occupational therapy.(c) This section does not apply to any plan, contract, or certificate that is individually underwritten or provided for a specific individual and the members of the individual's family as a nongroup policy.  (1975, c. 345, s. 2; 2018-47, s. 7(e).)
NC Gen Stat § 58-65-70 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-70 - Contracts to cover any person possessing the sickle cell trait or hemoglobin C trait.

 58-65-70. Contracts to cover any person possessing the sickle cell trait or hemoglobin C trait.No hospital, medical, dental, or any health service governed by this Article and Article 66 of this Chapter shall refuse to issue or deliver any individual or group hospital, dental, medical, or health service contract in this State which it is currently issuing for delivery in this State, and which affords benefits or coverage for any medical treatment or service authorized or permitted to be furnished by a hospital, clinic, family health clinic, neighborhood health clinic, health maintenance organization, physician, physician's assistant, nurse practitioner or any medical service facility or personnel, on account of the fact that the person who is to be insured possesses sickle cell trait or hemoglobin C trait; nor shall any such policy issued and delivered in this State carry a higher premium rate or charge on account of the fact that the person who is to be insured possesses sickle cell trait. (1975, c. 599, s. 2.)
NC Gen Stat § 58-65-80 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-80 - Meaning of terms "accident", "accidental injury", and "accidental means".

 58-65-80. Meaning of terms "accident", "accidental injury", and "accidental means".(a) This section applies to the provisions of all subscriber contracts under this Article and Article 66 of this Chapter that are issued on or after October 1, 1989, and preferred provider arrangements under this Article and Article 66 of this Chapter that are entered into on or after October 1, 1989.(b) "Accident", "accidental injury", and "accidental means" shall be defined to imply "result" language and shall not include words that establish an accidental means test. (1989, c. 485, s. 11.)
NC Gen Stat § 58-65-85 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-85 - Discriminatory practices prohibited.

 58-65-85. Discriminatory practices prohibited.No person subject to this Article and Article 66 of this Chapter shall refuse to issue or refuse to reissue to an individual any certificate, plan, or contract governed by this Article and Article 66 of this Chapter; limit the amount, extent, or kind of services available to an individual; or charge an individual a different rate for the same services, because of the race, color, or national or ethnic origin of that individual. (1989, c. 485, s. 23.)
NC Gen Stat § 58-65-90 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-90 - No discrimination against mentally ill or chemically dependent individuals.

 58-65-90. No discrimination against mentally ill or chemically dependent individuals.(a) Definitions. - As used in this section, the term:(1) "Mental illness" has the same meaning as defined in G.S. 122C-3(21), with a mental disorder defined in the Diagnostic and Statistical Manual of Mental Disorders, DSM-5, or subsequent editions published by the American Psychiatric Association, except those mental disorders coded in the DSM-5 or subsequent editions as substance-related disorders (291.0 through 292.9 and 303.0 through 305.9), those coded as autism spectrum disorder (299.00), sexual dysfunctions not due to organic disease (302.70 through 302.79), and those coded as "V" codes.(2) "Chemical dependency" has the same meaning as defined in G.S. 58-65-75, with a mental disorder defined in the Diagnostic and Statistical Manual of Mental Disorders, DSM-5, or subsequent editions published by the American Psychiatric Association.(b) Coverage of Physical Illness. - No service corporation governed by this Chapter shall, solely because an individual to be insured has or had a mental illness or chemical dependency:(1) Refuse to issue or deliver to that individual any individual or group subscriber contract in this State that affords benefits or coverage for medical treatment or service for physical illness or injury;(2) Have a higher premium rate or charge for physical illness or injury coverages or benefits for that individual; or(3) Reduce physical illness or injury coverages or benefits for that individual.(b1) [Expired October 1, 2001.](c) Chemical Dependency Coverage Not Required. - Nothing in this section requires a service corporation to offer coverage for chemical dependency, except as provided in G.S. 58-65-75.(d) Applicability. - This section applies only to group health insurance contracts, other than excepted benefits as defined in G.S. 58-68-25. For purposes of this section, "group health insurance contracts" include MEWAs, as defined in G.S. 58-50A-1.(e) Nothing in this section requires an insurer to cover treatment or studies leading to or in connection with sex changes or modifications and related care.  (1989, c. 369, s. 1; 1991, c. 720, s. 82; 1997-259, s. 22; 1999-132, s. 4.3; 2007-268, s. 3; 2015-271, s. 5; 2019-202, s. 8; 2020-69, s. 3(g).)
NC Gen Stat § 58-65-91 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-91 - Coverage for certain treatment of diabetes.

 58-65-91. Coverage for certain treatment of diabetes.(a) Every insurance certificate or subscriber contract under any hospital service plan or medical service plan governed by this Article and Article 66 of this Chapter, and every preferred provider plan under G.S. 58-50-56 that is issued, renewed, or amended on or after October 1, 1997, shall provide coverage for medically appropriate and necessary services, including diabetes outpatient self-management training and educational services, and equipment, supplies, medications, and laboratory procedures used to treat diabetes. Diabetes outpatient self-management training and educational services shall be provided by a physician or a health care professional designated by the physician. The hospital or medical service plan shall determine who shall provide and be reimbursed for the diabetes outpatient self-management training and educational services. The same deductibles, coinsurance, and other limitations as apply to similar services covered under the policy, contract, or plan shall apply to the diabetes coverage required under this section.(b) For the purposes of this section, "physician" is a person licensed to practice in this State under Article 1 or Article 7 of Chapter 90 of the General Statutes. (1997-225, s. 2; 1997-519, s. 3.12.)
NC Gen Stat § 58-65-93 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-93 - Coverage for prostate-specific antigen (PSA) tests.

 58-65-93. Coverage for prostate-specific antigen (PSA) tests.(a) Every insurance certificate or subscriber contract under any hospital service plan or medical service plan governed by this Article and Article 66 of this Chapter, and every preferred provider benefit plan under G.S. 58-50-56, that is issued, renewed, or amended on or after January 1, 1994, shall provide coverage for prostate-specific antigen (PSA) tests or equivalent tests for the presence of prostate cancer. The same deductibles, coinsurance, and other limitations as apply to similar services covered under the certificate or contract shall apply to coverage for prostate-specific antigen (PSA) tests or equivalent tests for the presence of prostate cancer.(b) As used in this section, "prostate-specific antigen (PSA) tests or equivalent tests for the presence of prostate cancer" means serological tests for determining the presence of prostate cytoplasmic protein (PSA) and the generation of antibodies to it, as a novel marker for prostatic disease.(c) Coverage for prostate-specific antigen (PSA) tests or equivalent tests for the presence of prostate cancer shall be provided when recommended by a physician. (1993, c. 269, s. 2; 1997-519, s. 3.7.)
NC Gen Stat § 58-65-94 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-94 - Coverage of certain prescribed drugs for cancer treatment.

 58-65-94. Coverage of certain prescribed drugs for cancer treatment.(a) No insurance certificate or subscriber contract under any hospital service plan or medical service plan governed by this Article and Article 66 of this Chapter, and no preferred provider benefit plan under G.S. 58-50-56, that is issued, renewed, or amended on or after January 1, 1994, and that provides coverage for prescribed drugs approved by the federal Food and Drug Administration for the treatment of certain types of cancer shall exclude coverage of any drug on the basis that the drug has been prescribed for the treatment of a type of cancer for which the drug has not been approved by the federal Food and Drug Administration. The drug, however, must be approved by the federal Food and Drug Administration and must have been proven effective and accepted for the treatment of the specific type of cancer for which the drug has been prescribed in any one of the following established reference compendia:(1) The National Comprehensive Cancer Network Drugs & Biologics Compendium;(2) The ThomsonMicromedex DrugDex;(3) The Elsevier Gold Standard's Clinical Pharmacology; or(4) Any other authoritative compendia as recognized periodically by the United States Secretary of Health and Human Services.(b) Notwithstanding subsection (a) of this section, coverage shall not be required for any experimental or investigational drugs or any drug that the federal Food and Drug Administration has determined to be contraindicated for treatment of the specific type of cancer for which the drug has been prescribed.(c) This section shall apply only to cancer drugs and nothing in this section shall be construed, expressly or by implication, to create, impair, alter, limit, notify, enlarge, abrogate, or prohibit reimbursement for drugs used in the treatment of any other disease or condition.  (1993, c. 506, s. 4.2; 1997-519, s. 3.8; 2009-170, s. 2.)
NC Gen Stat § 58-65-95 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-95 - Investments and reserves.

 58-65-95. Investments and reserves.(a) Corporations subject to this Article shall invest in or hold only those assets permitted by Article 7 of this Chapter for life and health insurance companies.(b) Every such corporation shall accumulate and maintain, in addition to proper reserves for current administrative liabilities and whatever reserves are deemed to be adequate and proper by the Commissioner for unpaid hospital, medical, or dental bills, and unearned membership dues, a special contingent surplus or reserve at the following rates annually of its gross annual collections from membership dues, exclusive of receipts from cost plus plans, until the reserve equals an amount that is three times its average monthly expenditures for claims and administrative and selling expenses:(1) First $200,000 4% (2) Next $200,000 2% (3) All above $400,000 1% (c) Any such corporation may accumulate and maintain a contingent reserve in excess of the reserve required in subsection (b) of this section, not to exceed an amount equal to six times the average monthly expenditures for claims and administrative and selling expenses.(d) If the Commissioner finds that special conditions exist warranting an increase or decrease in the reserves or schedule of reserves in subsection (b) of this section, the Commissioner may modify them accordingly. Provided, however, when special conditions exist warranting an increase in the schedule of reserves, the schedule shall not be increased by the Commissioner until a reasonable length of time has elapsed after the Commissioner gives notice of the increase. (1941, c. 338, s. 8; 1943, c. 537, s. 5; 1947, c. 820, s. 5; 1961, c. 1149; 1991, c. 720, s. 79; 1999-244, s. 6; 2003-212, s. 18.)
NC Gen Stat § 58-65-100 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-100 - Statements filed with Commissioner.

 58-65-100. Statements filed with Commissioner.Every service corporation subject to this Article is subject to G.S. 58-2-165. (1941, c. 338, s. 9; 1999-244, s. 11.)
NC Gen Stat § 58-65-105 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-105 - Visitations and examinations.

 58-65-105. Visitations and examinations.Service corporations subject to this Article shall be examined under G.S. 58-2-131, 58-2-132, 58-2-133, and 58-2-134. (1941, c. 338, s. 10; 1995, c. 360, s. 2(l); 1999-244, s. 5.)
NC Gen Stat § 58-65-110 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-110 - Expenses.

 58-65-110. Expenses.All acquisition expenses in connection with the solicitation of subscribers to such hospital and/or medical and/or dental service plan and administration costs including salaries paid to officers of the corporations, if any, shall at all times be subject to inspection by the Commissioner of Insurance. (1941, c. 338, s. 11; 1943, c. 537, s. 6; 1961, c. 1149.)
NC Gen Stat § 58-65-115 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-115 - Licensing and regulation of agents.

 58-65-115. Licensing and regulation of agents.Every agent of any service corporation authorized to do business in this State under this Article is subject to the licensing provisions of Article 33 of this Chapter and all other provisions in this Chapter applicable to life and health insurance agents. (1941, c. 338, s. 12; 1943, c. 537, s. 7; 1947, c. 1023, s. 1; 1961, c. 1149; 1971, c. 1080, s. 2; 1983, c. 790, s. 5; 1985 (Reg. Sess., 1986), c. 928, s. 4; 1987, c. 629, s. 2; 1999-244, s. 7.)
NC Gen Stat § 58-65-120 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-120 - Medical, dental and hospital service associations and agent to transact business through licensed agents only.

 58-65-120. Medical, dental and hospital service associations and agent to transact business through licensed agents only.No medical and/or dental or hospital service association; nor any agent of any association shall on behalf of such association or agent, knowingly permit any person not licensed as an agent as provided by law, to solicit, negotiate for, collect or transmit a premium for a new contract of medical and/or dental or hospital service certificate or to act in any way in the negotiation for any contract or policy; provided, no license shall be required of the following:(1) Persons designated by the association or subscriber to collect or deduct or transmit premiums or other charges for medical and/or dental care or hospital contracts, or to perform such acts as may be required for providing coverage for additional persons who are eligible under a master contract.(2) An agency office employee acting in the confines of the agent's office, under the direction and supervision of the duly licensed agent and within the scope of such agent's license, in the acceptance of request for insurance and payment of premiums, and the performance of clerical, stenographic, and similar office duties. (1955, c. 1268; 1961, c. 1149.)
NC Gen Stat § 58-65-125 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-125 - Revocation and suspension of license; unfair trade practices.

 58-65-125. Revocation and suspension of license; unfair trade practices.(a) The Commissioner may revoke or suspend the license of any service corporation if:(1) The service corporation fails or refuses to comply with any law, order, or rule applicable to the service corporation.(2) The service corporation's financial condition is unsound.(3) The service corporation has published or made to the Department or to the public any false statement or report.(4) The service corporation refuses to submit to any examination authorized by law.(5) The service corporation is found to make a practice of unduly engaging in litigation or of delaying the investigation of claims or the adjustment or payment of valid claims.(b) Any suspension or revocation of a service corporation's license under this section may also be made applicable to the license or registration of any natural person regulated under this Chapter who is a party to any of the causes for licensing sanctions listed in subsection (a) of this section.(c) Article 63 of this Chapter applies to service corporations and their agents and representatives. (1941, c. 338, s. 13; 1943, c. 537, s. 8; 1971, c. 1080, s. 3; 1999-244, s. 3; 1999-351, s. 8; 2003-212, s. 26(k).)
NC Gen Stat § 58-65-135 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-135 - Cost plus plans.

 58-65-135. Cost plus plans.Any corporation organized under the provisions of this Article and Article 66 of this Chapter shall be authorized as agent of any other corporation, firm, group, partnership, or association, or any subsidiary or subsidiaries thereof, municipal corporation, State, federal government, or any agency thereof, to administer on behalf of such corporation, firm, group, partnership, or association, or any subsidiary or subsidiaries thereof, municipal corporation, State, federal government, or any agency thereof, any group hospitalization or medical and/or dental service plan, promulgated by such corporation, firm, group, partnership, or association, or any subsidiary or subsidiaries thereof, municipal corporation, State, federal government, or any agency thereof, on a cost plus administrative expense basis, provided said other corporation, firm, group, partnership, or association, or any subsidiary or subsidiaries thereof, municipal corporation, State, federal government, or any agency thereof shall have had an active existence for at least one year preceding the establishment of such plan, and was formed for purposes other than procuring such group hospitalization and/or medical and/or dental service coverage in a cost plus administrative expense basis, and provided only that administrative costs of such a cost plus plan administered by a corporation organized under the provisions of this Article and Article 66 of this Chapter, acting as an agent as herein provided, shall not exceed the remuneration received therefor, and provided further that the corporation organized under this Article and Article 66 of this Chapter administering such a plan shall have no liability to the subscribers or to the hospitals for the success or failure, liquidation or dissolution of such group hospitalization or medical and/or dental service plan and provided further, that nothing herein contained shall be construed to require of said corporation, firm, group, partnership, or association, or any subsidiary or subsidiaries thereof, municipal corporation, State, federal government, or any agency thereof, conformity to the provisions of this Article and Article 66 of this Chapter if such group hospitalization is administered by a corporation organized under this Article and Article 66 of this Chapter, on a cost plus expense basis. The administration of any cost plus plans as herein provided shall not be subject to regulation or supervision by the Commissioner of Insurance. (1941, c. 338, s. 16; 1943, c. 537, s. 9; 1947, c. 820, s. 7; 1961, c. 1149.)
NC Gen Stat § 58-65-145 (2021)
2021 North Carolina General Statutes|Chapter 58 - Insurance|Article 65 - Hospital, Medical and Dental Service Corporations.|§ 58-65-145 - Preexisting hospital service corporations.

 58-65-145. Preexisting hospital service corporations.No corporations organized under the laws of this State prior to the ratification of this Article and Article 66 of this Chapter, for the purposes herein provided, shall be required to reincorporate as provided for herein, and the provisions of this Article and Article 66 of this Chapter shall apply to said corporations only with regard to operations by said corporations with respect to subscribers' contracts, participating hospital contracts, reserves, investments, reports, visitations, expenses, taxation, amendments to charters, supervision of Commissioner of Insurance, application for certificate, issuance of certificates, licensing of agents after the date of the passage of this Article and Article 66 of this Chapter, provided, however, as soon as practical hereafter and in accordance with rules and regulations adopted by the Commissioner of Insurance said corporations shall conform to this Article and Article 66 of this Chapter as near as practical with respect to subscribers' contracts, endorsements, riders, and applications entered into prior to the ratification of this Article and Article 66 of this Chapter. (1941, c. 338, s. 17.)