135-48.1 General definitions
135-48.2 Undertaking
135-48.3 Right to amend
135-48.5 Health benefit trust funds created
135-48.8 Statements of public interest
135-48.10 Confidentiality of information and medical records; provider contracts
135-48.12 Committee on Actuarial Valuation of Retired Employees’ Health Benefits
135-48.15 Whistle-blower protections related to the State Health Plan
135-48.20 Board of Trustees established
135-48.21 Board officers, quorum, meetings
135-48.22 Board powers and duties
135-48.23 Executive Administrator
135-48.24 Administrative review
135-48.25 Rules
135-48.27 Reports to the General Assembly; General Assembly access to information
135-48.28 Auditing of the Plan
135-48.30 Powers and duties of the State Treasurer
135-48.32 Contracts to provide benefits
135-48.33 Contracting provisions; large contract review by Board of Trustees and Attorney General, auditing, no cost plus contracts
135-48.34 Contracts not subject to Article 3 of Chapter 143 of the General Statutes
135-48.35 Contract disputes not contested case under the Administrative Procedure Act, Chapter 150B of the General Statutes
135-48.37 Liability of third person; right of subrogation; right of first recovery
135-48.38 Persons eligible for Medicare; optional participation in other Medicare products
135-48.40 Categories of eligibility
135-48.41 Additional eligibility provisions
135-48.42 Enrollment
135-48.43 Effective dates of coverage
135-48.44 Cessation of coverage
135-48.45 Conversion
135-48.47 Participation in State Health Plan by local government employees and dependents
135-48.49 IRC Sections 6055 and 6056 regulatory reporting
135-48.50 Coverage mandates
135-48.51 Coverage and operational mandates related to Chapter 58 of the General Statutes
135-48.52 General limitations and exclusions
135-48.54 Optional participation for charter schools operated by private nonprofit corporations
135-48.55 Interest charged to charter schools and local government units on late premiums
135-48.56 Education of covered active and retired employees
135-48.57 Payments for county or city ambulance service
135-48.58 Premiums for firefighters, rescue squad workers, and members of National Guard

Terms Used In North Carolina General Statutes > Chapter 135 > Article 3B

  • Beneficiary: shall mean any person in receipt of a pension, an annuity, a retirement allowance or other benefit as provided by this Chapter. See North Carolina General Statutes 135-1
  • Board of Trustees: shall mean the Board provided for in G. See North Carolina General Statutes 135-1
  • Chemical dependency: The pathological use or abuse of alcohol or other drugs in a manner or to a degree that produces an impairment in personal, social, or occupational functioning and which may, but need not, include a pattern of tolerance and withdrawal. See North Carolina General Statutes 135-48.1
  • Claim Payment Data: includes any document, material, or other work, whether tangible or electronic, that is derived from, is based on, or reflects any of the foregoing data fields or information contained therein. See North Carolina General Statutes 135-48.1
  • Claims Data Feed: An electronic file provided by a Claims Processor that contains all claims processing data elements for every claim processed by the Claims Processor for the Plan, including Claim Payment Data for each claim. See North Carolina General Statutes 135-48.1
  • Claims Processor: One or more administrators, third-party administrators, or other parties contracting with the Plan to administer Plan benefits. See North Carolina General Statutes 135-48.1
  • Compensation: includes all special pay contribution of annual leave made to a 401(a) Special Pay Plan for the benefit of an employee. See North Carolina General Statutes 135-1
  • Comprehensive group health benefit plan: A comprehensive health benefit plan offered to an individual because of an employment, organizational, or other group affiliation. See North Carolina General Statutes 135-48.1
  • Comprehensive health benefit plan: Health care coverage that consists of inpatient and outpatient hospital and medical benefits, as well as other outpatient medical services, prescription drugs, medical supplies, and equipment that are generally available in the health insurance market. See North Carolina General Statutes 135-48.1
  • Deductible: The dollar amount that must be incurred for certain covered services in a benefit period before benefits are payable by the Plan. See North Carolina General Statutes 135-48.1
  • Dependent: An eligible Plan member other than the subscriber. See North Carolina General Statutes 135-48.1
  • Dependent child: Subject to the eligibility requirements of subsections (a) and (b) of G. See North Carolina General Statutes 135-48.1
  • Employee: shall mean all full-time employees, agents or officers of the State of North Carolina or any of its departments, bureaus and institutions other than educational, whether such employees are elected, appointed or employed: Provided that the term "employee" shall not include any person who is a member of the Consolidated Judicial Retirement System, any member of the General Assembly or any part-time or temporary employee. See North Carolina General Statutes 135-1
  • Employer: shall mean the State of North Carolina, the county board of education, the city board of education, the State Board of Education, the board of trustees of the University of North Carolina, the board of trustees of other institutions and agencies supported and under the control of the State, or any other agency of and within the State by which a teacher or other employee is paid. See North Carolina General Statutes 135-1
  • Employing Unit: A North Carolina School System. See North Carolina General Statutes 135-48.1
  • Filing: when used in reference to an application for retirement shall mean the receipt of an acceptable application on a form provided by the Retirement System. See North Carolina General Statutes 135-1
  • 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
  • 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
  • Member: shall mean any teacher or State employee included in the membership of the System as provided in G. See North Carolina General Statutes 135-1
  • Membership service: shall mean service as a teacher or State employee rendered while a member of the Retirement System or membership service in a North Carolina Retirement System that has been transferred into this system. See North Carolina General Statutes 135-1
  • month: shall be construed to mean a calendar month, unless otherwise expressed; and the word "year" a calendar year, unless otherwise expressed; and the word "year" alone shall be equivalent to the expression "year of our Lord. See North Carolina General Statutes 12-3
  • Plan: includes all comprehensive health benefit plans offered under the Plan. See North Carolina General Statutes 135-48.1
  • Plan member: A subscriber or dependent who is eligible and currently enrolled in the Plan and for whom a premium is paid. See North Carolina General Statutes 135-48.1
  • Predecessor plan: The Hospital and Medical Benefits for the Teachers' and State Employees' Retirement System of the State of North Carolina and the North Carolina Teachers' and State Employees' Comprehensive Major Medical Plan. See North Carolina General Statutes 135-48.1
  • Public school: shall mean any day school conducted within the State under the authority and supervision of a duly elected or appointed city or county school board, and any educational institution supported by and under the control of the State. See North Carolina General Statutes 135-1
  • Retirement allowance: shall mean the sum of the "annuity and the pensions" or any optional benefit payable in lieu thereof. See North Carolina General Statutes 135-1
  • Retirement System: shall mean the Teachers' and State Employees' Retirement System of North Carolina as defined in G. See North Carolina General Statutes 135-1
  • Service: shall mean service as a teacher or State employee as described in subdivision (10) or (25) of this section. See North Carolina General Statutes 135-1
  • 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
  • Subscriber: A Plan member who is not a dependent. See North Carolina General Statutes 135-48.1
  • Teacher: shall mean (i) any teacher, helping teacher, teacher in a job-sharing position under G. See North Carolina General Statutes 135-1
  • United States: shall be construed to include the said district and territories and all dependencies. See North Carolina General Statutes 12-3