§ 58-67-1 Short title
§ 58-67-5 Definitions
§ 58-67-10 Establishment of health maintenance organizations
§ 58-67-11 Additional HMO application information
§ 58-67-12 Commissioner use of consultants and other professionals
§ 58-67-15 Health maintenance organization of bordering states may be admitted to do business; reciprocity
§ 58-67-20 Issuance and continuation of license
§ 58-67-25 Deposits
§ 58-67-30 Management and exclusive agreements; custodial agreements
§ 58-67-35 Powers of health maintenance organizations
§ 58-67-45 Fiduciary responsibilities
§ 58-67-50 Evidence of coverage and premiums for health care services
§ 58-67-55 Statements filed with Commissioner
§ 58-67-60 Investments
§ 58-67-65 Prohibited practices
§ 58-67-66 Collaboration with local health departments
§ 58-67-70 Coverage for chemical dependency treatment
§ 58-67-74 Coverage for certain treatment of diabetes
§ 58-67-75 No discrimination against mentally ill or chemically dependent individuals
§ 58-67-76 Coverage for mammograms and cervical cancer screening
§ 58-67-77 Coverage for prostate-specific antigen (PSA) tests
§ 58-67-78 Coverage of certain prescribed drugs for cancer treatment
§ 58-67-79 Coverage for reconstructive breast surgery following mastectomy
§ 58-67-80 Meaning of terms “accident”, “accidental injury”, and “accidental means”
§ 58-67-85 Master group contracts, filing requirement; required and prohibited provisions
§ 58-67-88 Continuity of care
§ 58-67-90 Licensing and regulation of agents
§ 58-67-95 Powers of insurers, hospitals, prepaid health plans, and medical service corporations
§ 58-67-100 Examinations
§ 58-67-105 Hazardous financial condition
§ 58-67-110 Protection against insolvency
§ 58-67-115 Hold harmless agreements or special deposit
§ 58-67-120 Continuation of benefits
§ 58-67-125 Enrollment period
§ 58-67-130 Replacement coverage
§ 58-67-135 Incurred but not reported claims
§ 58-67-140 Suspension or revocation of license
§ 58-67-145 Rehabilitation, liquidation, or conservation of health maintenance organization
§ 58-67-150 Regulations
§ 58-67-155 Administrative procedures
§ 58-67-160 Fees
§ 58-67-165 Penalties and enforcement
§ 58-67-170 Statutory construction and relationship to other laws
§ 58-67-171 Other laws applicable to HMOs
§ 58-67-175 Filings and reports as public documents
§ 58-67-180 Confidentiality of medical information
§ 58-67-185 Severability

Terms Used In North Carolina General Statutes > Chapter 58 > Article 67 - Health Maintenance Organization Act

  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Contract: A legal written agreement that becomes binding when signed.
  • 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.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Embezzlement: In most states, embezzlement is defined as theft/larceny of assets (money or property) by a person in a position of trust or responsibility over those assets. Embezzlement typically occurs in the employment and corporate settings. Source: OCC
  • 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.
  • Fiduciary: A trustee, executor, or administrator.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • 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.
  • 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
  • Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • 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.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Litigation: A case, controversy, or lawsuit. Participants (plaintiffs and defendants) in lawsuits are called litigants.
  • Misdemeanor: Usually a petty offense, a less serious crime than a felony, punishable by less than a year of confinement.
  • 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
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
  • property: shall include all property, both real and personal. See North Carolina General Statutes 12-3
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • 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.
  • Service of process: The service of writs or summonses to the appropriate party.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • 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
  • Statute: A law passed by a legislature.
  • Trustee: A person or institution holding and administering property in trust.
  • United States: shall be construed to include the said district and territories and all dependencies. See North Carolina General Statutes 12-3