§ 58-50A-10 – Sponsoring association requirements.
58-50A-10. Sponsoring association requirements. No insurer shall deliver or issue for delivery a group health plan to a sponsoring association or an employer member of a sponsoring association unless that sponsoring association meets the requirements of a Path 2 MEWA. (2019-202, s. 1.)
§ 58-50A-15 – Membership requirements.
58-50A-15. Membership requirements. (a) Group health plans offered by a sponsoring association may only provide coverage to the following: (1) Eligible employees of the employer member as defined in G.S. 58-51-80(c) and working owners pursuant to 29 C.F.R. 2510.3-5. (2) The spouse or dependent children of any individual identified in subdivision (1) of subsection (a) […]
§ 58-50A-20 – Health plan requirements.
58-50A-20. Health plan requirements. Any group health plan offered by a sponsoring association must meet all of the following requirements: (1) Neither be offered nor advertised to the public generally. (2) Provides a level of coverage equal to or greater than sixty percent (60%) of the actuarial value of allowed costs for covered benefits. (3) […]
§ 58-50A-25 – Solvency requirements.
58-50A-25. Solvency requirements. No insurer shall deliver or issue for delivery a group health plan to a sponsoring association or an employer member of a sponsoring association unless the sponsoring association meets all of the following solvency requirements: (1) Has been established and maintained in good faith for a period of at least three years. […]
§ 58-50A-30 – Nondiscrimination.
58-50A-30. Nondiscrimination. (a) No sponsoring association may condition eligibility for coverage, including continuing eligibility for coverage, on any of the following health-status factors: (1) Health status. (2) Medical condition, including both physical and mental illness. (3) Claims experience. (4) Receipt of health care. (5) Medical history. (6) Genetic information. (7) Evidence of insurability. (8) Disability. […]
§ 58-50A-35 – Premium contributions.
58-50A-35. Premium contributions. (a) Neither an insurer nor a sponsoring association shall require any individual, as a condition of initial enrollment or continued enrollment in 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 […]
§ 58-50A-1 – Definitions.
58-50A-1. Definitions. The following definitions apply in this Article: (1) Employer member. – A person or entity acting directly as the employer of at least one employee, or a working owner, either of whom is a participant covered under a Path 2 MEWA. (2) Employee welfare benefit plan. – The term as defined in Section […]