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Home » US Law » 2022 North Carolina General Statutes » Chapter 58 - Insurance » Article 53 - Group Health Insurance Continuation and Conversion Privileges.

§ 58-53-75 – Information.

58-53-75. Information. A converted policy may provide that an insurer may at any time request information of an insured policyholder with respect to any person covered thereunder as to whether he is covered for the similar benefits described in G.S. 58-53-70(1)a or is or could be covered for the similar benefits described in G.S. 58-53-70(1)b […]

§ 58-53-80 – Excess benefits.

58-53-80. Excess benefits. An insurer shall not be required to issue a converted policy providing benefits in excess of the equivalent value of hospital, surgical, or major medical insurance under the group policy from which conversion is made. (1981, c. 706, s. 1.)

§ 58-53-85 – Preexisting conditions.

58-53-85. Preexisting conditions. The converted policy shall not exclude, as a preexisting condition, any condition covered by the group policy. However, the converted policy may provide for a reduction of its hospital, surgical or medical benefits by the amount of any such benefits payable under the group policy after the individual’s insurance terminates thereunder. The […]

§ 58-53-90 – Basic coverage plans.

58-53-90. Basic coverage plans. (a) Subject to the provisions of this Article, if the group insurance policy from which conversion is made insures the employee or member for basic hospital and surgical expense insurance, the employee or member shall be entitled to obtain a converted policy providing, at his option, coverage on an expense incurred […]

§ 58-53-95 – Major medical plans.

58-53-95. Major medical plans. Subject to the provisions of this Article, if the group policy from which conversion is made insures the employee or member for major medical expense insurance, the employee or member shall be entitled to obtain a converted policy providing catastrophic or major medical coverage under a plan meeting the following requirements: […]