State Codes and Statutes

Statutes > North-carolina > Chapter_58 > GS_58-47-185

§58‑47‑185.  Notices; disclosure.

(a)        When the servicesof a TPA are used, the TPA shall provide a written notice approved by the self‑insurerto covered members advising them of the identity of, and relationship among,the TPA, the member, and the self‑insurer.

(b)        When a TPA collectsfunds, the reason for collection of each item shall be identified to the memberand each item shall be shown separately from any premium. Additional chargesmay not be made for services to the extent the services have been paid for bythe self‑insurer.

(c)        The TPA shalldisclose to the self‑insurer all charges, fees, and commissions receivedfrom all services in connection with the provision of administrative servicesfor the self‑insurer, including any fees or commissions paid by self‑insurersfor obtaining reinsurance.

(d)        The TPA or servicecompany shall disclose to the self‑insurer the nature of other businessin which it is involved. (1997‑362, s. 3.)

State Codes and Statutes

Statutes > North-carolina > Chapter_58 > GS_58-47-185

§58‑47‑185.  Notices; disclosure.

(a)        When the servicesof a TPA are used, the TPA shall provide a written notice approved by the self‑insurerto covered members advising them of the identity of, and relationship among,the TPA, the member, and the self‑insurer.

(b)        When a TPA collectsfunds, the reason for collection of each item shall be identified to the memberand each item shall be shown separately from any premium. Additional chargesmay not be made for services to the extent the services have been paid for bythe self‑insurer.

(c)        The TPA shalldisclose to the self‑insurer all charges, fees, and commissions receivedfrom all services in connection with the provision of administrative servicesfor the self‑insurer, including any fees or commissions paid by self‑insurersfor obtaining reinsurance.

(d)        The TPA or servicecompany shall disclose to the self‑insurer the nature of other businessin which it is involved. (1997‑362, s. 3.)


State Codes and Statutes

State Codes and Statutes

Statutes > North-carolina > Chapter_58 > GS_58-47-185

§58‑47‑185.  Notices; disclosure.

(a)        When the servicesof a TPA are used, the TPA shall provide a written notice approved by the self‑insurerto covered members advising them of the identity of, and relationship among,the TPA, the member, and the self‑insurer.

(b)        When a TPA collectsfunds, the reason for collection of each item shall be identified to the memberand each item shall be shown separately from any premium. Additional chargesmay not be made for services to the extent the services have been paid for bythe self‑insurer.

(c)        The TPA shalldisclose to the self‑insurer all charges, fees, and commissions receivedfrom all services in connection with the provision of administrative servicesfor the self‑insurer, including any fees or commissions paid by self‑insurersfor obtaining reinsurance.

(d)        The TPA or servicecompany shall disclose to the self‑insurer the nature of other businessin which it is involved. (1997‑362, s. 3.)