State Codes and Statutes

Statutes > North-carolina > Chapter_58 > GS_58-51-115

§ 58‑51‑115. Coordination of benefits with Medicaid.

(a)        As used in thissection and in G.S. 58‑51‑120 and G.S. 58‑51‑125:

(1)        "Health benefitplan" means any accident and health insurance policy or certificate; anonprofit hospital or medical service corporation contract; a healthmaintenance organization subscriber contract; a plan provided by a multipleemployer welfare arrangement; the State Health Plan for Teachers and StateEmployees and any optional plans or programs operating under Part 2 of Article3 of Chapter 135 of the General Statutes; or a plan provided by another benefitarrangement. "Health benefit plan" does not mean a Medicaresupplement policy as defined in G.S. 58‑54‑1(5).

(2)        "Healthinsurer" means any health insurance company subject to Articles 1 through63 of this Chapter, including a multiple employee welfare arrangement, and anycorporation subject to Articles 65 and 67 of this Chapter; a group health plan,as defined in section 607(1) of the Employee Retirement Income Security Act of1974; and the State Health Plan for Teachers and State Employees and anyoptional plans or programs operating under Part 2 of Article 3 of Chapter 135of the General Statutes.

(b)        No health insurershall take into account that an individual is eligible for or is providedmedical assistance in this or any other state under 42 U.S.C. § 1396a (section1902 of the Social Security Act) in insuring that individual or making paymentsunder its health benefit plan for benefits to that individual or on that individual'sbehalf. (1993(Reg. Sess., 1994), c. 644, s. 1; 1995, c. 193, s. 43; 1999‑293, s. 9;2007‑298, s. 8.6; 2007‑323, s. 28.22A(o); 2007‑345, s. 12.)

State Codes and Statutes

Statutes > North-carolina > Chapter_58 > GS_58-51-115

§ 58‑51‑115. Coordination of benefits with Medicaid.

(a)        As used in thissection and in G.S. 58‑51‑120 and G.S. 58‑51‑125:

(1)        "Health benefitplan" means any accident and health insurance policy or certificate; anonprofit hospital or medical service corporation contract; a healthmaintenance organization subscriber contract; a plan provided by a multipleemployer welfare arrangement; the State Health Plan for Teachers and StateEmployees and any optional plans or programs operating under Part 2 of Article3 of Chapter 135 of the General Statutes; or a plan provided by another benefitarrangement. "Health benefit plan" does not mean a Medicaresupplement policy as defined in G.S. 58‑54‑1(5).

(2)        "Healthinsurer" means any health insurance company subject to Articles 1 through63 of this Chapter, including a multiple employee welfare arrangement, and anycorporation subject to Articles 65 and 67 of this Chapter; a group health plan,as defined in section 607(1) of the Employee Retirement Income Security Act of1974; and the State Health Plan for Teachers and State Employees and anyoptional plans or programs operating under Part 2 of Article 3 of Chapter 135of the General Statutes.

(b)        No health insurershall take into account that an individual is eligible for or is providedmedical assistance in this or any other state under 42 U.S.C. § 1396a (section1902 of the Social Security Act) in insuring that individual or making paymentsunder its health benefit plan for benefits to that individual or on that individual'sbehalf. (1993(Reg. Sess., 1994), c. 644, s. 1; 1995, c. 193, s. 43; 1999‑293, s. 9;2007‑298, s. 8.6; 2007‑323, s. 28.22A(o); 2007‑345, s. 12.)


State Codes and Statutes

State Codes and Statutes

Statutes > North-carolina > Chapter_58 > GS_58-51-115

§ 58‑51‑115. Coordination of benefits with Medicaid.

(a)        As used in thissection and in G.S. 58‑51‑120 and G.S. 58‑51‑125:

(1)        "Health benefitplan" means any accident and health insurance policy or certificate; anonprofit hospital or medical service corporation contract; a healthmaintenance organization subscriber contract; a plan provided by a multipleemployer welfare arrangement; the State Health Plan for Teachers and StateEmployees and any optional plans or programs operating under Part 2 of Article3 of Chapter 135 of the General Statutes; or a plan provided by another benefitarrangement. "Health benefit plan" does not mean a Medicaresupplement policy as defined in G.S. 58‑54‑1(5).

(2)        "Healthinsurer" means any health insurance company subject to Articles 1 through63 of this Chapter, including a multiple employee welfare arrangement, and anycorporation subject to Articles 65 and 67 of this Chapter; a group health plan,as defined in section 607(1) of the Employee Retirement Income Security Act of1974; and the State Health Plan for Teachers and State Employees and anyoptional plans or programs operating under Part 2 of Article 3 of Chapter 135of the General Statutes.

(b)        No health insurershall take into account that an individual is eligible for or is providedmedical assistance in this or any other state under 42 U.S.C. § 1396a (section1902 of the Social Security Act) in insuring that individual or making paymentsunder its health benefit plan for benefits to that individual or on that individual'sbehalf. (1993(Reg. Sess., 1994), c. 644, s. 1; 1995, c. 193, s. 43; 1999‑293, s. 9;2007‑298, s. 8.6; 2007‑323, s. 28.22A(o); 2007‑345, s. 12.)