State Codes and Statutes

Statutes > North-carolina > Chapter_97 > GS_97-90_1

§ 97‑90.1.  Insurersthat provide employee's health benefit plans, disability income plans, or anyother health insurance plans as real parties in interest; reimbursement.

An insurer that covers anemployee under a health benefit plan as defined in G.S. 58‑3‑167, adisability income plan, or any other health insurance plan is not a real partyin interest and shall not intervene or participate in any proceeding orsettlement agreement under this Article to determine whether a claim iscompensable under this Article or to seek reimbursement for medical paymentsunder its plan. The insurer that covers an employee under a health benefit planas defined in G.S. 58‑3‑167 or any other health insurance plan mayseek reimbursement from the employee, employer, or carrier that is liable orresponsible for the specific medical charge according to a final adjudicationof the claim under this Article or an order of the Commission approving asettlement agreement entered into under this Article for health plan paymentsfor that specific medical charge. Upon the admission or adjudication that aclaim is compensable, the party or parties liable shall notify in writing anyknown health benefit plan covering the employee of the admission oradjudication. (2001‑216,s. 1; 2001‑487, s. 102(b).)

State Codes and Statutes

Statutes > North-carolina > Chapter_97 > GS_97-90_1

§ 97‑90.1.  Insurersthat provide employee's health benefit plans, disability income plans, or anyother health insurance plans as real parties in interest; reimbursement.

An insurer that covers anemployee under a health benefit plan as defined in G.S. 58‑3‑167, adisability income plan, or any other health insurance plan is not a real partyin interest and shall not intervene or participate in any proceeding orsettlement agreement under this Article to determine whether a claim iscompensable under this Article or to seek reimbursement for medical paymentsunder its plan. The insurer that covers an employee under a health benefit planas defined in G.S. 58‑3‑167 or any other health insurance plan mayseek reimbursement from the employee, employer, or carrier that is liable orresponsible for the specific medical charge according to a final adjudicationof the claim under this Article or an order of the Commission approving asettlement agreement entered into under this Article for health plan paymentsfor that specific medical charge. Upon the admission or adjudication that aclaim is compensable, the party or parties liable shall notify in writing anyknown health benefit plan covering the employee of the admission oradjudication. (2001‑216,s. 1; 2001‑487, s. 102(b).)


State Codes and Statutes

State Codes and Statutes

Statutes > North-carolina > Chapter_97 > GS_97-90_1

§ 97‑90.1.  Insurersthat provide employee's health benefit plans, disability income plans, or anyother health insurance plans as real parties in interest; reimbursement.

An insurer that covers anemployee under a health benefit plan as defined in G.S. 58‑3‑167, adisability income plan, or any other health insurance plan is not a real partyin interest and shall not intervene or participate in any proceeding orsettlement agreement under this Article to determine whether a claim iscompensable under this Article or to seek reimbursement for medical paymentsunder its plan. The insurer that covers an employee under a health benefit planas defined in G.S. 58‑3‑167 or any other health insurance plan mayseek reimbursement from the employee, employer, or carrier that is liable orresponsible for the specific medical charge according to a final adjudicationof the claim under this Article or an order of the Commission approving asettlement agreement entered into under this Article for health plan paymentsfor that specific medical charge. Upon the admission or adjudication that aclaim is compensable, the party or parties liable shall notify in writing anyknown health benefit plan covering the employee of the admission oradjudication. (2001‑216,s. 1; 2001‑487, s. 102(b).)