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Market Regulation


Managed Care Annual Filings

NCGS 58-3-191(a) and (b1) Repealed by House Bill 16 Session Law 2015-92 (HB 16 SL 2015-92)

As insurers were notified January 15, 2016, the law pertaining to the repeal of NCGS 58-3-191(a) and (b1) was effective on June 19, 2015. Pursuant to House Bill 16 (HB 16) Session Law 2015-92 (SL 2015-92), the requirement for annual reporting and disclosure of data and information related to managed care health benefit plans approved and issued in North Carolina was repealed. This applies to reports to be filed on or after July 1, 2015.

Additionally, HB 16 repealed NCGS 58-67-140(a)(7). This portion of the Statute is specific to Health Maintenance Organizations (HMOs) with managed care health benefit plans, NCGS 58-3-191(a) and (b1), and the suspension or revocation of an HMO license.

Whereas HB 16 SL 2015-92 repealed the requirement for annual reporting to the Department of the information and data required by NCGS 58-3-19 (a) and (b1), insurers are not absolved of their responsibility to continue compliance with all other applicable North Carolina laws and regulations.

Pursuant to 11 NCAC 19.0106 (c) and (d), compliance with North Carolina laws and regulations is required to be demonstrated by insurers during Market Regulation Examinations. Therefore, insurers are reminded that oversight and monitoring, including functions delegated, remain the responsibility of the insurer.