Life & Health

Network Adequacy Working Group (NAWG)

About the Network Adequacy Working Group

The Network Adequacy Working Group (NAWG) is comprised of department of insurance staff, consumer advocates, provider organizations and the insurance industry. The purpose of NAWG is to allow key stakeholders the opportunity to provide input on the National Association of Insurance Commissioners (NAIC), 2015 Health Benefit Plan Network Access and Adequacy Model Act (“the Model Act”). “The Model Act” provides guidelines for state insurance regulators and the insurance industry to follow to ensure adequate networks for health insurance in states. There is an opportunity for the development of standards specific to North Carolina. The NAWG will review “the Model Act”, discuss possible additions or modifications, and provide input to Commissioner Goodwin on the recommended final proposal for network adequacy and accessibility standards to be considered for adoption. It is anticipated the NAWG will meet up to three times with a limited number of conference calls and will complete work by the fall of 2016.


The North Carolina Department of Insurance welcomes comments from the public relating to the adoption of specific network adequacy standards and related provisions as provided in the NAIC Health Benefit Plan Network Access and Adequacy Model Act. The Department will consider input from the NAWG, as well as the public, as it decides how to address adoption of the Model Act in NC.

NOTE: The Department will read all comments, however we may not respond to all comments. In order for us to respond to your comment, you must provide an email address in the form below. All information submitted to the NC Department of Insurance is subject to open records laws.

Please provide the requested information to the best of your ability in order that the Department may identify the company and filing to which your comments apply.

Provide Public Comment On Network Adequacy Standards for NC
*Required Field










Staff Recommendations

Network Adequacy Working Group

Final Recommendations from Stakeholder Representatives

Background Materials

Resource Materials for Meetings

Surprise Billing

Examples of Network Accessibility Standards – Other Jurisdictions

Network Accessibility - Summaries

Meeting Materials

Kick Off Meetings

N.C. Department of Insurance
430 N. Salisbury Street
Raleigh, NC
Room 2009