GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION LAW 2017-205
HOUSE BILL 140
AN ACT to apply disclosure and notification requirements related to insurer fee schedules, claims submission, and reimbursement policies to stand alone dental insurance.
The General Assembly of North Carolina enacts:
SECTION 1. G.S. 58‑3‑227(a) reads as rewritten:
"§ 58‑3‑227. Health plans fee schedules.
(a) Definitions. – As used in this section, the following terms mean:
(4) Insurer. – An entity that
writes a health benefit plan and that is an insurance company subject to this
Chapter, a service corporation under Article 65 of this Chapter, a health
maintenance organization under Article 67 of this Chapter, or a multiple
employer welfare arrangement under Article 49 of this
Chapter, except it
does not include an entity that writes stand alone dental insurance.Chapter.
(5) Reimbursement policy. – Information relating to payment of providers and facilities including policies on the following:
a. Claims bundling and other claims editing processes.
b. Recognition or nonrecognition of CPT code modifiers.
c. Downcoding of services or procedures.
d. The definition of global surgery periods.
e. Multiple surgical procedures.
f. Payment based on the relationship of procedure code to diagnosis code.
(6) Schedule of fees. – CPT, HCPCS, ICD‑9‑CM codes, ICD‑10‑CM codes, ASA codes, modifiers, and other applicable codes for the procedures billed for that class of provider."
SECTION 2.1. G.S. 58‑57‑90(a) reads as rewritten:
(a) As used in this Article, the term "single
interest credit property" insurance means insurance of the personal
property of the debtor against loss, with the creditor as sole beneficiary;
and the term "dual credit property" insurance means insurance of
personal household property of the debtor, with the creditor as primary
beneficiary and the debtor as beneficiary of proceeds not paid to the creditor.
For the purpose of this Article, "personal household property"
means household furniture, furnishings andfurnishings, appliances
designed for household use use, and other personal property of
the debtor, exclusive of an automobile, not used by the debtor in a
business trade or profession."
SECTION 2.2. G.S. 58‑57‑110 reads as rewritten:
"§ 58‑57‑110. Credit unemployment insurance rate standards; policy provisions.
Each yearBeginning September 1, 2018,
and every third year thereafter, the Commissioner shall prescribe a minimum
incurred loss ratio standard requirement to develop a premium rate reasonable
in relation to the benefits provided by credit unemployment insurance coverage.
This minimum incurred loss ratio standard shall be effective on January 1 in
the year after it is prescribed and shall remain in effect until a new minimum
incurred loss ratio standard requirement is prescribed. The following
requirements must be met:
SECTION 3. This act becomes effective October 1, 2017.
In the General Assembly read three times and ratified this the 29th day of June, 2017.
s/ Daniel J. Forest
President of the Senate
s/ Tim Moore
Speaker of the House of Representatives
VETO Roy Cooper
Became law notwithstanding the objections of the Governor at 7:24 p.m. this 30th day of August, 2017.
s/ Sarah Lang
Senate Principal Clerk