AN ACT TO ALLOW VISION SERVICE PLANS AND TO MAKE TECHNICAL AND CONFORMING CHANGES TO CHAPTER 58 OF THE GENERAL STATUTES.
Senate committee substitute makes the following changes to the 1st edition.
Revises the changes to Part 1, Article 65 of GS Chapter 58 as follows. Modifies the defined terms set forth in new GS 58-65-1.1. Now defines hospital service corporation as any nonprofit corporation that operates one or any combination of a dental service plan, health care service plan, medical service plan, and vision service plan (was, limited to any nonprofit corporation that operates a hospital service plan). Makes conforming changes to no longer define dental service corporation and vision service corporation. Make conforming changes to the Part's title. Revises the proposed changes to GS 58-65-1, now defining the scope of Articles 65 and 66 to include corporations organized for the purpose of maintaining and operating a nonprofit dental, health care (was, hospital), medical, or vision service plan whereby dental, health care (was, hospital), medical, or vision care or services can be provided by the corporation or hospitals, physicians, optometrists, or dentists participating in the plan(s). Authorizes all corporations subject to Articles 65 and 66 with certificates of authority (was, incorporation) which authorize the operation of either a dental, health care (was, hospital), medical, or vision service plan, or any combination of the plans, to, with the approval of the Commissioner of Insurance (Commissioner): (1) issue subscribers' contracts or certificates for the provision of or payment of fees for services or care; and (2) enter into contracts with health care providers for the provision of or the payment of fees for services or care. Makes conforming changes throughout the Part to refer to hospital service corporations, as now defined, rather than "full-service" or "single service-corporations," and "health care" rather than "hospital care." Changes preferred provider to no longer restrict the term to the provision of services to beneficiaries of a "full-service plan" administered pursuant to the Article. Makes changes throughout to refer to participating hospitals or physicians, dentists, or optometrists rather than "health care providers."
Makes similar changes to the definition of corporation as used in Part 2 of Article 65, concerning indemnification, to refer to hospital service corporations rather than dental, hospital, medical, or dental service corporations.
Revises the proposed changes to Article 66 of GS Chapter 58, making changes to refer to hospital service corporations rather than dental, hospital, medical, and dental service corporations. Makes conforming changes to the Article's title.
Makes conforming changes to the proposed changes to GS 58-38-35 regarding readable insurance policies, GS 58-49-25 regarding required disclosure, GS 58-50-5 regarding general health insurance guidelines, and GS 58-50-45 regarding required notice to insurance fiduciaries.
Changes the act's titles.
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