§ 58-42-5. Purposes, contents, and operation of risk sharing plans.

210 words·~1 min read·/nc/chapter-58/58-42-5

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(a)Each plan promulgated or prepared pursuant to G.S. 58-42-1 shall:

(1)Give consideration to:

a. The need for adequate and readily accessible coverage;

b. Optional methods of improving the market affected;

c. The inherent limitations of the insurance mechanism;

d. The need for reasonable underwriting standards; and

e. The requirement of reasonable loss prevention measures;

(2)Establish procedures that will create minimum interference with the voluntary market;

(3)Distribute the obligations imposed by the plan, and any profits or losses experienced by the plan, equitably and efficiently among the participating insurers; and

(4)Establish procedures for applicants and participants to have their grievances reviewed by an impartial body. The filing and processing of a grievance pursuant to this subdivision does not stay the requirement for participation in a plan mandated by G.S. 58-42-10.

(b)Each plan may, on behalf of its participants:

(1)Issue policies of insurance to eligible applicants;

(2)Underwrite, adjust, and pay losses on insurance issued by the plan;

(3)Appoint a service company or companies to perform the functions enumerated in this subsection; and

(4)Obtain reinsurance for any part or all of its risks. (1986, Ex. Sess., c. 7, s. 1; 1999-114, s. 1.)