§ 58-44-80. Notification of right to mediate.

366 words·~2 min read·/nc/chapter-58/58-44-80

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

(a)Insurers shall notify their insureds in this State who have claimed damage to their residential properties as a result of a disaster of their right to mediate disputed claims. This requirement applies to all disputed claims, including instances where checks have been issued by the insurer to the insured.

(b)The insurer shall mail the notice described in subsection

(a)of this section to an insured within five days after the time the insured or the Administrator notifies the insurer of a dispute regarding the insured's claim. The following apply:

(1)If the insurer has not been notified of a disputed claim before the time an insurer notifies the insured that a claim has been denied in whole or in part, the insurer shall mail a notice of the right to mediate to the insured in the same mailing as the notice of denial.

(2)The insurer is not required to send a notice of the right to mediate if a claim is denied because the amount of the claim is less than the insured's deductible.

(3)The mailing that contains the notice of the right to mediate shall include any consumer brochure on mediation developed by the Commissioner.

(4)Notification shall be in writing and shall be legible, conspicuous, and printed in at least 12-point type.

(5)The first paragraph of the notice shall contain the following statement: "The General Assembly of North Carolina has enacted a law to facilitate fair and timely handling of residential property insurance claims arising out of disasters. The law gives you the right to attend a mediation conference with your insurer in order to settle any dispute you have with your insurer about your claim. An independent mediator, who has no connection with your insurer, will be in charge of the mediation conference."

(c)The notice shall also:

(1)Include detailed instructions on how the insured is to request mediation, including name, address, and phone and fax numbers for requesting mediation through the Administrator.

(2)Include the insurer's address and phone number for requesting additional information.

(3)State that the Administrator will select the mediator. (2006-145, s. 1; 2007-300, s. 2.)