§ 58-68-50. Disclosure of information.

249 words·~1 min read·/nc/chapter-58/58-68-50

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(a)Disclosure of Information by Health Insurers. - In connection with the offering of any health insurance coverage to a small employer, a health insurer:

(1)Shall make a reasonable disclosure to the employer, as part of its solicitation and sales materials, of the availability of information described in subsection

(b)of this section, and

(2)Shall upon request of the small employer, provide the information.

(b)Information Described. -

(1)In general. - Subject to subdivision

(3)of this subsection, with respect to a health insurer offering health insurance coverage to a small employer, information described in this subsection is information concerning:

a. The provisions of the coverage concerning the health insurer's right to change premium rates and the factors that may affect changes in premium rates;

b. The provisions of the coverage relating to renewability of coverage;

c. The provisions of the coverage relating to any preexisting condition exclusion; and

d. The benefits and premiums available under all health insurance coverage for which the employer is qualified.

(2)Form of information. - Information under this subsection shall be provided to small employers in a manner determined to be understandable by the average small employer, and shall be sufficient to reasonably inform small employers of their rights and obligations under the health insurance coverage.

(3)Exception. - A health insurer is not required under this section to disclose any information that is proprietary and trade secret information under applicable law. (1997-259, s. 1(c).)