Market Regulation

Managed Care Annual Filings

Managed Care Annual Filing

NCGS 58-3-191(a) and (b1) Repealed by House Bill 16 Session Law 2015-92 (HB 16 SL 2015-92)

As insurers were notified January 15, 2016, the law pertaining to the repeal of NCGS 58-3-191(a) and (b1) was effective on June 19, 2015. Pursuant to House Bill 16 (HB 16) Session Law 2015-92 (SL 2015-92), the requirement for annual reporting and disclosure of data and information related to managed care health benefit plans approved and issued in North Carolina was repealed. This applies to reports to be filed on or after July 1, 2015.

Additionally, HB 16 repealed NCGS 58-67-140(a)(7). This portion of the Statute is specific to Health Maintenance Organizations (HMOs) with managed care health benefit plans, NCGS 58-3-191(a) and (b1), and the suspension or revocation of an HMO license.

Whereas HB 16 SL 2015-92 repealed the requirement for annual reporting to the Department of the information and data required by NCGS 58-3-19 (a) and (b1), insurers are not absolved of their responsibility to continue compliance with all other applicable North Carolina laws and regulations.

Pursuant to 11 NCAC 19.0106 (c) and (d), compliance with North Carolina laws and regulations is required to be demonstrated by insurers during Market Regulation Examinations. Therefore, insurers are reminded that oversight and monitoring, including functions delegated, remain the responsibility of the insurer.

Data Submitted by Companies

Note: If you do not have Microsoft Excel, please e-mail your data request to MCAFInbox@ncdoi.gov. Clearly list all requested data elements. If available, the data will be e-mailed back to you as a PDF, viewable with Adobe Acrobat Reader.

North Carolina General Statute 58-3-191 ("Managed care reporting and disclosure requirements") requires that certain data and other plan materials be submitted to the Department by May 1 of each year, for the preceding calendar year. This requirement applies to HMOs licensed in North Carolina and to PPO Benefit Plans offered in North Carolina by

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