North Carolina Administrative Code
Title 11 - INSURANCE
Chapter 12 - LIFE AND HEALTH DIVISION
Section .0500 - ACCIDENT AND HEALTH: GENERAL NATURE
Section 12 .0503 - WAITING PERIOD

Universal Citation: 11 NC Admin Code 12 .0503

Current through Register Vol. 39, No. 6, September 16, 2024

(a) If a sickness or disease first manifests itself during the waiting period, it must be covered at the end of said waiting period.

(b) If the company can prove that the condition existed prior to the effective date of coverage, the company will not be required to pay benefits until the end of the time period prescribed in part b of "Time Limit on Certain Defenses."

(c) If the policy is issued to an individual over age 65, any condition not specifically excluded must be covered at the end of the waiting period.

Authority G.S. 58-2-40; 58-51-1; 58-51-60; 58-65-1; 58-65-40;
Eff. February 1, 1976;
Readopted Eff. September 26, 1978;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. May 1, 2018.

Disclaimer: These regulations may not be the most recent version. North Carolina may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.