North Carolina Administrative Code
Title 11 - INSURANCE
Chapter 23 - INDUSTRIAL COMMISSION
Subchapter D - WORKERS' COMPENSATION RULES FOR MANAGED CARE ORGANIZATIONS
Section .0100 - RULES
Section 23D .0102 - DEFINITIONS
Current through Register Vol. 39, No. 6, September 16, 2024
As used in this Subchapter:
(1) "Employer" means an employer as defined by G.S. 97-2(3) who is obligated by the Workers' Compensation Act to pay or provide indemnity or medical compensation, including any insurance carrier, self-insurance fund, third party administrator or other person, firm or corporation undertaking to pay or adjust claims on behalf of the employer's employees.
(2) "Act" means the North Carolina Workers' Compensation Act, Chapter 97, Article 1 (G.S. 97-1 through G.S. 97-101.1).
(3) "Employer network" means any group of providers assembled by or for an entity liable for medical compensation that agrees to accept the referrals of that entity's workers' compensation patients, and from among whom an adjuster, officer, employee, or insured patient of the entity chooses the initial provider; provided, the entity has no right to sell the services of the providers to a third party.
Authority
G.S.
58-50-50;
97-2(3);
97-2(20);
97-2(21);
97-25;
97-25.2;
97-26(b);
97-26(c);
97-77;
97-79;
Eff. January 1,
1996;
Amended Eff. July 1, 2014;
Recodified from
04 NCAC
10D .0102 Eff. June 1,
2018.
