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 .0105 - NOTICE TO COMMISSION
Universal Citation: 11 NC Admin Code 23D .0105
Current through Register Vol. 39, No. 6, September 16, 2024
(a) Upon contracting with an employer to provide medical compensation services, an MCO shall provide to the Commission the following:
(1) a copy of that portion of the contract
containing the provisions specified in Rule .0106 of this Subchapter and the
method for determining payment to the MCO, excluding those of its terms kept
confidential by the North Carolina Department of Insurance, initialed by the
employer;
(2) a copy of its current
certificate(s) issued annually by the North Carolina Department of Insurance
pursuant to G.S. Chapter 58; and
(3) the name and address of all owners or
shareholders, or related groups of owners or shareholders, holding more than 10
percent interest in the MCO, and whether they are or have any relationship with
a provider.
(b) Persons or firms are related, for the purpose of this Rule, if either has the following:
(1) a financial interest in the
other;
(2) shares officers, agents,
or employees; or,
(3) if natural
persons, are first cousins or closer in kinship.
(c) An MCO subject to the Rules in this Subchapter shall report its medical compensation expenditures annually on I.C. Form 51.
Authority
G.S.
97-25.2;
Eff. January 1,
1996;
Amended Eff. July 1, 2014;
Recodified from
04 NCAC
10D .0105 Eff. June 1,
2018.
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