Section 58-65-1.1 - Definitions applicable to this ArticleThe following definitions apply in this Article:
(1) Dental service plan. - A contract for the provision of, or the payment of fees for, dental care or dental services, including any other professional services authorized or permitted to be provided by a duly licensed dentist.(2) Full-service corporation. - Any corporation organized under the provisions of this Article that offers a medical service plan or a health care service plan.(3) Health care service plan. - Any contract for the provision of, or the payment of fees for, hospital care, laboratory facilities, X-ray facilities, drugs, health care appliances, anesthesia, nursing care, operating and obstetrical equipment, or health care accommodations, including any other services permitted to be provided by a hospital under the laws of this State and approved by the North Carolina Hospital Association or the American Medical Association.(4) Hospital service corporation. - Any nonprofit corporation that operates one or any combination of the following: b. Health care service plan.(5) Medical service plan. - Any contract for the furnishing of, or the payment of fees for, any of the following: a. Medical, obstetrical, surgical, or any other professional services authorized or permitted to be provided by a duly licensed physician or other provider listed in G.S. 58-50-30.b. Professional medical services authorized or permitted to be provided by a health care provider licensed under Chapter 90 of the General Statutes.(6) Preferred provider. - A health care provider who has agreed to accept, from a corporation organized for the purposes authorized by this Article, special reimbursement terms in exchange for providing services to beneficiaries of a plan administered pursuant to this Article.(7) Single-service corporation. - Any corporation organized under the provisions of this Article that offers any of the following: a. Only a dental service plan.b. Only a vision service plan.c. Both a dental service plan and a vision service plan, but no other plans.(8) Vision service plan. - Any contract for the provision of, or the payment of fees for, vision care or vision services, including any other professional services permitted to be provided by a duly licensed optometrist or ophthalmologist.N.C. Gen. Stat. § 58-65-1.1
Added by 2021 N.C. Sess. Laws 169,s. 1, eff. 10/15/2021, and applies to contracts issued, amended, or renewed on or after November 1, 2021.