{"data":{"id":"us-nc/n.c.-gen.-stat.-58-3-247","jurisdiction":"us-nc","citation":"N.C. Gen. Stat. § 58-3-247","heading":"Insurance identification card.","body":"(a)\tEvery insurer offering a health benefit plan as defined under G.S. 58-3-167 shall provide the health benefit plan subscriber or members with an insurance identification card. The card shall contain, at a minimum, all of the following information:\n(1)\tThe subscriber's name and identification number.\n(2)\tThe member's name and identification number, if applicable and different from the subscriber's name and identification number.\n(3)\tThe group number.\n(4)\tThe name of the organization issuing the policy, the name of the organization administering the policy, and the name of the network, whichever applies.\n(5)\tThe effective date of health benefits plan coverage or the date the card is issued if it is after the effective date.\n(6)\tThe address where claims are to be filed and, if applicable, the electronic claims filing payor identification number.\n(7)\tThe policyholder's obligations with regard to copayments, if applicable, for at least all of the following:\na.\tPrimary care office visit.\nb.\tSpecialty care office visit.\nc.\tUrgent care visit.\nd.\tEmergency room visit.\n(8)\tThe phone number or website address whereby the subscriber, member, or service provider, in compliance with privacy rules under the Health Insurance Portability and Accountability Act may readily obtain the following:\na.\tConfirmation of eligibility.\nb.\tBenefits verification in order to estimate patient financial responsibility.\nc.\tPrior authorization for services and procedures.\nd.\tThe list of participating providers in the network.\ne.\tThe employer group number.\nf.\tSpecial mental health medical benefits under the health plan, if applicable.\n(9)\tAn indication of whether the health benefit plan is a fully insured or self-funded plan. Plans that are fully insured shall be noted by using the phrase \"fully insured\" to indicate to the consumer that the Department is able to provide assistance regarding the regulation of the plan.\n(b)\tThe insurance identification card must be designed such that if the card is photocopied or electronically scanned, the resulting image is clearly legible. The identification card must present the information in a readily identifiable manner or, alternatively, the information may be embedded on the card and available through magnetic stripe or smart card. The information may also be provided through other electronic technology. (2007-362, s. 2; 2021-30, s. 1(a).)","path":["Chapter 58. Insurance.","Article 3. General Regulations for Insurance."],"source_url":"https://www.ncleg.gov/EnactedLegislation/Statutes/HTML/BySection/Chapter_58/GS_58-3-247.html","current_through":"S.L. 2026-30","vintage":"","retrieved_at":"2026-08-27T18:06:53Z","sha256":"e62994b5aa65b67c2c29be3f6195ff80de0314dab9417685a66d35af32ddd457","source_id":"us-nc","stale":false,"prev":"us-nc/n.c.-gen.-stat.-58-3-245","next":"us-nc/n.c.-gen.-stat.-58-3-250"},"notice":"GroundRules: Original legal text. Not legal advice."}