{"data":{"id":"us-nc/n.c.-gen.-stat.-58-50-57","jurisdiction":"us-nc","citation":"N.C. Gen. Stat. § 58-50-57","heading":"Offsets against provider reimbursement for workers' compensation payments forbidden.","body":"(a)\tAn insurer that provides a health benefit plan as defined in G.S. 58-3-167 shall not offset or reverse a health plan payment against a provider reimbursement for other medical charges unless the health plan payment was for a specific medical charge for which the employee, employer, or carrier is liable or responsible according to a final adjudication of the claim under the Workers' Compensation Act, Article 1 of Chapter 97 of the General Statutes or an order of the North Carolina Industrial Commission approving a settlement agreement entered into under that Article.\n(b)\tNo contract between an insurer that provides a health benefit plan as defined in G.S. 58-3-167 and a medical provider shall contain a provision that authorizes the insurer to offset or reverse a health plan payment against a provider reimbursement for other medical charges unless the health plan payment was for a specific medical charge for which the employee, employer, or carrier is liable or responsible according to a final adjudication of the claim under the Workers' Compensation Act, Article 1 of Chapter 97 of the General Statutes or an order of the North Carolina Industrial Commission approving a settlement agreement entered into under that Article. (2001-216, s. 5; 2001-487, s. 102(b).)","path":["Chapter 58. Insurance.","Article 50. General Accident and Health Insurance Regulations.","Part 2. PPOs, Utilization Review and Grievances."],"source_url":"https://www.ncleg.gov/EnactedLegislation/Statutes/HTML/BySection/Chapter_58/GS_58-50-57.html","current_through":"S.L. 2026-30","vintage":"","retrieved_at":"2026-08-27T18:06:53Z","sha256":"05868ec6739bb387dcb1e6d281afac3ad86df8c39caf4ca774576da8adaebacb","source_id":"us-nc","stale":false,"prev":"us-nc/n.c.-gen.-stat.-58-50-56.2","next":"us-nc/n.c.-gen.-stat.-58-50-58"},"notice":"GroundRules: Original legal text. Not legal advice."}