{"data":{"id":"us-nc/n.c.-gen.-stat.-58-68-55","jurisdiction":"us-nc","citation":"N.C. Gen. Stat. § 58-68-55","heading":"Exclusion of certain plans.","body":"(a)\tException for Certain Benefits. - The requirements of Subparts 1 and 2 of this Part do not apply to any group health insurance coverage in relation to its provision of excepted benefits described in G.S. 58-68-25(b)(1).\n(b)\tException for Certain Benefits if Certain Conditions Met. -\n(1)\tLimited, excepted benefits. - The requirements of Subparts 1 and 2 of this Part do not apply to any group health insurance plan in relation to its provision of excepted benefits described in G.S. 58-68-25(b)(2) if the benefits:\na.\tAre provided under a separate policy, certificate, or contract of insurance; or\nb.\tAre otherwise not an integral part of the plan.\n(2)\tNoncoordinated, excepted benefits. - The requirements of Subparts 1 and 2 of this Part do not apply to any group health insurance plan in relation to its provision of excepted benefits described in G.S. 58-68-25(b)(3) if all of the following conditions are met:\na.\tThe benefits are provided under a separate policy, certificate, or contract of insurance.\nb.\tThere is no coordination between the provision of the benefits and any exclusion of benefits under any group health insurance plan maintained by the same policyholder.\nc.\tThe benefits are paid with respect to an event without regard to whether benefits are provided with respect to that event under any group health insurance plan maintained by the same policyholder.\n(3)\tSupplemental, excepted benefits. - The requirements of this Part do not apply to any group health insurance plan in relation to its provision of excepted benefits described in G.S. 58-68-25(b)(4) if the benefits are provided under a separate policy, certificate, or contract of insurance. (1997-259, s. 1(c).)","path":["Chapter 58. Insurance.","Article 68. Health Insurance Portability and Accountability.","Part A. Group Market Reforms."],"source_url":"https://www.ncleg.gov/EnactedLegislation/Statutes/HTML/BySection/Chapter_58/GS_58-68-55.html","current_through":"S.L. 2026-30","vintage":"","retrieved_at":"2026-08-27T18:06:53Z","sha256":"7a2c66c57f8c8777605ba3d50ec1366d49babe21491fbd66e1e23b24ee46aa3e","source_id":"us-nc","stale":false,"prev":"us-nc/n.c.-gen.-stat.-58-68-50","next":"us-nc/n.c.-gen.-stat.-58-68-60"},"notice":"GroundRules: Original legal text. Not legal advice."}