(a) As used in this Section, unless the context clearly indicates otherwise:
- (1) "Act" means the North Carolina Small Employer Group Health Coverage Reform Act described in G.S. 58‑50‑100.
- (2) "Carrier" means a small employer carrier.
- (3) "Extra eligible" means an individual who is not an eligible employee or a dependent of an eligible employee who is insured under the health benefit plan of a small employer.
- (4) "New entrant" means an eligible employee, or the dependent of an eligible employee, who becomes part of an employer group after the initial period for enrollment in a health benefit plan.
- (5) "Nonstatutory plan" means any health benefit plan subject to the Act other than the statutory plans.
- (6) "Policy anniversary" or "plan anniversary" means the annual anniversary of the issuance of a health benefit plan. If a plan is issued through a multiple employer trust, "policy anniversary" or "plan anniversary" means the annual anniversary of the issuance of the health benefit plan to the small employer.
- (7) "Previously declined group" means a group whose application for coverage was declined for any reason by a carrier after January 1, 1992, and before August 14, 1992.
- (8) "Previously declined individual" means an individual whose application for coverage for a health benefit plan was declined by a carrier before August 14, 1992.
- (9) "Producer" means an insurance agent or insurance broker licensed under Article 33 of G.S. Chapter 58.
- (10) "Statutory plan" means the basic or standard health care plan.
- (b) The definitions contained in G.S. 58‑50‑110 are incorporated into this Section by reference.
History Note: Authority G.S. 58‑2‑40(1);
Temporary Adoption Eff. December 21, 1992 for a period of 180 days or until the permanent rule becomes effective, whichever is sooner;
Eff. April 1, 1993;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. May 1, 2018.