Regulatory Compliance

CorVel helps reduce workers’ compensation costs through immediate intervention, claims management, medical treatment plans, return to work programs, medical bill review, preferred provider savings and patient management. Our cost containment solutions are based on a simple formula that combines industry leading bill review, case management expertise and a national PPO built for the casualty market. Each innovation offers North Carolina employers improved return to work outcomes and industry leading savings.

CorVel specializes in applying advanced communication and information technology to improve disability management for North Carolina employers. Our proprietary solutions can be tailored to your specific state risk management program.

North Carolina Regulatory Updates 11/03/2023

SB 452 – Nc Department of Insurance Omnibus .-Ab

Issues: Workers’ Compensation: Any Proposal

Summary:

Summary For 10/03/2023

This measure states that the drug for cancer treatment may be found in The Micromedex DrugDex System. This measure states that the association must be responsible for claims between $50 and $500,000. This measure states that the association is not responsible for covering a claimant’s loss over $500,000.
This measure states that if the commissioner determines that the continued operation of an insurer subject to this article is bad for insurance policyholders, creditors, or the general public then the commissioner may require the insurer to elect between securing a deposit held by the commissioner or a bond with respect to any contract or agreement entered into by the insurer. If an insurer subject to this Article is hazardous to the insurer’s policyholders, creditors, or the general public. This measure states that all records or data of the insurer held by an affiliate remain the insurer’s property and are subject to the insurer’s control. This measure states that premiums or other funds belonging to the insurer held by an affiliate are the exclusive property of the insurer and are subject to the control of the insurer.
This measure states that large deductible policies must be managed according to their terms. This measure requires large deductible policies that have multiple covered claims to be turned over to the Association for handling and administration or to the foreign guaranty association in the state where the claim is pending for handling and administration.
This measure requires the Association or a foreign guaranty association to collect reimbursements owed for deductible claims and must take all commercially reasonable actions to collect those reimbursements. This measure states that an insured has 60 days after the billing to make a payment and if the insured fails to make a payment all commercially reasonable actions to collect those reimbursements that are owed.
This measure allows the Association or a foreign guaranty association to use collateral when available to fund or reimburse deductible claims or other secured obligations.
This measure states that no small employer carrier, insurer, subsidiary of an insurer, or controlled individual of an insurance holding company must provide stop loss, catastrophic, or reinsurance coverage to small employers who employ fewer than five eligible employees. An insurer must not issue a stop loss health insurance policy to any person, firm, corporation, partnership or association defined as a small employer that provide coverage of health expenses payable to an individual. This takes effect October 1, 2023.  This measure takes effect immediately when it becomes law.

Most Recent Update:

• 10/02/2023 – Became law without signature

North Carolina Services

• Workers’ compensation claims administration
• Medical bill review in compliance with state requirements
• Local PPO development and management
• Case management services

North Carolina Resources

North Carolina Compensation Website

North Carolina Government Website