2005 North Carolina Code - General Statutes § 58-56-41. Notice to covered individuals; disclosure of charges and fees.

§ 58‑56‑41.  Notice to covered individuals; disclosure of charges and fees.

(a)       When the services of a TPA are used, the TPA shall provide a written notice approved by the insurer to covered individuals advising them of the identity of, and relationship among, the TPA, the policyholder, and the insurer.

(b)       When a TPA collects funds, the reason for collection of each item must be identified to the insured party and each item must be shown separately from any premium.  Additional charges may not be made for services to the extent the services have been paid for by the insurer.

(c)       The TPA shall disclose to the insurer all charges, fees and commissions received from all services in connection with the provision of administrative services for the insurer, including any fees or commissions paid by insurers providing reinsurance. (1991, c. 627, s. 1.)