2011 North Carolina General Statutes
Chapter 131E Health Care Facilities and Services.
Article 17 - Provider Sponsored Organization Licensing.
131E-303. Incurred but not reported claims.
131E‑303. Incurred but not reported claims.
(a) Every PSO shall, when determining liability, include an amount estimated in the aggregate to provide for any unearned premium and for the payment of all claims for health care expenditures that have been incurred, whether reported or unreported, that are unpaid and for which such PSO is or may be liable, and to provide for the expense of adjustment or settlement of such claims.
(b) These liabilities shall be computed in accordance with rules adopted by the Division upon reasonable consideration of the ascertained experience and character of the PSO. (1998‑227, s. 1.)
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