SUBCHAPTER 2D –DISABILITY SALARY CONTINUATION PLAN
SECTION .0100 ‑ GENERAL PROVISIONS
20 NCAC 02D .0101 GENERAL INFORMATION
History Note: Authority G.S. 135‑6(f); 135‑32;
135‑34;
Eff. February 1, 1976;
Readopted Eff. September 21, 1977;
Amended Eff. December 1, 1982; October 29, 1979;
Repealed Eff. August 1, 1988.
20 NCAC 02D .0102 PURPOSES:
FUNCTIONS: AND DUTIES
20 NCAC 02D .0103 AUTHORITY TO APPOINT ADVISORY
COMMITTEE
History Note: Authority G.S. 135‑6(f); 135‑33;
Eff. February 1, 1976;
Readopted Eff. September 21, 1977;
Repealed Eff. December 1, 1982.
SECTION .0200 ‑ DISABILITY SALARY CONTINUATION PLAN
20 NCAC 02D .0201 DEFINITIONS
20 NCAC 02D .0202 MEMBERSHIP
20 NCAC 02D .0203 CONTRIBUTIONS
20 NCAC 02D .0204 BENEFITS
20 NCAC 02D .0205 REHABILITATION
20 NCAC 02D .0206 PHYSICAL EXAMINATION
20 NCAC 02D .0207 PAYMENT OF CLAIMS
20 NCAC 02D .0208 ASSIGNMENT
20 NCAC 02D .0209 MANAGEMENT OF FUNDS
History Note: Authority G.S. 135‑34; 135‑6(f);
Eff. February 1, 1976;
Readopted Eff. September 21, 1977;
Amended Eff. October 29, 1979;
Repealed Eff. August 1, 1988.
20 NCAC 02D .0210 TERMINATION OF THE PLAN
History Note: Authority G.S. 135‑34; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
20 NCAC 02D .0211 AGREEMENT
20 NCAC 02D .0212 EMPLOYEE DISABILITY FUND
20 NCAC 02D .0213 FORMS
20 NCAC 02D .0214 INSTRUCTIONS FOR USE OF FORMS
History Note: Authority G.S. 135‑34; 135‑6(f);
Eff. February 1, 1976;
Readopted Eff. September 21, 1977;
Repealed Eff. August 1, 1988.
SECTION .0300 ‑ HOSPITAL AND MEDICAL CARE BENEFITS
20 NCAC 02D .0301 CONTRACT
20 NCAC 02D .0302 PROGRAM PROVISIONS
History Note: Authority G.S. 135‑6(f); 135‑33;
Eff. February 1, 1976;
Readopted Eff. September 21, 1977;
Amended Eff. October 29, 1979; July 1, 1978;
Repealed Eff. December 1, 1982.
20 NCAC 02D .0303 EFFECTIVE DATES
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
20 NCAC 02D .0304 CONTRIBUTION RATE
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Readopted Eff. September 21, 1977;
Repealed Eff. July 1, 1978.
20 NCAC 02D .0305 TYPES OF COVERAGE
20 NCAC 02D .0306 SPLIT CONTRACT
History Note: Authority G.S. 135‑6(f); 135‑33;
Eff. February 1, 1976;
Readopted Eff. September 21, 1977;
Repealed Eff. December 1, 1982.
20 NCAC 02D .0307 SUPPLEMENTARY PLANS
20 NCAC 02D .0308 RETIREMENT
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
20 NCAC 02D .0309 PAYMENT
20 NCAC 02D .0310 ELIGIBILITY
History Note: Authority G.S. 135‑6(f); 135‑33;
135‑33.1; 135‑36;
Eff. February 1, 1976;
Readopted Eff. September 21, 1977;
Amended Eff. October 29, 1979;
Repealed Eff. December 1, 1982.
20 NCAC 02D .0311 OPEN ENROLLMENT
20 NCAC 02D .0312 AGENT
20 NCAC 02D .0313 CHANGES: BENEFIT PLANS
20 NCAC 02D .0314 ENROLLMENT AND ADMINISTRATION
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
20 NCAC 02D .0315 FILING OF CLAIMS
20 NCAC 02D .0316 CHANGES IN FAMILY STATUS
20 NCAC 02D .0317 SEPARATION FROM SERVICE
20 NCAC 02D .0318 LEAVE OF ABSENCE
History Note: Authority G.S. 135‑6(f); 135‑33;
Eff. February 1, 1976;
Readopted Eff. September 21, 1977;
Repealed Eff. December 1, 1982.
20 NCAC 02D .0319 DOCUMENTS ATTACHED
20 NCAC 02D .0320 TERMINATION
20 NCAC 02D .0321 TERMINATION OF CERTIFICATES
20 NCAC 02D .0322 PREVIOUS CONTRACT
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
SECTION .0400 ‑ EXPERIENCE RATING AGREEMENT
20 NCAC 02D .0401 BENEFIT ADMINISTRATION
20 NCAC 02D .0402 RETENTION
20 NCAC 02D .0403 INCURRED CLAIMS EXPENSE
20 NCAC 02D .0404 PROJECTED EXPENSE RATIO
20 NCAC 02D .0405 STABILIZATION RESERVES
20 NCAC 02D .0406 RATING PROCEDURES
20 NCAC 02D .0407 ACCOUNTING
20 NCAC 02D .0408 AGREEMENT INTENT
20 NCAC 02D .0409 ANNUAL REPORTS
20 NCAC 02D .0410 RETENTION
20 NCAC 02D .0411 INCOME AND CLAIMS EXPERIENCE
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
SECTION .0500 ‑ COORDINATION OF BENEFITS
20 NCAC 02D .0501 BENEFITS PROVISION
20 NCAC 02D .0502 DEFINITIONS
20 NCAC 02D .0503 EFFECT ON BENEFITS
20 NCAC 02D .0504 IMPLEMENTATION
20 NCAC 02D .0505 FACILITY OF PAYMENT
20 NCAC 02D .0506 RIGHT OF RECOVERY
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
SECTION .0600 ‑ INPATIENT HOSPITAL BENEFITS
20 NCAC 02D .0601 DAYS AVAILABLE
20 NCAC 02D .0602 BENEFITS IN CONTRACTING HOSPITALS
20 NCAC 02D .0603 BENEFITS: NONCONTRACTING HOSPITALS
20 NCAC 02D .0604 BENEFITS IN OUT‑OF‑STATE
HOSPITALS
20 NCAC 02D .0605 GENERAL PROVISIONS
20 NCAC 02D .0606 SKILLED NURSING FACILITY
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
SECTION .0700 ‑ OUTPATIENT BENEFITS
20 NCAC 02D .0701 BENEFIT PROVISION
20 NCAC 02D .0702 ACCIDENTAL INJURY
20 NCAC 02D .0703 MEDICAL EMERGENCIES
20 NCAC 02D .0704 HOSPITAL OPERATIONS
20 NCAC 02D .0705 RADIATION THERAPY
20 NCAC 02D .0706 PATHOLOGICAL EXAMINATION
20 NCAC 02D .0707 TESTS AND PROCEDURES
20 NCAC 02D .0708 GENERAL PROVISIONS
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
SECTION .0800 ‑ SURGICAL BENEFITS
20 NCAC 02D .0801 SCOPE OF SERVICES
20 NCAC 02D .0802 BASIS OF BENEFIT ALLOWANCES
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
SECTION .0900 ‑ INPATIENT MEDICAL BENEFITS
20 NCAC 02D .0901 SCOPE OF SERVICES
20 NCAC 02D .0902 DURATION OF BENEFITS
20 NCAC 02D .0903 BASIS OF BENEFIT ALLOWANCES
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
SECTION .1000 ‑ MAJOR MEDICAL BENEFITS
20 NCAC 02D .1001 MAXIMUM BENEFITS
20 NCAC 02D .1002 DEDUCTIBLE AMOUNTS
20 NCAC 02D .1003 BENEFIT PERIOD
20 NCAC 02D .1004 BENEFITS
20 NCAC 02D .1005 LIMITATIONS AND EXCLUSIONS FOR MAJOR
MEDICAL BENEFITS
20 NCAC 02D .1006 GENERAL PROVISIONS
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
SECTION .1100 ‑ TERMS AND CONDITIONS
20 NCAC 02D .1101 DEFINITIONS
20 NCAC 02D .1102 MATERNITY PROVISIONS
20 NCAC 02D .1103 EXCLUSION: BASIC AND MAJOR MEDICAL
BENEFITS
20 NCAC 02D .1104 MISREPRESENTATION
20 NCAC 02D .1105 TERMINATION OF GROUP COVERAGE
20 NCAC 02D .1106 MODIFICATION
20 NCAC 02D .1107 TERMINATION UPON DEATH
20 NCAC 02D .1108 TERMINATION UPON MARRIAGE: AGE LIMIT
20 NCAC 02D .1109 TERMINATION WITHOUT CLAIM PREJUDICE
20 NCAC 02D .1110 CONVERSION FROM GROUP TO NONGROUP
COVERAGE
20 NCAC 02D .1111 NONGROUP TO GROUP COVERAGE
20 NCAC 02D .1112 COVERAGE CHANGE APPLICATION
20 NCAC 02D .1113 EXTENDED MATERNITY BENEFITS
20 NCAC 02D .1114 GENERAL PROVISIONS
20 NCAC 02D .1115 WAITING PERIODS
History Note: Authority G.S. 135‑33; 135‑6(f);
Eff. February 1, 1976;
Repealed Eff. September 21, 1977.
