Laws of North Carolina (Last Updated: May 12, 2015) |
Chapter58. Insurance. |
Article50. General Accident and Health Insurance Regulations |
Part6. North Carolina Health Insurance Risk Pool |
§58-50-215. (Repealed effective January 1, 2017 - see note) Nonduplication of benefits
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(a) The Pool shall be payor of last resort of benefits whenever any other benefit or source of third-party payment is available. Benefits otherwise payable under coverage shall be reduced by all amounts paid or payable through any other medical care benefits and by all hospital and medical expenses paid or payable under any workers' compensation coverage notwithstanding any provision of law to the contrary, automobile medical payment, or liability insurance, whether provided on the basis of fault or no-fault, and by any hospital or medical benefits paid or payable under or provided pursuant to any State or federal law or program.
(b) The Pool shall have a cause of action against an eligible person for the recovery of the amount of benefits paid that are not for covered expenses. Benefits due from the Pool may be reduced or refused as a setoff against any amount recoverable under this subsection.