11 N.C. Admin. Code 4.0117

Current through Register Vol. 39, No. 12, December 1, 2024

Section 04 .0117 - STATEMENT OF ACTION

(a) When an insurer denies a claim that included information for the insurer to identify the coverage involved, the denial shall be in writing and cite the policy provision or other legal basis used to deny the claim.

(b) When an insurer offers to settle a claim that included information for the insurer to identify the coverage involved, the offer, when requested by the consumer, shall be in writing and cite the specific policy provision or legal basis used in support of the claim statement.

11 N.C. Admin. Code 04 .0117

Authority G.S. 58-2-40; 58-3-100; 58-63-15(11); 58-67-150;
Eff. December 15, 1979;
Amended Eff. April 1, 1989; December 15, 1979;
Readopted Eff. November 1, 2021.

Authority G.S. 58-2-40; 58-3-100; 58-63-15; 58-65-40; 58-67-65; 58-67-150;
Eff. December 15, 1979;
Amended Eff. April 1, 1989; December 15, 1979.

Readopted by North Carolina Register Volume 36, Issue 11, December 1, 2021 effective 11/1/2021.