NC LEG Multiple Employer Benefits


On Nov. 20, NC LEG passed bill on employer welfare arrangements.


  • NC LEG passed bill SB 382, relating to disaster relief, including revisions to multiple employer welfare arrangements (MEWA) providing employee welfare benefit plans.
  • Proposed Legislation
  • Repealed sections relating to group health plans offered by sponsoring associations.
  • Eliminated defined terms employer member, Path 2 MEWA, sponsoring association.
  • Modified definition of MEWA, qualifying criteria at least 1 employer in MEWA domiciled or principal headquarters in NC, or MEWA solicits employer in MEWA domiciled in NC.
  • Enacts new General statutes NC LEG 58-50A-50, setting requirements on enrollment, coverage, and funding for MEWAs initially licensed on or after Jan. 1, 2025.
  • New NC LEG 58-50A-55 for licensed MEWA, on reporting requirements, form approval.
  • Amend qualifications for licensure under NC LEG 58-50A-70, including allow for MEWA administered by nonprofit organization as an alternative to the current requirement.
  • Similarly, allow MEWA administered by trade association or similar as alternative.
  • Eliminate limit on audits of exams of MEWA when reasonable belief of noncompliance.
  • Clarify annual reports due within 150 days after end of fiscal year of MEWA operation.
  • Required analysis of adequacy of reserves and contributions or premiums charged must be based on review of claims and expenses related to operation of the MEWA.
  • Amendments to NC LEG 58-7-31 to also include licensed MEWAs with the insurers subject to the statute which governs life and health insurance agreements.
  • Legislative History
  • On Mar. 28, 2023, bill introduced into Senate; on Apr. 26, 2023, bill passed Senate.
  • On Apr. 27, 2023, bill introduced into House; on Jun. 14, 2023, bill passed the House.
  • On Nov. 20, 2024, bill was concurred; on same day, bill sent to governor for action.
  • Effectiveness
  • Effective Jan. 1, 2025, applies to licensed issued per NC LEG 58-50A on or after date.
  • Nov. 26, 2024 NC LEG Governor Veto
  • On Nov. 26, 2024, NC LEG reported governor vetoed SB 382 relating to disaster relief.
  • Dec. 2024 NC LEG Veto Overridden
  • On Dec. 11, 2024, NC LEG reported bill veto overridden, assigned Ch. SL 2024-57.

Regulators NC LEG
Entity Types Auditor; Corp; Ins
Reference Ch. SL 2024-57, 12/11/2024; PR, Bill, 11/26/2024; Bill SB382, 11/20/2024; Citation: *NC LEG* 58-50A, 58-50A-70, 58-7-31;
Functions Audit; Compliance; Exams; Financial; HR; Legal; Operations; Reporting
Countries United States of America
Category
State
Products Corporate; Insurance; Insurance-Health; Insurance-Life
Regions Am
Rule Type Final
Rule Date 11/20/2024
Effective Date 1/1/2025
Rule Id 234340
Linked to N/A
Reg. Last Update 12/11/2024
Report Section US Insurance

Last substantive update on 12/16/2024