Before XYZ insurance company can issue or deliver a health policy in North Carolina, what must they file with the state?

In North Carolina, before an insurance company can issue or deliver a health policy, it is required to file its classification of risk and premium rates with the state. This is an essential regulatory step to ensure that the rates charged for health insurance policies are fair, adequate, and not discriminatory. The state obtains this information to evaluate whether the premium rates are reasonable in relation to the risks being covered, and it helps to protect consumers by ensuring that insurers do not engage in unfair pricing practices.

Filing classification of risk and premium rates is a crucial part of maintaining oversight of the insurance market, as it allows state regulators to monitor the solvency of insurance companies and ensure they have adequate reserves to cover potential claims. This process also promotes transparency in the insurance industry.

Other filing options, such as product pricing models, advertising materials, and employee training manuals, do not directly relate to the approval of health policy issuance in the same way. While these elements may be important for the operational standards of the insurance company or for marketing purposes, they are not prerequisites for the actual issuance of health policies by the insurer. Therefore, the requirement to file classification of risk and premium rates is the correct answer in this context.