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NC DOI »  
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Captive Insurance
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Licensing Requirements and Forms

Licensing Requirements and Forms

Please find all forms and filing requirements for the licensing of North Carolina Captive Insurance Companies including domestic Risk Retention Groups below

  • Requirements for Captive Insurer License and Redomestication Applications
  • Captive Manager Application
  • Captive Insurer License Application
  • Captive Insurer Redomestication Application
  • Form C-101 Biographical Affidavit
  • Form C-103 Captive Consent to Service of Process
  • Form C-104 Financial Statement Attestation
  • Form C-105 Special Purpose Financial Captive Insurer Affidavit

 

Related Content

Register or renew a Foreign Risk Retention Group

Captive Insurance

  • About Captive Insurance Companies
  • Forming a Captive
  • Why N.C.?
  • NC Captive Law
  • Licensing Requirements and Forms
  • Annual Filing Requirements and Forms
  • Licensed Captives
  • Captive Managers
  • Captive Regulatory Team
  • Captives Events

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North Carolina Department of Insurance

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https://www.ncdoi.gov/insurance-industry/captive-insurance/licensing-requirements-and-forms