Continuing Care Retirement Communities (CCRC)

The North Carolina Department of Insurance regulates continuing care retirement communities to promote financial stability, transparency, and resident protections. This page provides access to regulatory requirements for licensed providers, including licensing, disclosure, financial reporting, governance, and oversight, as well as consumer-focused resources to assist residents and prospective residents in evaluating continuing care. Use the sections below to locate regulatory guidance, filed disclosure statements, community information, and Department support services.

Regulatory Information

Licensing and Expansions

Permits, certificates, licenses, expansions, and continuing care at home

Disclosure Statement Handbook

Preparation, format, accessibility, and filing requirements

Governance and Resident Engagement Requirements

Governance obligations, resident meetings, and related waiver requirements

Financial Reporting and Ongoing Monitoring

Annual, quarterly, and actuarial financial reporting requirements for providers

Operating Reserve

Information on operating reserve requirements

Escrow Accounts & Resident Fund Protections

Requirements governing escrowed entrance fees, deposits, earnings, and fund use

Required Notifications

Events requiring timely notification to the Commissioner and, when applicable, residents

Transactions Requiring Prior Commissioner Approval

Transactions requiring Commissioner approval before execution or closing

Hazardous Conditions and Commissioner-Directed Actions

Supervisory actions and corrective requirements when hazardous conditions arise

Continuing Care Advisory Committee

Meetings, members, and public materials

Continuing Care at Home (CCaH)

Programs, providers, and regulatory information

Consumer Resources

Licensed Continuing Care Retirement Communities (CCRCs)

Directory and community summary information

Disclosure Statements

Filed Disclosure Statements

Support & Help

Contact Us

Department contacts

Frequently Asked Questions

Common questions about CCRCs and Disclosure Statements

CCRC Data Portal Update

Submit updates to the CCRC Data Portal

Statutes and External Resources

File a Complaint

Concerns about a continuing care provider