Skip to main content
NC DOI logo NC DOI

Topical Navigation

  • Home
  • Consumers
  • Assistance/Complaints
  • Insurance Industry
  • Licensees
    Licensees
    • Agent and Adjuster Licensing
    • Bail Bondsmen Licensing
    • Captive Insurance
    • Collection Agency Licensing
    • Company Licensing and Registration
    • Continuing Care Retirement Community Licensing
    • Continuing Education Providers
    • Individual Self-Insured Workers' Compensation Licensing
    • Insurance Business Entity Licensing
    • Life and Health Licensing
    • Motor Club Licensing
    • Nonadmitted Domestic Surplus Lines Insurers Licensing
    • Pre-Licensing Education Providers
    • Premium Finance Company Licensing
    • Professional Employer Organizations Licensing
    • Surplus Lines Licensing
    • Third Party Administrator Licensing
    • Viatical Settlement Provider Licensing
    • Home Inspector Licensure Board
    • OSFM Licensees
  • Fraud Control
  • OSFM
  • ABOUT
  • NEWS
  • CONTACT
  • CAREERS
  • NC.GOV

Bulletin: 21-B-04 Extra Prescriptions During a State of Emergency or Disaster

Reminds health benefit plans of compliance requirements for operations under a state of emergency for purposes of obtaining extra prescriptions during a state of emergency View Bulletin
NC DOI »  
Licensees
»  
Continuing Care Retirement Community Licensing

Continuing Care Retirement Community Licensing

Any person or entity considering the development of a new continuing care retirement community (CCRC) in North Carolina must do so in accordance with N.C.G.S. § 58-64-5, including following the licensing steps detailed in 11 NCAC 11H.

The licensing steps detailed in 11 NCAC 11H follow the following four basic phases of the development process for a CCRC:

1) Discovery Phase

2) Pre-Development Phase

3) Construction/Development Phase

4) Operating Phase

 

Licensing Process and Forms

Step 1 - Discovery Phase - Notification

During the "discovery phase", and prior to the dissemination of any materials describing the intent to develop a continuing care retirement community ("CCRC"), a provider must notify the North Carolina Department of Insurance ("Department") of their intent to market and develop a CCRC (Form CCRC-03). It is expected that prior to notifying the Department, some preliminary work in identifying a market, identifying a site within the market, and performing a preliminary market assessment will have already been done.

The non-binding reservation agreement ("NBRA") required to be submitted to the Department during Step 1 is an agreement used by providers who are in the "discovery phase" of their development, and is designed to measure and validate the interest in a proposed CCRC. The NBRA allows a potential resident to reserve a living unit in the proposed CCRC, for a period of time, in return for a monetary deposit not to exceed one thousand dollars ($1,000.00), all of which must be placed in escrow. The deposit, with or without interest depending on the agreement, is totally refundable at any time at the request of the depositor.

Once a provider has notified the Department of their intent to market and develop a CCRC, the Department will require that a monthly status report (Form CCRC-14) be filed with the Department.

Step 2 - Pre-Development Phase - Start-Up Certificate

Prior to moving into the "pre-development phase", a Start-Up Certificate must be obtained from the Department. The Start-Up Certificate Application (Form CCRC-01) is the most voluminous application, and it is suggested that the provider plan for and accumulate the information required in the application as far in advance as possible in order to give the Department ample time to review the completed application prior to the time that the provider desires to begin their full marketing campaign. Items required to be filed with the Start-Up Application include a disclosure statement, audited financial statements, market and financial feasibility study, and a report from an actuary estimating the capacity of the provider to meet its contractual obligation.

Upon issuance of a Start-Up Certificate, a provider may:

1) Enter into binding Reservation Agreements or Resident Agreements;

2) Begin site preparation work; and

3) Construct model units for marketing.

After the issuance of a Start-Up Certificate, a provider will be required to submit a monthly status report (Form CCRC-14) as well as quarterly financial statements to the Department.

Step 3 - Construction and Development Phase - Preliminary Certificate

When a provider is ready to move into the "construction/development phase" the provider may apply for a Preliminary Certificate (Form CCRC-05) provided however, that they have entered into binding reservation/resident agreements equal to at least 50 percent (50%) of the total number of independent living units being developed (accompanied by a deposit equal to at least 10 percent (10%) of the entrance fee or a non-refundable deposit equal to at least two months periodic for facilities that have no entrance fee).

Once the Preliminary Certificate has been issued, a provider may purchase or construct a CCRC, or renovate or develop structure(s) not already licensed as a CCRC.

Monthly status reporting (Form CCRC-14) and quarterly financial reporting to the Department will be required.

Step 4 - Operating Phase - Permanent License

At least 60 days before the scheduled opening of a facility a provider must apply for a Permanent Continuing Care Retirement Community License (Form CCRC-06). The completed application must include an updated disclosure statement as well as confirmation of signed agreements for new units required by the continuing care facility to break-even, reserved by a deposit equal to at least 10 percent (10%) of the entrance fee or by a non-refundable deposit equal to the periodic fee for at least two months for facilities that have no entrance fee.

Upon issuance of the Permanent License, a provider can, presuming all other legal requirements have been met or completed:

1) Open the CCRC; and

2) Provide continuing care.

The Department will require that quarterly occupancy reports (Form CCRC-13) and quarterly financial statements be filed with the Department until stabilized occupancy is achieved, unless otherwise directed by the Department.

 

Forms - Licensing New Continuing Care Retirement Communities
  • CCRC-03 Notification of Intent to Develop
  • CCRC-01 Start-Up Certificate
  • CCRC-05 Preliminary Certificate
  • CCRC-06 Permanent License Application
  • CCRC-13 Occupancy Report
  • CCRC-14 New Facility Monthly Status Report
  • CCRC-15 Expansion Monthly Status Report
  • CCAH-01 CCAH License Application
  • CCRC-02 Annual Disclosure Statement Filing Supplement

Related Content

Disclosure Statements, Listing and Reference Guide

Licensees

  • Agent and Adjuster Licensing
    • Become an Insurance Agent or Adjuster
    • Renew Your Agent or Adjuster License
    • Continuing Education for Agents And Adjusters
      • SBS Report Generator Service
      • CE Providers For Insurance - Applications and Forms
      • CE Providers For Insurance - Licensee Reports to the Department
    • Frequently Asked Questions for Agents and Adjusters
    • Legislative Changes affecting Agent and Adjuster Licensure
    • License Changes
    • Registration Fees for Adjusters
    • Licensee Reports to the Department
    • SBS Connect Print Your Own License
    • DOI Mobile App
  • Bail Bondsmen Licensing
    • Become a Bail Bondsman
    • Renew or Change a Bail Bondsman License
    • Continuing Education for Bail Bondsmen
    • Applications and Forms for Bail Bondsmen
    • Bail Bond Regulation Contacts
    • Bail Bondsman Online Complaint Form
    • Required Bail Bondsmen Reporting to the State
    • SBS Connect Bail Bondsmen Report Generator Service (customized mailing lists)
  • Captive Insurance
  • Collection Agency Licensing
    • Become a Licensed Collection Agency
    • Renew a Collection Agency License
    • Rules and Regulations Regarding Collection Agency Licensure
  • Company Licensing and Registration
  • Continuing Care Retirement Community Licensing
  • Continuing Education Providers
  • Individual Self-Insured Workers' Compensation Licensing
  • Insurance Business Entity Licensing
    • Obtain an Insurance Business License
    • Licensing Applications and Forms for Business Entities and Agencies
    • Legislation Regarding Insurance Business Entity Licensing
    • Renew or Change an Insurance Business License
    • Licensee Reports to the Department
  • Life and Health Licensing
  • Motor Club Licensing
  • Nonadmitted Domestic Surplus Lines Insurers Licensing
  • Pre-Licensing Education Providers
  • Premium Finance Company Licensing
  • Professional Employer Organizations Licensing
  • Surplus Lines Licensing
  • Third Party Administrator Licensing
  • Viatical Settlement Provider Licensing
  • Home Inspector Licensure Board
  • OSFM Licensees

Share this page:

  • Facebook
  • Twitter

How can we make this page better for you?

Back to top

Contact Us

North Carolina Department of Insurance

Physical Address:
Albemarle Building
325 N. Salisbury Street
Raleigh NC 27603-5926

Mailing Address:
NC Department of Insurance
1201 Mail Service Center
Raleigh NC 27699-1201

Toll Free 855-408-1212

Agent Services: 919-807-6800

Careers at NCDOI

Recent Tweets

Tweets by @NCInsuranceDept

Follow Us

  • Facebook
  • Twitter
  • YouTube
  • LinkedIn
  • RSS Feed
  • Accessibility
  • TERMS OF USE
  • PRIVACY
  • OPEN BUDGET
NC DOI