PPO Licensure and Modification Filings


N.C.G.S. § 58-56-50 defines a Preferred Provider Organization (PPO) as a licensed insurer that wants to market a PPO product in North Carolina and the insurer must first file a PPO Operations filing with the Life and Health Division for approval.  The Life and Health Division defines independent provider networks as intermediaries in Title 11 NCAC 20.0101(b)4). Contact the LHinbox@ncdoi.gov directly if you have questions on the form filing required for an independent provider network.

PPO Filing Requirements