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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
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Third Party Administrator Licensing

Third Party Administrator (TPA) Licensing

A Third Party Administrator or TPA, as defined by NCGS 58-56-2(5) is "a person who directly or indirectly solicits or effects coverage of, underwrites, collects charges or premiums from, or adjusts or settles claims on residents of this State, or residents of another state from offices in this State, in connection with life or health insurance or annuities”. 

Licensing Forms and Instructions   

Effective March 12, 2020, all TPA license applications, notice of change of ownership, and/or change of officer or directors must be submitted electronically to LHinbox@ncdoi.gov or Citrix Sharefile, or other secure electronic filing method, NO ZIP FILES. Payment of filing fees must be done separately via USPS or overnight at addresses shown below. Please include a copy of the cover letter with the check,  in order that payment may be attributed accurately.  Paper filings or notifications will not be accepted for the immediate future.
 

TPA Licensing

TPA Registration

A person is not to required be licensed as a TPA in this state if the person provides services exclusively to one or more bona fide employee benefit plans established by an employer for which the insurance laws of this State are preempted pursuant to ERISA. If not required to be licensed, a person shall register as a TPA with the Commissioner annually, verifying their status.  A person who administers an Employers Section 125 Flexible Spending Account, Health Reimbursement Account, or Health Savings Account must also register as a TPA.

Link for TPA Registration exemption from TPA License:  NCGS 58-56-51(f)

For Registration Application and Renewal Instructions   

Effective March 12, 2020, all TPA registration applications, annual renewal letters, notice of change of ownership, and/or change of officer or directors must be submitted electronically to LHinbox@ncdoi.gov or Citrix Sharefile or other secure filing method, NO ZIP FILES.   Paper filings or notifications will not be accepted for the immediate future.

 

Registration

Directory of Licensed and Registered TPA's    

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

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