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”.
TPA 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 Registration Forms and Instructions
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)
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.