Life & Health

Licensing

General Information:

• General Information
• The Viatical Settlements Act (Summary of House Bill 359)
• Frequently Asked Questions (House Bill 359)
• NC Statutes - Part 5 of Article 58 of Chapter 58 of NCGS
• NC Administrative Code - T11 NCAC Chapter 12 Section .1700

Viatical Settlement Providers (VSP):

Application Forms Required in an Initial Licensure Submission

• VSP License Transmittal
• VSP Initial License Application
• VSP Power of Attorney for Company
• VSP Power of Attorney for Partnership
• VSP Biographical Affidavit

Application Forms Required in Renewal Licensure Submission

• VSP Renewal Notice Information
• VSP Renewal License Application
• VSP License Transmittal

Viatical Settlement Brokers/Representatives:

• Agent Services Division

Annual Reports due by June 1st each year from Viatical Settlement Providers & Brokers:

• Provider Annual Report
• Broker Annual Report

Forms and Checklist

• Standard Required Forms and Checklists

Reporting

• Providers Annual Report
• Brokers Annual Report

Questions about reporting should be directed to the Life & Health Inbox at: L&Hinbox@ncdoi.gov

Filing Instructions

• Viatical Settlement Provider (VSP) License Application Submission Instructions

Viatical Providers

• Licensed Viatical Settlement Providers in North Carolina