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Life & Health Division
LICENSING, RENEWALS AND OTHER
TPA
Initial License
General Information
2009 TPA License Fee Notice
Statutes and Regulations:
NC General Statutes - Article 56 of Chapter 58 of NCGS
NC Administrative Code - T11 NCAC Chapter 21 Section .0100
Forms Required in an Initial Licensure Submission:
TPA License Transmittal (TPRTRN)
TPA License Application (TPAAPP)
TPA License Questionnaire (TPAQSN)
TPA License Internal Control (TPAICT)
TPA Power of Attorney for Company (TPAPOA)
TPA Power of Attorney for Partnership (TPAPPA)
TPA Biographical Affidavit (TPABIO)
Click here for License Renewal Information