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Market Regulation Division |
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| The Market Regulation Division is responsible for monitoring market conduct activity on domestic and foreign Property and Casualty (P&C) insurance companies, Life and Health (L&H) insurance companies, Premium Finance companies, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), Multiple Employer Welfare Arrangement (MEWA) etc…as required by North Carolina General Statute, Chapter 58. The purpose of the examination is to monitor compliance with statutes and regulations in the following areas: Policyholder Treatment, Sales, Marketing, Underwriting and Rating, Agent Appointments and Terminations, Nonforfeitures, Provider Relations, Utilization Management, Quality Management, Provider Credentialing, and claims. |
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| In order to carry out these responsibilities, staff members perform a combination of in-house reviews of various documents submitted by the entities regulated and examination of company records and operations. |
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| A market analysis team will perform market conduct analysis by collecting and analyzing data on domestic insurance entities and, as appropriate and/or required, that are licensed to do business in the State of North Carolina in order to proactively identify general market disruptions early and to eliminate or limit harm to consumers, policyholders and/or claimants. |
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| PLEASE NOTE: THE MARKET REGULATION DIVISION HAS MOVED TO 11 SOUTH BOYLAN AVENUE, EFFECTIVE 4/16/2007 |
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