CHAPTER 11 ‑ FINANCIAL EVALUATION DIVISION
SUBCHAPTER 11A ‑ GENERAL PROVISIONS
SECTION .0100 ‑ DEFINITIONS
11 NCAC 11A .0101 STATUTORY FINANCIAL STATEMENT
History Note: Authority G.S. 57‑9; 58‑9(3);
58‑21;
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Repealed Eff. April 1, 1993.
11 NCAC 11A .0102 UNSOUND
CONDITION
History Note: Authority G.S. 58-2-40; 58-3-100;
58-30-60(b);
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Amended Eff. July 1, 2004; April 1, 1993;
Repealed Eff. June 1, 2007.
11 NCAC 11A .0103 IMPAIRED INSURER
11 NCAC 11A .0104 INSOLVENT INSURER
History Note: Authority G.S. 58‑38; 58‑39(2);
58‑77(10); 58‑155.2(1);
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Repealed Eff. April 1, 1993.
11 NCAC 11A .0105 MULTIPLE‑LINE INSURER
"Multiple‑line Insurer" shall mean any
insurance company having authority to write the kinds of insurance authorized
by G.S. 58‑7‑75 for both a fire and marine company and a casualty,
fidelity and surety company and as more specifically defined under G.S. 58‑7‑15(3)
through (22).
History Note: Authority G.S. 58‑2‑40; 58‑7‑15;
58‑7‑75;
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Amended Eff. April 1, 1993.
11 NCAC 11A .0106 DEEMER CLAUSE OR DEEMER PROVISION
"A Deemer Clause" or "Deemer Provision"
shall mean any clause or provision that establishes a period of time certain,
e.g., 30 days, 90 days etc., within which the Commissioner must disapprove a particular
matter before him and which if no action is taken by the Commissioner within
the period of time certain, said matter before the Commissioner is deemed
approved.
History Note: Authority G.S. 58-2-40(1); 58-51-100;
Eff. February 1, 1976;
Readopted Eff. February 28, 1978.
11 NCAC 11A .0107 MORTGAGE GUARANTY INSURANCE
11 NCAC 11A .0108 MISCELLANEOUS INSURER
History Note: Authority G.S. 58‑9; 58‑9(1);
58‑72(17);
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Repealed Eff. April 1, 1993.
SECTION .0200 ‑ PURPOSE: PERSONNEL AND RECORDS OF THE
DIVISION
11 NCAC 11A .0201 PURPOSE OF DIVISION
11 NCAC 11A .0202 PERSONNEL OF DIVISION
History Note: Authority G.S. 58‑4; 58‑7.3;
58‑9;
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Repealed Eff. July 1, 1988.
SECTION .0300 ‑ OPERATIONAL UNITS
11 NCAC 11A .0301 OPERATIONAL UNITS: DEFINED
11 NCAC 11A .0302 SECURITIES: OPERATIONAL UNIT
11 NCAC 11A .0303 EXAMINATION: OPERATIONAL UNIT
11 NCAC 11A .0304 LIQUIDATION AND MERGER: OPERATIONAL
UNIT
11 NCAC 11A .0305 TAX: AUDIT AND STATISTICAL:
OPERATIONAL UNIT
11 NCAC 11A .0306 ACTUARIAL: OPERATIONAL UNIT
History Note: Authority G.S. 58‑4; 58‑9;
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Repealed Eff. July 1, 1988.
SECTION .0400 ‑ DESCRIPTION OF FORMS
11 NCAC 11A .0401 APPLICATION FOR ADMISSION TO DO
BUSINESS IN NC
11 NCAC 11A .0402 POWER OF ATTORNEY FOR SERVICE OF LEGAL
PROCESS
11 NCAC 11A .0403 POWER OF ATTORNEY FOR SALE OF
SECURITIES
11 NCAC 11A .0404 APPLICATION FOR LICENSE: GENERAL
11 NCAC 11A .0405 APPLICATION FOR LICENSE: HOSPITALS:
MEDICAL SERVICE
11 NCAC 11A .0406 APPLICATION FOR LICENSE: DENTAL
SERVICE CORPORATION
11 NCAC 11A .0407 APPLICATIONS FOR LICENSE: FRATERNAL
ORDER
History Note: Authority G.S. 58‑15; 58‑63;
58‑63(1); 58‑66; 58‑72; 58‑150; 58‑150(3); 58‑153;
58‑182.5; 105‑228.4(a);
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Repealed Eff. April 1, 1993.
11 NCAC 11A .0408 AFFIDAVIT: EDUCATION: OCCUPATION:
BUSINESS EXPERIENCE
History Note: Authority G.S. 58‑73; 58‑74;
58‑150;
Eff. February 1, 1976;
Repealed Eff. February 28, 1978.
11 NCAC 11A .0409 INSURANCE COMPANY LICENSE
11 NCAC 11A .0410 DEPOSIT BOND FORM
11 NCAC 11A .0411 FIRE AND CASUALTY ANNUAL STATEMENT
BLANK
11 NCAC 11A .0412 COMPLETING FIRE AND CASUALTY ANNUAL
STATEMENT BLANK
11 NCAC 11A .0413 CONSOLIDATED ANNUAL STATEMENT: FIRE
AND CASUALTY INSURERS
11 NCAC 11A .0414 FIRE AND CASUALTY QUARTERLY STATEMENT
BLANK
11 NCAC 11A .0415 LIFE AND ACCIDENT AND HEALTH ANNUAL
STATEMENT BLANK
11 NCAC 11A .0416 ANNUAL STATEMENT BLANK: INSTRUCTIONS
11 NCAC 11A .0417 LIFE AND ACCIDENT AND HEALTH QUARTERLY
STATEMENT BLANK
11 NCAC 11A .0418 ANNUAL STATEMENT BLANK: SEPARATE
ACCOUNT BUSINESS
11 NCAC 11A .0419 TITLE ANNUAL STATEMENT BLANK
11 NCAC 11A .0420 INSTRUCTIONS FOR COMPLETING TITLE
ANNUAL STATEMENT BLANK
11 NCAC 11A .0421 TITLE QUARTERLY STATEMENT BLANK
11 NCAC 11A .0422 HOSPITAL: MEDICAL AND DENTAL SERVICE
OR INDEMNITY CORP
11 NCAC 11A .0423 INSTRUCTIONS/ANNUAL STATEMENT BLANK:
HOSPITAL: MEDICAL: DENTAL
11 NCAC 11A .0424 FRATERNAL ANNUAL STATEMENT BLANK
11 NCAC 11A .0425 INSTRUCTIONS FOR COMPLETING FRATERNAL
STATEMENT BLANK
11 NCAC 11A .0426 FRATERNAL QUARTERLY STATEMENT BLANK
11 NCAC 11A .0427 ACCIDENT AND HEALTH POLICY EXPERIENCE
EXHIBIT
11 NCAC 11A .0428 CREDIT LIFE AND ACCIDENT AND HEALTH
EXHIBIT
11 NCAC 11A .0429 CREDIT LIFE INSURANCE STATISTICAL
REPORT
11 NCAC 11A .0430 INSURANCE EXPENSE EXHIBIT
11 NCAC 11A .0431 STOCKHOLDER INFORMATION SUPPLEMENT
11 NCAC 11A .0432 TOWN OR COUNTY FARM MUTUAL ANNUAL
STATEMENT BLANK
History Note: Authority G.S. 57‑9; 58‑9(3);
58‑15; 58‑21; 58‑25.1; 58‑72; 58‑79.2; 58‑130;
58‑131.14; 58‑134; 58‑137; 58‑144;
58‑188.8; 58‑292; 105‑228.4;
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Repealed Eff. April 1, 1993.
11 NCAC 11A .0433 FIRE AND/OR CASUALTY ABSTRACT
11 NCAC 11A .0434 LIFE ABSTRACT
History Note: Authority G.S. 58‑9(4); 58‑63(2);
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Repealed Eff. July 1, 1988.
11 NCAC 11A .0435 ANNUAL GROSS PREMIUM TAX RETURN:
RETALIATORY TAX RETURN
11 NCAC 11A .0436 STATEMENT OF INSTALLMENT GROSS PREMIUM
TAX
11 NCAC 11A .0437 ANNUAL ADDITIONAL GROSS PREMIUM TAX
RETURN
11 NCAC 11A .0438 STATEMENT/INSTALLMENT ADDITIONAL
ANNUAL GROSS PREMIUM TAX
11 NCAC 11A .0439 NC FIREMEN'S RELIEF FUND TAX ANNUAL
RETURN
11 NCAC 11A .0440 ANNUAL FRANCHISE OR PRIVILEGE TAX:
HOSP AND MEDICAL CORP
11 NCAC 11A .0441 ANNUAL FRANCHISE OR PRIVILEGE TAX:
DENTAL SERVICE CORP
11 NCAC 11A .0442 NC DOMESTIC CORPORATION FRANCHISE AND
INCOME TAX RETURN
11 NCAC 11A .0443 AUTOMATIC EXTENSION OF TIME TO FILE
11 NCAC 11A .0444 ADDITIONAL EXTENSION OF TIME TO FILE
11 NCAC 11A .0445 REFUND FOR CORPORATION FRANCHISE AND
INCOME TAXES
11 NCAC 11A .0446 CERTIFICATION OF WORKMEN'S
COMPENSATION LOSS RESERVES
11 NCAC 11A .0447 WORKMEN'S COMPENSATION ASSESSMENT FORM
11 NCAC 11A .0448 FORM HC: INSURER HOLDING COMPANY
REGISTRATION STATEMENT
11 NCAC 11A .0449 SALE OF VARIABLE ANNUITY CONTRACTS IN
NORTH CAROLINA
History Note: Authority G.S. 57‑14; 58‑9;
58‑79.2; 58‑124.2(b); 97‑107; 97‑114; 105‑228.5;
118‑1 to ‑4;
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Repealed Eff. April 1, 1993.
11 NCAC 11A .0450 ANNUAL REPORT OF ESCHEAT: ABANDONED
PROPERTY
11 NCAC 11A .0451 INSTRUCTIONS FOR COMPLETING THE ANNUAL
REPORT
History Note: Authority G.S. 58‑9(3); 116A;
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Repealed Eff. July 1, 1988.
11 NCAC 11A .0452 THE FORM A: INSIDER TRADING OF EQUITY
SECURITIES
11 NCAC 11A .0453 FORM B: INSIDER TRADING OF EQUITY
SECURITIES
11 NCAC 11A .0454 INITIAL STATEMENT OF BENEFICIAL
OWNERSHIP OF SECURITIES
11 NCAC 11A .0455 STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
11 NCAC 11A .0456 REVOCATION OR SUSPENSION OF LICENSE:
FOREIGN INSURANCE
11 NCAC 11A .0457 OFFICIAL RECEIPT OF SECURITIES
History Note: Authority G.S. 58‑37; 58‑44.4(a);
58‑86.2; 58‑182.6;
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Repealed Eff. April 1, 1993.
11 NCAC 11A .0458 CHECK SHEET AND ANALYSIS OF
APPLICATION FOR ADMISSION
11 NCAC 11A .0459 INFORMATION SHEETS: ADMISSION OF A
FOREIGN INSURANCE
History Note: Authority G.S. 58‑63; 58‑75;
58‑77; 58‑150;
Eff. February 1, 1976;
Repealed Eff. February 28, 1978.
11 NCAC 11A .0460 TAXES AND FEES APPLICABLE TO INSURANCE
COMPANIES
11 NCAC 11A .0461 TOWN OR COUNTY FARM MUTUAL EXAMINATION
REPORT BLANK
11 NCAC 11A .0462 CERTIFICATE OF COMPLIANCE: MUTUAL
AGREEMENT
11 NCAC 11A .0463 POWER OF ATTORNEY: SALE OF DEPOSITED SECURITIES
11 NCAC 11A .0464 CERTIFICATE OF DEPOSIT
11 NCAC 11A .0465 CERTIFICATE OF COMPLIANCE: ACCIDENT
AND HEALTH ADVERTISING
11 NCAC 11A .0466 CERTIFICATE OF RETALIATORY PROVISIONS
11 NCAC 11A .0467 CERTIFICATE OF GOOD STANDING
11 NCAC 11A .0468 CERTIFICATE OF SIMILARITY: REPORT ON
EXAMINATION
11 NCAC 11A .0469 CERTIFICATE OF SIMILARITY: ANNUAL
STATEMENT
11 NCAC 11A .0470 CERTIFICATE OF RESERVE VALUATION
11 NCAC 11A .0471 CERTIFICATE OF COMPLIANCE: INSURANCE
LAWS
11 NCAC 11A .0472 STAT INFORMATION: LIFE INS COMPANIES
AND FRAT ORDERS
11 NCAC 11A .0473 STAT INFO/FIRE AND
CAS/RECIPROCALS/FACTORY/CO FARM
11 NCAC 11A .0474 STATISTICAL INFORMATION: ACCIDENT AND
HEALTH BUSINESS
11 NCAC 11A .0475 AUTHORIZED INVESTMENTS PURSUANT TO
G.S. 58‑79(A)
11 NCAC 11A .0476 INVESTMENTS MADE PURSUANT TO G.S. 58‑79(A)(14)
11 NCAC 11A .0477 AUTHORIZED INVESTMENTS PURSUANT TO
G.S. 58‑79.1
11 NCAC 11A .0478 CORPORATE RESOLUTION AND CONFLICT OF
INTEREST
11 NCAC 11A .0479 CONTRIBUTION FOR DOMESTIC INSURANCE
COMPANIES
11 NCAC 11A .0480 PUBLIC HEARING ON PLAN OF EXCHANGE OF
CAPITAL STOCK
11 NCAC 11A .0481 PUBLIC HEARING ON PLAN OF MERGER OR
CONSOLIDATION
11 NCAC 11A .0482 EXAMINERS' EXPENSE AND DAYS WORKED
REPORTS
11 NCAC 11A .0483 STATEMENT OF EXAMINATION CHARGES
11 NCAC 11A .0484 FORM OF MODEL CUSTODIAL AGREEMENT
11 NCAC 11A .0485 FORM OF MODEL CUSTODIAL AND FISCAL
AGENCY AGREEMENT
11 NCAC 11A .0486 RECONCILIATION: STATUTORY CAPITAL AND
STOCKHOLDERS EQUITY
11 NCAC 11A .0487 RECONCILIATION: STATUTORY NET GAIN AND
NET INCOME
11 NCAC 11A .0488 VALUATIONS OF SECURITIES MANUAL
History Note: Authority G.S. 57‑10; 58‑9;
58‑9(1); 58‑9(3); 58‑11; 58‑16; 58‑21; 58‑34.1;
58‑54.4; 58‑62; 58‑63(3); 58‑63.3;
58‑72; 58‑79; 58‑79(a); 58‑79(a)(14); 58‑79.1; 58‑86.4;
58‑155.1; 58‑182.5; 58‑201; 105‑288.4;
Eff. February 1, 1976;
Readopted Eff. February 28, 1978;
Amended Eff. January 14, 1980;
Repealed Eff. April 1, 1993.
11 NCAC 11A .0489 AFFIDAVIT FOR RETURN OF DEPOSIT
11 NCAC 11A .0490 APPLICATION FOR LICENSE: HEALTH
MAINTENANCE ORGANIZATION
11 NCAC 11A .0491 HEALTH MAINTENANCE ORGANIZATION:
ANNUAL STATEMENT
11 NCAC 11A .0492 INSTRUCTIONS FOR COMPLETING STATEMENT
11 NCAC 11A .0493 HEALTH MAINTENANCE ORGANIZATION:
QUARTERLY STATEMENT
History Note: Authority G.S. 57A; 57A‑3; 57A‑4;
57A‑9; 57A‑21; 58‑9;
Eff. February 28, 1978;
Repealed Eff. April 1, 1993.
SECTION .0500 - CPA AUDITS
11 NCAC 11A .0501 PURPOSE AND SCOPE
11 NCAC 11A .0502 DEFINITIONS
11 NCAC 11A .0503 FILING AND EXTENSIONS FOR FILING
REPORTS
11 NCAC 11A .0504 CONTENTS OF ANNUAL AUDITED FINANCIAL
REPORT
11 NCAC 11A .0505 DESIGNATION OF CPA
11 NCAC 11A .0506 QUALIFICATIONS OF INDEPENDENT CPA
11 NCAC 11A .0507 APPROVAL OF CPA
11 NCAC 11A .0508 SCOPE OF EXAMINATION AND REPORT OF CPA
11 NCAC 11A .0509 NOTIFICATION OF ADVERSE FINANCIAL
CONDITION
11 NCAC 11A .0510 INTERNAL CONTROL STRUCTURE RELATED MATTERS
11 NCAC 11A .0511 CPA WORKPAPERS
11 NCAC 11A .0512 EXEMPTIONS AND EFFECTIVE DATES
11 NCAC 11A .0513 EXAMINATIONS
History Note: Authority G.S. 58-2-40; 58-2-131;
58-2-131; 58-2-133; 58-2-205; 150B-21.1(a3);
Eff. December 1, 1990;
Amended Eff. June 1, 2007; July 1, 2004; August 1, 2004;
April 1, 1993;
Temporary Amendment Eff. February 15, 2003;
Repealed Eff. January 1, 2011.
11 NCAC 11A .0514 SEASONING REQUIREMENTS
11 NCAC 11A .0515 NOTES TO FINANCIAL STATEMENTS
History Note: Authority G.S. 58-2-40; 58-2-205;
Temporary Adoption Eff. October 1, 2000;
Eff. July 18, 2002;
Repealed Eff. January 1, 2011.
SECTION .0600 - REINSURANCE INTERMEDIARIES
11 NCAC 11A .0601 DEFINITIONS
History Note: Authority G.S. 58-2-40; 58-2-225;
Eff. December 1, 1992;
Repealed Eff. May 1, 1994.
11 NCAC 11A .0602 LICENSURE
History Note: Authority G.S. 58-2-40; 58-2-225;
RRC Objection Eff. November 19, 1992 due to ambiguity;
Eff. December 29, 1992;
Repealed Eff. May 1, 1994.
11 NCAC 11A .0603 REQUIRED CONTRACT PROVISIONS - BROKERS
11 NCAC 11A .0604 DUTIES OF INSURERS USING SERVICES OF
BROKERS
11 NCAC 11A .0605 REQUIRED CONTRACT PROVISIONS -
MANAGERS
11 NCAC 11A .0606 PROHIBITED ACTS
11 NCAC 11A .0607 DUTIES OF REINSURERS USING SERVICES OF
A MANAGER
11 NCAC 11A .0608 EXAMINATION AUTHORITY
11 NCAC 11A .0609 PENALTIES AND LIABILITIES
History Note: Authority G.S. 58-2-40; 58-2-225;
Eff. December 1, 1992;
Repealed Eff. May 1, 1994.
