Information about health insurance industry information services
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SERVICES FOR CONSUMERS SENIORS' HEALTH INSURANCE INFORMATION PROGRAM (SHIIP)
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INSURANCE CONSUMERS
CONSUMER SERVICES DIVISION1-800-546-5664 The Consumer Services Division... Helps consumers with their insurance-related questions and complaints (Auto, Homeowners, Health, Life, Disability, and other types of coverage).
Provides information on other insurance-related topics (Shopping for Insurance, Disaster Preparation, Company Complaint Ratios, etc). INSURANCE INFORMATION FOR: Consumers Businesses Health care professionals & facilities En Espanñol Info (Guías Informativas para el Consumidor)
COMPLAINTS: File a Complaint SENIORS' HEALTH INSURANCE INFORMATION PROGRAM (SHIIP)1-800-443-9354 The (Seniors’ Health Insurance Information Program) SHIIP can help you with questions about Medicare, Medicaid and long-term care insurance. EXTERNAL REVIEW PROGRAM1-877-885-0231 (In state Toll-Free)
The External Review Program can help if you’ve had a medical procedure or service denied by your health insurance company. External Review offers another look at your denial by an independent clinical expert. We also provide consumer counseling for the appeals and grievances process. AGENTS, ADJUSTERS AND BAIL BONDSMEN
AGENT SERVICES DIVISION(919) 807-6800 The Agent Services Division regulates all licensed agents, brokers, limited representatives, appraisers, adjusters, premium finance companies, collection agencies, motor clubs, bail bondsman, surety bondsman, and bail bond runners authorized to do business in North Carolina. This includes pre-licensing education, continuing education, agency examinations and administrative actions.
Insurance Continuing Education Services (PROMETRIC 1-866-241-3121) Insurance Testing Services (PEARSON VUE 1-800-274-0668) Bail Bond Testing Services (PEARSON VUE 1-866-936-7780) License Look Up Online Licensee Services Applications & Forms Hot Topics Licensee FAQs Contact Us INSURANCE INDUSTRY
PROPERTY & CASUALTY The Property & Casualty Division is responsible for reviewing rates, forms and rules for all kinds of insurance authourized in North Carolina, as well as, regulation of Surplus Lines. Policy Form and Rate Filings Surplus Lines Agent/Adjuster Appointments and Billing LIFE & HEALTH The Life & Health Division is primarily responsible for the regulation, review, approval and disapproval of all life, health, credit insurance, annuity, long term care, and Medicare Supplement policy forms and rates to be used in North Carolina. The division is also responsible for the registering of charitable or educational organizations that issue annuities, the licensing of Third Party Administrators, the licensing of Multiple Employer Welfare Arrangements, the licensing of Viatical Settlement Providers, and compliance review of non-financial operational policies and procedures for HMO and PPO plans.
Information and Assistance to Consumers Agent/Adjuster Appointments and Billing MARKET REGULATION The Market Regulation Division regularly monitors the business of DOI-regulated companies to identify general market disruptions early and to eliminate or limit harm to consumers, policyholders and/or claimants. Published Examination Reports FINANCIAL EVALUATIONFinancial Information about regulated companies including:
Company Admissions Financial Analysis (market share and premium data) Financial Examinations Special Entities:
Continuing Care Retirement Communities Self-insured Workers Compensation Employers Professional Employers Organizations REGULATORY ACTIONS The Regulatory Actions Division monitors troubled insurance companies. RAD Trust ACTUARIAL SERVICESNC Professional Liability Data Report NC Credit Property Survey
CONTACT US CONSUMER HELPLINE: 1-800-546-5664
AGENT SERVICES HELPLINE: 919-807-6800 SHIIP HELPLINE: 1-800-443-9354
HEALTH CLAIM DENIED?: External Review Helpline 1-877-885-0231 (NC Toll-Free) More Contact Information Staff Directories Suggestion Box
OTHER DEPARTMENTS... MEDIA RELATIONS
REPORT INSURANCE FRAUD LEGISLATIVE SERVICES
CONTROLLER'S OFFICE REGIONAL OFFICES
LATEST RELEASES... March 31, 2010 -- SHIIP Announces Events for Medicare Recipients Displaced by Fox Insurance
March 30, 2010 -- Commissioner Goodwin Leads National Discussion of Readability Standards March 25, 2010 -- Hoke County Building Code Official Arrested
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