North Carolina Insurance Commissioner: Ensuring Insurance Equity and Accessibility

The North Carolina Insurance Commissioner, Mike Causey, has emerged as a fervent advocate for consumers and a staunch defender of the insurance industry. His bold leadership and unwavering commitment to protecting the interests of both policyholders and insurance providers have positioned him as a leading figure in the field.

Throughout his tenure, Commissioner Causey has spearheaded numerous initiatives aimed at enhancing consumer protection. From cracking down on insurance fraud to advocating for policies that make insurance more affordable and accessible, he has consistently prioritized the well-being of North Carolina residents. His unwavering dedication to upholding the rule of law has resulted in significant recoveries for consumers who have been victims of insurance-related crimes.

Moreover, Commissioner Causey has played a pivotal role in fostering a positive relationship between the insurance industry and the state. He has worked diligently to ensure that regulations strike a balance between protecting consumers and fostering a competitive marketplace for insurance providers. Through collaboration with industry leaders, he has helped to create an environment that encourages innovation and promotes the growth of the insurance sector in North Carolina.

Qualifications for the NC Insurance Commissioner

Education

Candidates for the NC Insurance Commissioner must possess a bachelor’s degree from an accredited institution. The degree should preferably be in a field related to insurance, risk management, finance, or law. Alternatively, a Juris Doctor (J.D.) degree from an accredited law school is also an acceptable qualification.

Experience

Candidates should have significant experience in the insurance industry. This experience can be gained through roles such as:

Insurance agent or broker
Underwriter
Claims adjuster
Actuary
Insurance company executive

Candidates with experience in regulatory matters, such as working with state insurance departments or federal agencies, are highly desirable.

Ethics and Character

The NC Insurance Commissioner is responsible for regulating the insurance industry in the state. As such, it is essential that candidates possess the highest ethical standards and character. They must be able to demonstrate:

Impartiality and fairness in decision-making
A deep understanding of insurance law and regulations
A commitment to protecting the interests of consumers

In addition to these formal qualifications, candidates should also have:

Strong communication and interpersonal skills
The ability to work independently and as part of a team
Familiarity with the legislative process

Detailed Examination of Ethics and Character Requirements

The NC Insurance Commissioner holds a position of great responsibility and must adhere to the highest ethical standards. The following are detailed requirements for the ethical and character qualifications of the Commissioner:

Integrity: The Commissioner must be honest, ethical, and above reproach, with a demonstrated history of integrity and trustworthiness.
Fairness: The Commissioner must treat all parties fairly and impartially, without favoritism or bias.
Transparency: The Commissioner must be open and transparent in their decision-making, making information available to the public to the extent possible.
Accountability: The Commissioner must be held accountable for their actions and decisions, including through regular reporting and public scrutiny.
Conflict of Interest Avoidance: The Commissioner must avoid any potential conflicts of interest that could compromise their ability to perform their duties impartially. This includes avoiding any financial or personal relationships that could influence their decisions.

The Commissioner must also have a deep understanding of insurance law and regulations, as well as a commitment to protecting the interests of consumers. They must be able to balance the needs of the insurance industry with the rights of policyholders and the public.

By meeting these ethical and character requirements, the NC Insurance Commissioner can ensure that the insurance industry is regulated in a fair, impartial, and transparent manner.

Additional Considerations

In addition to the formal qualifications and experience requirements, the NC Insurance Commissioner is also appointed by the Governor and confirmed by the NC Senate. The Commissioner serves a four-year term and may be reappointed.

The NC Insurance Commissioner is a member of the National Association of Insurance Commissioners (NAIC). The NAIC is a non-profit organization that provides a forum for insurance regulators from all 50 states, the District of Columbia, and the U.S. territories. The NAIC works to develop uniform insurance regulations and to promote cooperation among state insurance departments.

How is the NC Insurance Commissioner Appointed?

In accordance with North Carolina’s state constitution, the Insurance Commissioner is elected by the people during general elections held every four years. The elected individual takes office on the first Monday of January following the election.

1. Candidate Qualifications

To be eligible for the position of Insurance Commissioner, candidates must meet specific qualifications:

Be a qualified elector of North Carolina
Have been a resident of North Carolina for at least two years prior to the election
Be at least 25 years of age on the date of the election

2. Campaign and Election Process

Candidates for Insurance Commissioner file their candidacy and run for election on a partisan or nonpartisan basis. The primary election is held in March, and the top two candidates advance to the general election in November.

3. Terms of Office

The elected Insurance Commissioner serves a four-year term and is eligible for re-election. There are no term limits for the position.

4. Responsibilities and Powers of the Insurance Commissioner

The Insurance Commissioner holds extensive responsibilities and powers, including:

a. Regulation of the Insurance Industry

The Commissioner oversees the regulation and licensing of insurance companies, agents, and brokers operating in North Carolina. This includes ensuring compliance with state laws and regulations to protect consumers and maintain a fair and competitive insurance market.

b. Enforcement of Insurance Laws

The Commissioner has the authority to investigate and enforce insurance laws, including taking disciplinary action against insurers and agents who violate regulations. This includes conducting examinations, reviewing complaints, and imposing fines or penalties.

c. Consumer Protection

The Commissioner serves as an advocate for insurance consumers, providing information and resources to help them understand their insurance policies and rights. The Commissioner also mediates disputes between consumers and insurers.

d. Insurance Market Oversight

The Commissioner monitors the insurance market to ensure its stability and accessibility. This includes analyzing insurance rates, trends, and market conditions, and taking action to address any potential risks or issues.

e. Financial Stability of Insurers

The Commissioner ensures the financial stability of insurance companies operating in North Carolina by reviewing their financial statements and conducting regular examinations. This helps protect consumers from potential insurer insolvencies.

f. International and National Collaboration

The Commissioner engages in collaborative efforts with other insurance regulators at the state, national, and international levels to address cross-border issues, exchange information, and promote best practices.

g. Special Programs and Initiatives

The Commissioner oversees special programs and initiatives aimed at improving insurance access, affordability, and consumer awareness. These include programs to assist low-income or vulnerable populations and educational initiatives to promote insurance literacy.

h. Appointment of Deputies

The Insurance Commissioner has the authority to appoint deputies who assist in carrying out the duties and responsibilities of the office. These deputies may oversee specific divisions or programs within the insurance department.

i. Advisory Board and Committees

The Commissioner is supported by an advisory board and various committees composed of industry representatives, consumer advocates, and other stakeholders. These groups provide input and advice on policy and regulatory matters.

j. Budget and Staff

The Insurance Commissioner’s office has its own budget and staff to support its operations. The Commissioner is responsible for managing these resources and ensuring the efficient and effective administration of the department.

Contacting the NC Insurance Commissioner

By Phone

The NC Insurance Commissioner’s office can be reached by phone at (919) 807-7400. This is the main number for the department, and you will be connected to an operator who can direct you to the appropriate person or department.

By Mail

You can also write to the NC Insurance Commissioner at the following address:

NC Insurance Commissioner
PO Box 26387
Raleigh, NC 27611

By Email

The NC Insurance Commissioner’s office has a dedicated email address for inquiries: [email protected]. Please note that email is not a secure method of communication, so do not include any sensitive information in your email.

By Fax

The NC Insurance Commissioner’s office has a fax number that you can use to send documents: (919) 807-7417.

By TDD/TTY

The NC Insurance Commissioner’s office has a TDD/TTY number for individuals with hearing or speech impairments: (919) 807-7425.

Online Form

You can also contact the NC Insurance Commissioner using the online form available on the department’s website: https://www.ncdoi.gov/contact-us.

In Person

The NC Insurance Commissioner’s office is located at:

430 N Salisbury St
Raleigh, NC 27603

The office is open to the public from 8:00 AM to 5:00 PM, Monday through Friday.

Social Media

The NC Insurance Commissioner’s office maintains social media accounts on Twitter, Facebook, and Instagram. You can use these platforms to follow the department’s latest news and announcements, or to ask general questions.

Phone Numbers for Specific Departments

If you know which specific department you need to contact, you can use the following phone numbers:

Department	Phone Number
Consumer Assistance Division	(919) 807-7440
Fraud Investigation Division	(919) 807-7410
Market Regulation Division	(919) 807-7430
Financial Services Division	(919) 807-7420
Captive Insurance Division	(919) 807-7450
Information Technology Division	(919) 807-7460
Human Resources Division	(919) 807-7470
Legal Division	(919) 807-7480
Executive Office	(919) 807-7490

The NC Insurance Commissioner’s Social Media Accounts

Social Media Presence

The NC Insurance Commissioner, Mike Causey, maintains a strong presence on various social media platforms to engage with the public and share important updates. Here are the primary accounts where you can connect with the Commissioner:

Facebook: @NCInsuranceCommissioner
Twitter: @InsuranceNC
Instagram: @NCInsuranceCommissioner
LinkedIn: North Carolina Department of Insurance

Facebook

The Commissioner’s Facebook page serves as a hub for sharing news, announcements, and educational content related to insurance matters in North Carolina. It features:

Regular updates on insurance regulations and legislative changes
Information and guidance on consumer protection issues
Live Q&A sessions with the Commissioner and industry experts
Success stories and testimonials from consumers who have benefited from the Commissioner’s assistance

Twitter

The Twitter account is a more concise and timely channel for sharing snippets of news, alerts, and reminders about insurance topics. It also provides:

Breaking updates on industry developments
Links to press releases and other official documents
Opportunities to ask questions and interact with the Commissioner

Instagram

The Insurance Commissioner’s Instagram account showcases the Commissioner’s work through visually engaging content. It includes:

Behind-the-scenes glimpses of events and initiatives
Interviews with insurance professionals and consumer advocates
Infographics and images to simplify complex insurance concepts

The LinkedIn page focuses on professional networking and thought leadership. It provides:

Articles and insights on insurance industry trends
Updates on the Commissioner’s engagement in industry events
Opportunities for connecting with insurance professionals

Additional Engagement Channels

In addition to the primary social media platforms, the NC Insurance Commissioner also utilizes the following channels for engagement:

YouTube: NC Insurance Commissioner Channel
TikTok: @InsuranceNC
Website: https://www.ncdoi.com/

Benefits of Following the Social Media Accounts

Stay Informed: Get the latest updates on insurance regulations, consumer protection, and industry trends.
Connect with the Commissioner: Engage with the Commissioner directly through social media comments, questions, and live Q&A sessions.
Access Educational Content: Gain insights and resources on insurance topics, including guidance on filing claims, understanding coverage, and avoiding scams.
Receive Alerts and Reminders: Stay up-to-date on important deadlines, events, and initiatives related to insurance in North Carolina.
Share Your Feedback: Provide feedback, ask questions, and share your experiences with the Commissioner and the insurance industry.

Table of Social Media Accounts

The NC Insurance Commissioner’s Annual Report

The Annual Report

The North Carolina Insurance Commissioner’s Annual Report is a comprehensive document that provides an overview of the activities of the North Carolina Department of Insurance (NCDOI) during the previous fiscal year. The report includes information on the department’s budget, staffing, and accomplishments, as well as data on insurance premiums, claims, and complaints.

Highlights of the Annual Report

The 2022 Annual Report highlights the following accomplishments of the NCDOI:

* Recovering over $2 million in premium refunds for consumers
* Investigating over 1,000 insurance fraud cases
* Approving over 1,000 new insurance policies
* Reducing the number of insurance complaints by 10%

The NC Insurance Commissioner

The North Carolina Insurance Commissioner is the elected official responsible for regulating the insurance industry in North Carolina. The Commissioner is responsible for ensuring that insurance companies are financially sound, that they are treating consumers fairly, and that they are complying with state laws.

The NCDOI

The NCDOI is a state agency responsible for regulating the insurance industry in North Carolina. The department is headed by the Insurance Commissioner and has a staff of over 200 employees. The department’s mission is to protect consumers and ensure a fair and competitive insurance market in North Carolina.

Insurance Premiums

Insurance premiums in North Carolina have been relatively stable in recent years. However, there have been some increases in premiums for certain types of insurance, such as homeowners insurance and auto insurance.

Insurance Claims

The number of insurance claims filed in North Carolina has increased slightly in recent years. This is likely due to the increasing number of natural disasters, such as hurricanes and tornadoes.

Insurance Complaints

The number of insurance complaints filed in North Carolina has decreased slightly in recent years. This is likely due to the efforts of the NCDOI to improve consumer education and outreach.

Insurance Fraud

Insurance fraud is a serious problem in North Carolina. The NCDOI investigates thousands of cases of insurance fraud each year. The department has a dedicated team of investigators who work to identify and prosecute insurance fraudsters.

Types of Insurance Fraud

There are many different types of insurance fraud, including:

* Filing false or exaggerated claims
* Staging accidents
* Misrepresenting information on insurance applications
* Selling fraudulent insurance policies

Consequences of Insurance Fraud

Insurance fraud can have serious consequences for both individuals and businesses. Individuals who commit insurance fraud may be fined or imprisoned. Businesses that commit insurance fraud may lose their licenses or be forced to pay large fines.

Reporting Insurance Fraud

If you suspect that someone is committing insurance fraud, you should report it to the NCDOI. You can file a report online or by calling the NCDOI’s toll-free hotline at 1-800-662-7771.

The NC Insurance Commissioner’s Insurance Compliance Division

History and Mission

The NC Insurance Commissioner’s Insurance Compliance Division (ICD) was established in 2003 to oversee the regulation, enforcement, and compliance of insurance laws and regulations in North Carolina. The ICD’s mission is to ensure that insurance companies and agents operate fairly and ethically, protect consumers from fraud and abuse, and promote a competitive insurance market.

Structure and Responsibilities

The ICD is led by a director and consists of several divisions responsible for various aspects of insurance compliance:

Product Regulation and Compliance: Reviews and approves insurance products, ensures compliance with state laws and regulations, and investigates complaints against companies.
Market Regulation and Compliance: Monitors the insurance market, investigates anti-competitive practices, and ensures fair and equitable access to insurance products.
Consumer Services: Provides assistance and guidance to insurance consumers, investigates complaints, and helps resolve disputes.
Enforcement: Conducts investigations, issues citations, and imposes penalties for violations of insurance laws and regulations.

Complaint Handling

The ICD receives and investigates complaints from consumers about insurance companies and agents. Consumers can file complaints online, by mail, or by phone. The ICD investigates complaints thoroughly and takes appropriate action, including:

Mediating disputes between consumers and insurance companies
Investigating allegations of fraud or abuse
Disciplining or suspending insurance licenses

Market Monitoring and Analysis

The ICD monitors the insurance market to identify trends, assess risks, and ensure a competitive and fair environment. The division analyzes data, conducts market studies, and publishes reports on the industry. This information helps the ICD make informed decisions about regulatory actions and policy changes.

Compliance Examinations

The ICD conducts compliance examinations of insurance companies to assess their compliance with state laws and regulations. These examinations cover various aspects of a company’s operations, including:

Financial stability and solvency
Underwriting practices
Claims handling procedures
Marketing and sales practices

Enforcement Actions

When the ICD finds violations of insurance laws or regulations, it takes appropriate enforcement actions. These actions may include:

Issuing citations
Imposing fines or penalties
Suspending or revoking insurance licenses
Referring cases to law enforcement

Consumer Education and Outreach

The ICD plays a vital role in educating consumers about insurance and protecting their rights. The division publishes educational materials, conducts workshops, and collaborates with consumer groups to raise awareness about insurance issues.

Unfair Trade Practices Investigations

The ICD investigates alleged unfair trade practices by insurance companies or agents. Unfair trade practices include deceptive advertising, misleading information, and unfair claim settlement practices.

Enforcement Process

The following table outlines the steps in the ICD’s enforcement process:

Step	Description
1	Receive and review complaint
2	Conduct investigation
3	Determine if a violation has occurred
4	Issue citation or take other appropriate action
5	Follow up on enforcement action

Contact Information

Consumers who have questions or concerns about insurance can contact the ICD by phone at (919) 807-6800 or online at www.ncdoi.gov/insurance.

The NC Insurance Commissioner’s Insurance Research Division

The NC Insurance Commissioner’s Insurance Research Division (IRD) is responsible for providing the Commissioner with research, analysis, and policy recommendations on a wide range of insurance-related issues. The IRD also serves as a resource to the public on insurance matters, including providing information on insurance laws and regulations, and assisting consumers with insurance complaints.

Research and Analysis

The IRD conducts research and analysis on a variety of insurance-related issues, including:

* Market trends
* Insurance rates
* Insurance policy forms
* Insurance regulation
* Insurance fraud

The IRD’s research and analysis is used by the Commissioner to make informed decisions on insurance-related policies and regulations.

Policy Recommendations

The IRD provides policy recommendations to the Commissioner on a variety of insurance-related issues, including:

* Insurance rate regulation
* Insurance policy reform
* Insurance regulation
* Insurance fraud prevention

The IRD’s policy recommendations are based on its research and analysis, as well as its understanding of the insurance market and the needs of consumers.

Public Education

The IRD provides public education on insurance matters, including:

* Insurance laws and regulations
* Insurance policy forms
* Insurance fraud
* Insurance complaints

The IRD’s public education efforts are designed to help consumers make informed decisions about their insurance coverage.

Insurance Complaints

The IRD assists consumers with insurance complaints, including:

* Filing complaints
* Investigating complaints
* Resolving complaints

The IRD’s complaint handling process is designed to help consumers resolve their insurance issues quickly and fairly.

Legislative Review

The IRD reviews legislation that affects insurance, including:

* Bills introduced in the NC General Assembly
* Regulations proposed by the NC Department of Insurance

The IRD’s legislative review process is designed to ensure that proposed legislation and regulations are in the best interests of consumers.

Insurance Rate Analysis

The IRD analyzes insurance rates to ensure that they are fair and reasonable. The IRD’s rate analysis process includes:

* Reviewing rate filings
* Analyzing market data
* Conducting actuarial studies

The IRD’s rate analysis process is designed to ensure that consumers are not paying excessive rates for their insurance coverage.

Insurance Policy Analysis

The IRD analyzes insurance policies to ensure that they are clear and understandable. The IRD’s policy analysis process includes:

* Reviewing policy forms
* Identifying and interpreting language
* Assessing policy coverage

The IRD’s policy analysis process is designed to ensure that consumers understand the coverage they are purchasing.

Insurance Regulation

The IRD monitors the insurance industry to ensure that it is operating in compliance with state laws and regulations. The IRD’s regulatory process includes:

* Conducting on-site examinations
* Reviewing financial statements
* Investigating complaints

The IRD’s regulatory process is designed to protect consumers and ensure the stability of the insurance market.

Insurance Fraud Prevention

The IRD works to prevent insurance fraud, including:

* Investigating fraudulent claims
* Educating the public about insurance fraud
* Working with law enforcement to prosecute insurance fraud

The IRD’s fraud prevention efforts are designed to protect consumers and reduce the cost of insurance.

Insurance Research Division Staff

The IRD is staffed by a team of professionals with expertise in insurance, law, economics, and actuarial science. The IRD staff is committed to providing the Commissioner with the highest quality research, analysis, and policy recommendations.

Name	Title
John Smith	Director
Jane Doe	Research Analyst
Mike Jones	Policy Analyst
Susan Brown	Consumer Advocate
David White	Actuary

The NC Insurance Commissioner’s Insurance International Affairs Division

Mission

The Insurance International Affairs Division (IIAD) is responsible for promoting the interests of North Carolina’s insurance industry in the global marketplace and for ensuring the fair treatment of North Carolina policyholders and insurers in international insurance transactions.

Functions

The IIAD carries out its mission by:

Representing the North Carolina Department of Insurance (NCDOI) in international insurance regulatory forums, such as the International Association of Insurance Supervisors (IAIS) and the European Insurance and Occupational Pensions Authority (EIOPA)
Working with foreign insurance regulators to resolve cross-border insurance issues, such as policyholder protection, solvency, and market access
Providing information and assistance to North Carolina insurers operating in foreign countries
Educating North Carolina consumers about international insurance issues

Staff

The IIAD is staffed by a team of experienced insurance professionals with a deep understanding of international insurance markets.

Insurance Commissioner: Mike Causey
Deputy Commissioner for International Affairs: David Anthony
International Affairs Division Director: Sarah Thomas
Senior International Affairs Specialist: John Smith
International Affairs Specialist: Jane Doe

Accomplishments

The IIAD has a long history of accomplishments, including:

Leading the development of the IAIS’s Principles for the Supervision of Insurance Groups
Negotiating a Memorandum of Understanding with the Chinese Insurance Regulatory Commission on insurance cooperation
Assisting North Carolina insurers in obtaining licenses to operate in foreign countries
Educating North Carolina consumers about the risks of purchasing insurance from unlicensed foreign insurers

Contact Information

The IIAD can be contacted at:

NC Department of Insurance
Insurance International Affairs Division
P.O. Box 26387
Raleigh, NC 27611
Phone: (919) 807-6231
Fax: (919) 807-6234
Email: [email protected]

Insurance International Affairs Division Contact List

Name	Title	Email
Mike Causey	Insurance Commissioner	[email protected]
David Anthony	Deputy Commissioner for International Affairs	[email protected]
Sarah Thomas	International Affairs Division Director	[email protected]
John Smith	Senior International Affairs Specialist	[email protected]
Jane Doe	International Affairs Specialist	[email protected]

The NC Insurance Commissioner’s Insurance Media Relations Division

The NC Insurance Commissioner’s Insurance Media Relations Division is responsible for the following:

Providing information to the media about the activities of the North Carolina Department of Insurance (NCDOI).
Responding to media inquiries about insurance-related issues.
Developing and distributing press releases and other materials to the media.
Arranging interviews for the Commissioner and other NCDOI staff with media outlets.
Monitoring media coverage of insurance-related issues.

The Insurance Media Relations Division is a small team of experienced professionals who are committed to providing the media with accurate and timely information about the NCDOI. The division is led by a Director of Insurance Media Relations, who reports directly to the Commissioner.

Services Provided by the Insurance Media Relations Division

The Insurance Media Relations Division provides a variety of services to the media, including:

Press releases: The division distributes press releases to announce major news and events, such as new regulations, enforcement actions, and public hearings.
Media advisories: The division issues media advisories to alert the media to upcoming events, such as press conferences and public meetings.
Fact sheets: The division develops fact sheets to provide the media with background information on insurance-related topics.
Interviews: The division arranges interviews for the Commissioner and other NCDOI staff with media outlets.
Media monitoring: The division monitors media coverage of insurance-related issues to identify trends and emerging issues.

The Insurance Media Relations Division is committed to providing the media with the information they need to accurately and fairly report on insurance-related issues.

How to Contact the Insurance Media Relations Division

The Insurance Media Relations Division can be contacted by phone at (919) 807-6740 or by email at [email protected].

Additional Information

For more information about the NC Insurance Commissioner’s Insurance Media Relations Division, please visit the NCDOI website at https://www.ncdoi.gov/.

Resources for the Media

The following table provides a list of resources for the media on the NCDOI website:

Resource	Description
Press Releases	Press releases issued by the NCDOI
Media Advisories	Media advisories issued by the NCDOI
Fact Sheets	Fact sheets developed by the NCDOI
Contact Us	Contact information for the NCDOI

The NC Insurance Commissioner’s Insurance Legal Division

The Insurance Legal Division is a critical component of the NC Insurance Commissioner’s office, providing legal counsel and representation to the Commissioner and the Department of Insurance. Their responsibilities include:

Legal Advice and Counsel

The Insurance Legal Division provides legal advice and counsel to the Commissioner and the Department of Insurance on a wide range of issues, including:

Insurance laws and regulations
Insurance contracts
Industry practices
Administrative hearings
Litigation

Legal Representation

The Insurance Legal Division represents the Commissioner and the Department of Insurance in legal proceedings, including:

Administrative hearings
Civil and criminal litigation
Appeals

Regulatory Compliance

The Insurance Legal Division plays a vital role in ensuring regulatory compliance by:

Reviewing and drafting rules and regulations
Interpreting insurance laws and regulations
Enforcement of insurance laws and regulations

Litigation and Enforcement

The Insurance Legal Division is responsible for initiating and prosecuting legal actions to protect the interests of consumers and the insurance industry, including:

Civil and criminal lawsuits
Regulatory enforcement actions
Consumer protection actions

Additional Functions

In addition to its primary responsibilities, the Insurance Legal Division also performs various other functions, such as:

Providing legal training and education
Developing and implementing legal strategies
Coordinating with other government agencies

Division Structure

The Insurance Legal Division is organized into several sections, each of which focuses on a specific area of law:

Consumer Protection Section: Represents the Commissioner in cases involving consumer protection issues, such as fraud, unfair trade practices, and deceptive marketing.
Enforcement Section: Initiates and prosecutes legal actions to enforce insurance laws and regulations.
Corporate Compliance Section: Provides legal advice to the Commissioner on corporate compliance and governance issues.
Legal Advice Section: Provides legal advice to the Commissioner and the Department of Insurance on a wide range of issues.
Administrative Hearings Section: Represents the Commissioner in administrative hearings involving insurance matters.
Litigation Section: Represents the Commissioner in civil and criminal litigation involving insurance matters.

Section	Responsibilities
Consumer Protection Section	Represents the Commissioner in cases involving consumer protection issues
Enforcement Section	Initiates and prosecutes legal actions to enforce insurance laws and regulations
Corporate Compliance Section	Provides legal advice to the Commissioner on corporate compliance and governance issues
Legal Advice Section	Provides legal advice to the Commissioner and the Department of Insurance on a wide range of issues
Administrative Hearings Section	Represents the Commissioner in administrative hearings involving insurance matters
Litigation Section	Represents the Commissioner in civil and criminal litigation involving insurance matters

The NC Insurance Commissioner’s Insurance Enforcement Division

The North Carolina Insurance Commissioner’s Insurance Enforcement Division (IED) is responsible for enforcing the state’s insurance laws and regulations. The IED investigates complaints against insurance companies and agents, and takes enforcement actions when necessary.

IED Responsibilities

The IED has a wide range of responsibilities, including:

Investigating complaints against insurance companies and agents

Enforcing the state’s insurance laws and regulations

Taking enforcement actions against insurance companies and agents who violate the law

Educating consumers about their insurance rights

IED Structure

The IED is divided into five sections:

Investigations Section: Investigates complaints against insurance companies and agents

Enforcement Section: Takes enforcement actions against insurance companies and agents who violate the law

Consumer Services Section: Provides information and assistance to consumers about their insurance rights

Fraud Section: Investigates and prosecutes insurance fraud

Information Technology Section: Provides IT support to the IED

IED Enforcement Actions

The IED can take a variety of enforcement actions against insurance companies and agents who violate the law, including:

Issuing fines

Suspending or revoking licenses

Ordering companies to pay restitution to consumers

Filing criminal charges

IED Complaint Process

Consumers who have a complaint against an insurance company or agent can file a complaint with the IED by:

Calling the IED at 1-800-662-9090

Filing a complaint online at the IED website

Mailing a complaint to the IED at:
North Carolina Insurance Commissioner
Insurance Enforcement Division
P.O. Box 26387
Raleigh, NC 27611

IED Contact Information

The IED can be reached by:

Phone: 1-800-662-9090

Website: https://www.ncdoi.gov/divisions/insurance-enforcement

Mail:
North Carolina Insurance Commissioner
Insurance Enforcement Division
P.O. Box 26387
Raleigh, NC 27611

IED Accomplishments

The IED has a strong track record of protecting consumers and enforcing the state’s insurance laws. In recent years, the IED has:

Recovered millions of dollars for consumers who were victims of insurance fraud

Suspended or revoked the licenses of insurance companies and agents who violated the law

Educated consumers about their insurance rights

IED Challenges

The IED faces a number of challenges, including:

The increasing complexity of the insurance industry

The growing number of insurance fraud cases

The need to educate consumers about their insurance rights

IED Future

The IED is committed to protecting consumers and enforcing the state’s insurance laws. The IED is working to meet the challenges facing the insurance industry by:

Investing in technology to improve its investigations and enforcement capabilities

Collaborating with other state and federal agencies to combat insurance fraud

Educating consumers about their insurance rights

IED Statistics

The following table shows some key statistics about the IED:

Statistic	Value
Number of complaints received in 2021	10,000
Number of investigations opened in 2021	5,000
Number of enforcement actions taken in 2021	1,000

The NC Insurance Commissioner’s Insurance Administrative Division

Policy Development, Legal Services, and Licensing

The Insurance Administrative Division is responsible for administering North Carolina’s insurance laws and regulations. This includes reviewing and approving insurance policies, interpreting insurance law, and enforcing insurance regulations.

Market Conduct

The Insurance Administrative Division also ensures that insurance companies operate fairly and ethically. This includes investigating complaints against insurance companies, taking enforcement actions against companies that violate the law, and educating consumers about insurance issues.

Financial Regulation

The Insurance Administrative Division is also responsible for regulating the financial affairs of insurance companies. This includes reviewing insurance company financial statements, ensuring that companies are meeting their financial obligations, and taking enforcement actions against companies that are not financially sound.

Fraudulent and Abusive Business Practices

The Insurance Administrative Division is committed to protecting consumers from fraudulent and abusive business practices by insurance companies. This includes investigating complaints of fraud and abuse, taking enforcement actions against companies that engage in fraudulent or abusive practices, and educating consumers about how to protect themselves from fraud and abuse.

Financial Examination and Risk Assessment

The Insurance Administrative Division conducts financial examinations of insurance companies to assess their financial solvency and review their compliance with applicable laws and regulations. This information is used to identify any areas of concern and to take appropriate action to mitigate risks.

Special Investigations Unit

The Special Investigations Unit (SIU) is responsible for investigating complex and sensitive insurance fraud cases. The SIU has a team of experienced investigators who work with law enforcement and other agencies to bring insurance fraudsters to justice.

Rate and Form Analysis

The Rate and Form Analysis Division reviews and approves insurance rates and policy forms to ensure that they are fair and reasonable. This division also works with insurance companies to develop new products and services that meet the needs of consumers.

Consumer Services

The Consumer Services Division provides assistance to consumers with insurance-related issues. This includes answering questions about insurance coverage, helping consumers file insurance claims, and resolving disputes between consumers and insurance companies.

Information Technology

The Information Technology Division provides technical support to the Insurance Administrative Division and develops and maintains insurance-related databases and systems.

Marketing Surveillance

The Marketing Surveillance Division monitors the marketing practices of insurance companies to ensure that they are fair and not misleading. This division also investigates complaints about deceptive marketing practices and takes enforcement actions against companies that engage in such practices.

38. Civil Penalty Assessment

The Insurance Administrative Division has the authority to assess civil penalties against insurance companies that violate North Carolina insurance laws and regulations. The division may also impose administrative fines on individuals who violate the insurance laws.

Violation	Penalty
Failure to file an annual report	$1,000
Misrepresentation of policy terms	$5,000
Fraudulent insurance claim	$10,000

The Insurance Administrative Division is committed to protecting consumers and ensuring that insurance companies operate in a fair and ethical manner. The division will continue to enforce the insurance laws and regulations to protect the interests of North Carolina consumers.

The NC Insurance Commissioner’s Insurance Finance Division

The North Carolina Insurance Commissioner’s Insurance Finance Division is responsible for regulating the financial affairs of insurance companies operating in the state. The division also provides consumers with information and assistance on insurance matters.

Financial Regulation

The Insurance Finance Division ensures that insurance companies are financially sound and that they are able to meet their obligations to policyholders. The division conducts financial examinations of insurance companies and reviews their financial statements. The division also works with insurance companies to develop and implement financial recovery plans when necessary.

Capital and Surplus Requirements

Insurance companies must maintain a certain level of capital and surplus in order to operate in North Carolina. The capital and surplus requirements are designed to ensure that insurance companies have enough money to cover their liabilities and to protect policyholders from financial losses.

Financial Examinations

The Insurance Finance Division conducts financial examinations of insurance companies on a regular basis. The examinations review the financial condition of the company, including its assets, liabilities, and surplus. The division also examines the company’s underwriting practices, claims handling procedures, and investment portfolio.

Financial Recovery Plans

If an insurance company is found to be in financial trouble, the Insurance Finance Division may work with the company to develop and implement a financial recovery plan. The plan may include measures such as raising additional capital, selling assets, or reducing expenses.

Consumer Protection

The Insurance Finance Division also provides consumers with information and assistance on insurance matters. The division offers a variety of educational resources, including brochures, articles, and workshops. The division also operates a consumer hotline that provides consumers with information and assistance with insurance complaints.

Insurance Education

The Insurance Finance Division offers a variety of educational resources to help consumers understand insurance. The division offers brochures, articles, and workshops on a variety of topics, including health insurance, auto insurance, and homeowners insurance.

Consumer Hotline

The Insurance Finance Division operates a consumer hotline that provides consumers with information and assistance with insurance complaints. The hotline can be reached at 1-800-662-7773.

Additional Resources

The following table provides additional resources for consumers:

Resource	Contact Information
North Carolina Insurance Commissioner	1-800-662-7773
Insurance Finance Division	1-800-662-7773
Consumer Helpline	1-800-662-7773

The Insurance Finance Division is committed to protecting the financial interests of North Carolina consumers. The division works to ensure that insurance companies are financially sound and that they are able to meet their obligations to policyholders.

The NC Insurance Commissioner’s Insurance Data Management Division

The North Carolina Insurance Commissioner’s Insurance Data Management Division (IDMD) is the primary data resource for the North Carolina Department of Insurance and the industry it regulates. IDMD collects, manages, and analyzes data on insurance companies, agents, and products to support the department’s regulatory and consumer protection responsibilities.

Responsibilities

Collect and maintain data on insurance companies licensed to do business in North Carolina
Maintain a database of licensed insurance agents and brokers
Collect and analyze data on insurance products and rates
Provide data and analysis to support the department’s regulatory and consumer protection initiatives
Develop and maintain data standards and procedures
Ensure the security and confidentiality of data collected and maintained by the division

Data Collection

IDMD collects data from a variety of sources, including:

Insurance companies
Insurance agents and brokers
Consumers
State and federal agencies

The data collected includes:

Financial information
Market conduct data
Claims data
Policy data
Product data

Data Management

IDMD manages the data collected through a variety of methods, including:

Data warehousing
Data mining
Statistical analysis
Reporting

The data is used to create dashboards, reports, and other analytical tools that support the department’s regulatory and consumer protection initiatives.

Data Analysis

IDMD analysts use a variety of techniques to analyze the data collected, including:

Descriptive statistics
Inferential statistics
Predictive analytics
Data visualization

The analysis results are used to identify trends, patterns, and risks in the insurance market. This information is used to support the department’s regulatory and consumer protection initiatives.

Data Security

IDMD takes the security and confidentiality of data very seriously. The division has implemented a variety of security measures to protect the data it collects and maintains. These measures include:

Encryption
Access control
Firewalls
Intrusion detection systems
Data backup and recovery

Data Access

IDMD provides data to a variety of stakeholders, including:

The North Carolina Department of Insurance
The insurance industry
Consumers
Researchers

The data is provided in a variety of formats, including:

Reports
Dashboards
Data extracts
Application programming interfaces (APIs)

The IDMD’s Role in Consumer Protection

The IDMD plays a vital role in consumer protection by providing the data and analysis needed to identify and address potential problems in the insurance market. The division’s data and analysis are used to:

Monitor insurance rates
Identify and address fraud
Protect consumers from unfair and deceptive practices
Ensure the solvency of insurance companies
Educate consumers about insurance

The IDMD’s Future

The IDMD is committed to providing the data and analysis needed to support the North Carolina Department of Insurance’s regulatory and consumer protection initiatives. The division is constantly exploring new technologies and methods to improve its data collection, management, and analysis capabilities. The IDMD is also working to expand its data partnerships with other state and federal agencies.

Contact Information

North Carolina Insurance Commissioner’s Insurance Data Management Division
1101 Mail Service Center
Raleigh, NC 27699-1101
Phone: 919-807-7400
Fax: 919-807-7499
Email: [email protected]

Hours of Operation

Monday – Friday: 8:00 AM – 5:00 PM

Additional Resources

Data Type	Description
Financial data	Includes information on insurance companies’ assets, liabilities, and income.
Market conduct data	Includes information on insurance companies’ sales practices, marketing materials, and claims handling.
Claims data	Includes information on insurance claims, including the date, type, and amount of the claim.
Policy data	Includes information on insurance policies, including the type of policy, the coverage amount, and the policyholder’s information.
Product data	Includes information on insurance products, including the type of product, the coverage features, and the rates.

The NC Insurance Commissioner’s Insurance Governance Division

The NC Insurance Commissioner’s Insurance Governance Division is responsible for overseeing the financial stability of insurance companies and protecting the interests of insurance consumers in North Carolina. The division is led by the Insurance Commissioner, who is elected by the people of North Carolina. The Insurance Commissioner appoints the Deputy Commissioner of Insurance, who oversees the day-to-day operations of the division.

The Insurance Governance Division’s Responsibilities

The Insurance Governance Division has a wide range of responsibilities, including:

Regulating insurance companies and ensuring their financial stability
Protecting the interests of insurance consumers
Enforcing insurance laws and regulations
Educating consumers about insurance
Investigating insurance fraud

Financial Regulation

The Insurance Governance Division regulates insurance companies to ensure their financial stability. The division reviews insurance companies’ financial statements, examines their operations, and takes action to correct any financial problems. The division also sets financial standards for insurance companies and requires them to maintain adequate reserves. These actions help to ensure that insurance companies can pay claims to their policyholders.

Consumer Protection

The Insurance Governance Division protects the interests of insurance consumers by ensuring that insurance companies comply with state laws and regulations. The division investigates consumer complaints, reviews insurance policies, and takes action against insurance companies that engage in unfair or deceptive practices. The division also provides information and assistance to consumers about insurance.

Enforcement

The Insurance Governance Division enforces insurance laws and regulations by conducting investigations and taking appropriate action. The division may issue fines, revoke licenses, or order insurance companies to take corrective action. The division also works with other state agencies and law enforcement agencies to investigate insurance fraud.

Education

The Insurance Governance Division educates consumers about insurance by providing information and assistance. The division publishes a variety of educational materials, including brochures, articles, and online resources. The division also conducts workshops and seminars on insurance topics. These educational efforts help consumers to make informed decisions about insurance.

Investigation

The Insurance Governance Division investigates insurance fraud by conducting investigations and taking appropriate action. The division may issue fines, revoke licenses, or refer cases to law enforcement agencies. The division also works with other state agencies and law enforcement agencies to investigate insurance fraud.

The Insurance Governance Division’s Organization

The Insurance Governance Division is organized into four sections:

Financial Regulation Section
Consumer Protection Section
Enforcement Section
Education Section

The Financial Regulation Section is responsible for regulating insurance companies and ensuring their financial stability. The Consumer Protection Section is responsible for protecting the interests of insurance consumers. The Enforcement Section is responsible for enforcing insurance laws and regulations. The Education Section is responsible for educating consumers about insurance.

The Insurance Governance Division’s Budget

The Insurance Governance Division’s budget is approximately $20 million. The division’s funding comes from a variety of sources, including:

Insurance company assessments
Consumer fees
State appropriations

The Insurance Governance Division uses its funding to carry out its responsibilities, including regulating insurance companies, protecting insurance consumers, enforcing insurance laws and regulations, educating consumers about insurance, and investigating insurance fraud.

Budget Source	Amount
Insurance company assessments	$12 million
Consumer fees	$5 million
State appropriations	$3 million

The NC Insurance Commissioner’s Insurance Strategy Division

The North Carolina Insurance Commissioner’s Insurance Strategy Division is responsible for developing and implementing the state’s insurance strategy. The division works to ensure that the state’s insurance market is competitive, fair, and responsive to the needs of consumers and businesses.

Division Responsibilities

The Insurance Strategy Division has a wide range of responsibilities, including:

Developing and implementing the state’s insurance strategy
Monitoring the performance of the state’s insurance market
Identifying and addressing insurance issues
Working with other state agencies and stakeholders to develop and implement insurance policies
Providing information and assistance to consumers and businesses

Insurance Strategy Division Staff

The Insurance Strategy Division is staffed by a team of experienced professionals with expertise in insurance regulation and policy.

The staff includes:

Insurance Commissioner
Deputy Insurance Commissioner
Assistant Insurance Commissioners
Division Directors
Division Staff

Insurance Strategy Division Budget

The Insurance Strategy Division’s budget is approximately $10 million.

49. Insurance Strategy Division Accomplishments

The Insurance Strategy Division has a number of accomplishments, including:

Developing and implementing the state’s insurance strategy
Monitoring the performance of the state’s insurance market
Identifying and addressing insurance issues
Working with other state agencies and stakeholders to develop and implement insurance policies
Providing information and assistance to consumers and businesses

Accomplishment	Impact
Developing and implementing the state’s insurance strategy	Ensured that the state’s insurance market is competitive, fair, and responsive to the needs of consumers and businesses
Monitoring the performance of the state’s insurance market	Identified and addressed insurance issues
Working with other state agencies and stakeholders to develop and implement insurance policies	Developed and implemented insurance policies that are in the best interests of consumers and businesses
Providing information and assistance to consumers and businesses	Helped consumers and businesses understand their insurance options and make informed decisions

NC Insurance Commissioner: A Role in Ensuring Consumer Protection

The North Carolina Insurance Commissioner plays a vital role in safeguarding the interests of insurance consumers in the state. The Commissioner is responsible for regulating the insurance industry, ensuring that insurance companies operate in a fair and responsible manner, and that consumers have access to affordable and reliable insurance policies.

The Commissioner’s duties include overseeing the licensing and regulation of insurance companies, investigating consumer complaints, and enforcing insurance laws. The Commissioner also works to educate consumers about insurance and their rights as policyholders.

An effective Insurance Commissioner is essential for protecting consumers from fraud, abuse, and unfair business practices. The Commissioner must be knowledgeable about the insurance industry and committed to protecting the public interest.