DEPARTMENT OF INSURANCE OVERSIGHT

Accountability and Enforcement Mechanisms
The NC Department of Insurance inspects health plans at least every three years (NCGS 58-2-131, 11 NCAC 19.0006). In addition, the Department can investigate complaints outside of the normal three-year cycle. If the Department finds problems, it can seek corrective action. If the problems are significant, the Department can seek to suspend or revoke the license, issue civil penalties, or seek injunctive relief. (NCGS 58-67-140, 58-67-165, 58-2-60, 58-2-70).

Consumer Services Division
The NC Department of Insurance has a Consumer Services Division that can help address consumer complaints. The Department can investigate the complaint and will intervene on behalf of the consumer if it thinks the health plan is acting improperly. The Consumer Services Division is open from 8:00 am to 4:50 pm Monday through Friday. The Division can be reached at: 1-800-662-7777 or 1-800-546-5664.

RETURN TO HOMEPAGE