Licensing Requirements and Forms
Please find all forms and filing requirements for the licensing of North Carolina Captive Insurance Companies including domestic Risk Retention Groups below
- Requirements for Captive Insurer License and Redomestication Applications
- Captive Manager Application
- Captive Insurer License Application
- Captive Insurer Redomestication Application
- Form C-101 Biographical Affidavit
- Form C-103 Captive Consent to Service of Process
- Form C-104 Financial Statement Attestation
- Form C-105 Special Purpose Financial Captive Insurer Affidavit
- Letter of Credit (LOC) Guideline