North Carolina General Statutes
Article 2 - Commissioner of Insurance.
§ 58-2-131 - Examinations to be made; authority, scope, scheduling, and conduct of examinations.

58-2-131. Examinations to be made; authority, scope, scheduling, and conduct of examinations.
(a) This section and G.S. 58-2-132 through G.S. 58-2-134 shall be known and may be cited as the Examination Law. The purpose of the Examination Law is to provide an effective and efficient system for examining the activities, operations, financial condition, and affairs of all persons transacting the business of insurance in this State and all persons otherwise subject to the Commissioner's jurisdiction; and to enable the Commissioner to use a flexible system of examinations that directs resources that are appropriate and necessary for the administration of the insurance statutes and rules of this State.
(b) As used in this section and G.S. 58-2-132 through G.S. 58-2-134, unless the context clearly indicates otherwise:
(1) "Commissioner" includes an authorized representative or designee of the Commissioner.
(2) "Examination" means an examination conducted under the Examination Law.
(3) "Examiner" means any person authorized by the Commissioner to conduct an examination.
(4) "Insurance regulator" means the official or agency of another jurisdiction that is responsible for the regulation of a foreign or alien insurer.
(5) "Person" includes a trust or any affiliate of a person.
(c) Before licensing any person to write insurance in this State, the Commissioner shall be satisfied, by such examination and evidence as the Commissioner decides to make and require, that the person is otherwise duly qualified under the laws of this State to transact business in this State.
(d) The Commissioner may conduct an examination of any entity whenever the Commissioner deems it to be prudent for the protection of policyholders or the public, but shall at a minimum conduct a financial examination of every domestic insurer not less frequently than once every five years. In scheduling and determining the nature, scope, and frequency of examinations, the Commissioner shall consider such matters as the results of financial statement analyses and ratios, changes in management or ownership, actuarial opinions, reports of independent certified public accountants, and other criteria as set forth in the NAIC Examiners' Handbook.
(e) To complete an examination of any entity, the Commissioner may authorize an examination or investigation of any person, or the business of any person, insofar as the examination or investigation is necessary or material to the entity under examination.
(f) Instead of examining any foreign or alien insurer licensed in this State, the Commissioner may accept an examination report on that insurer prepared by the insurer's domiciliary insurance regulator. In making a determination to accept the domiciliary insurance regulator's report, the Commissioner may consider whether (i) the insurance regulator was at the time of the examination accredited under NAIC Financial Regulation Standards and Accreditation Program, or (ii) the examination is performed under the supervision of an NAIC-accredited insurance regulator or with the participation of one or more examiners who are employed by the regulator and who, after a review of the examination work papers and report, state under oath that the examination was performed in a manner consistent with the standards and procedures required by the regulator.
(g) If it appears that the insurer is of good financial and business standing and is solvent, and it is certified in writing and attested by the seal, if any, of the insurer's insurance regulator that it has been examined by the regulator in the manner prescribed by its laws, and was by the examination found to be in sound condition, that there is no reason to doubt its solvency, and that it is still permitted under the laws of such jurisdiction to do business therein, then, in the Commissioner's discretion, further examination may be dispensed with, and the obtained information and the furnished certificate may be accepted as sufficient evidence of the solvency of the insurer.
(h) Upon determining that an examination should be conducted, the Commissioner shall issue a notice of examination appointing one or more examiners to perform the examination and instructing them about the scope of the examination. In conducting the examination, an examiner shall observe the guidelines and procedures in the NAIC Examiners' Handbook. The Commissioner may also use such other guidelines or procedures as the Commissioner deems to be appropriate.
(i) Every person from whom information is sought and its officers, directors, and agents must provide to the Commissioner timely, convenient, and free access, at all reasonable hours at its offices, to all data relating to the property, assets, business, and affairs of the entity being examined. The officers, directors, employees, and agents of the entity must facilitate and aid in the examination. The refusal of any entity, by its officers, directors, employees, or agents, to submit to examination or to comply with any reasonable written request of the Commissioner or to knowingly or willfully make any false statement in regard to the examination or written request, is grounds for revocation, suspension, refusal, or nonrenewal of any license or authority held by the entity to engage in an insurance or other business subject to the Commissioner's jurisdiction.
(j) The Commissioner may issue subpoenas, administer oaths, and examine under oath any person about any matter pertinent to the examination. Upon the failure or refusal of any person to obey a subpoena, the Commissioner may petition the Superior Court of Wake County, and upon proper showing the Court may enter any order compelling the witness to appear and testify or produce documentary evidence. Failure to obey the Court order is punishable as contempt of court.
(k) When making an examination, the Commissioner may retain attorneys, appraisers, independent actuaries, independent certified public accountants, or other professionals and specialists as examiners. In the case of an examination of an insurer, the insurer shall bear the cost of retaining those persons.
(l) Pending, during, and after the examination of any entity, the Commissioner shall not make public the financial statement, findings, or examination report, or any report affecting the status or standing of the entity examined, until the entity examined has either accepted and approved the final examination report or has been given a reasonable opportunity to be heard on the report and to answer or rebut any statements or findings in the report. The hearing, if requested, shall be informal and private.
(m) Nothing in the Examination Law limits the Commissioner's authority to terminate or suspend any examination in order to pursue other legal or regulatory action under the laws and rules of this State and to use any final or preliminary examination report, any examiner or insurer work papers or other documents, or any other information discovered or developed during any examination in the furtherance of any legal or regulatory action that the Commissioner may consider to be appropriate. Findings of fact and conclusions made pursuant to any examination are prima facie evidence in any legal or regulator action. (1991, c. 681, s. 2; 1995, c. 360, s. 2(c); c. 517, s. 1; 1998-212, s. 26B(b), (c), (f); 2001-180, ss. 1, 2, 3; 2002-144, s. 6; 2002-187, ss. 2.1, 2.2; 2003-284, s. 22.2; 2004-124, s. 21.1.)

Structure North Carolina General Statutes

North Carolina General Statutes

Chapter 58 - Insurance

Article 2 - Commissioner of Insurance.

§ 58-2-1 - Department established.

§ 58-2-5 - Commissioner's election and term of office.

§ 58-2-10 - Salary of Commissioner.

§ 58-2-15 - Chief deputy commissioner.

§ 58-2-20 - Chief actuary.

§ 58-2-25 - Other deputies, actuaries, examiners and employees.

§ 58-2-30 - Appointments of committees or councils.

§ 58-2-31 - Seniors' Health Insurance Information Program.

§ 58-2-35 - Seal of Department.

§ 58-2-40 - Powers and duties of Commissioner.

§ 58-2-45 - Orders of Commissioner; when writing required.

§ 58-2-46 - State of disaster automatic stay of proof of loss requirements; premium and debt deferrals.

§ 58-2-47 - Incident affecting operations of the Department; stay of deadlines and deemer provisions.

§ 58-2-50 - Examinations, hearings, and investigations.

§ 58-2-52 - Appeals and rate-making hearings before the Commissioner.

§ 58-2-53 - Filing approvals and disapprovals; clarification of law.

§ 58-2-55 - Designated hearing officers.

§ 58-2-60 - Restraining orders; criminal convictions.

§ 58-2-65 - License surrenders.

§ 58-2-69 - Notification of criminal convictions and changes of address; service of notice; contracts for online services, administrative services, or regulatory data systems.

§ 58-2-70 - Civil penalties or restitution for violations; administrative procedure.

§ 58-2-75 - Court review of orders and decisions.

§ 58-2-80 - Court review of rates and classification.

§ 58-2-85 - Procedure on appeal under § 58-2-80.

§ 58-2-90 - Extent of review under § 58-2-80.

§ 58-2-95 - Commissioner to supervise local inspectors.

§ 58-2-100 - Office of Commissioner a public office; records, etc., subject to inspection.

§ 58-2-105 - Confidentiality of medical and credentialing records.

§ 58-2-110 - Original documents and certified copies as evidence.

§ 58-2-115 - Admissibility of certificate as evidence of agent's authority.

§ 58-2-120 - Reports of Commissioner to the Governor and General Assembly.

§ 58-2-121 - Report of Department to General Assembly committees on various relief funds.

§ 58-2-125 - Authority over all insurance companies; no exemptions from license.

§ 58-2-128 - Interagency consultation.

§ 58-2-131 - Examinations to be made; authority, scope, scheduling, and conduct of examinations.

§ 58-2-132 - Examination reports.

§ 58-2-133 - Conflict of interest; cost of examinations; immunity from liability.

§ 58-2-134 - Cost of certain examinations.

§ 58-2-136 - Insurer records sent to Department for examination; expenses.

§ 58-2-150 - Oath required for compliance with law.

§ 58-2-155 - Investigation of charges.

§ 58-2-160 - Reporting and investigation of insurance and reinsurance fraud and the financial condition of licensees; immunity from liability.

§ 58-2-161 - False statement to procure or deny benefit of insurance policy or certificate.

§ 58-2-162 - Embezzlement by insurance producers or administrators.

§ 58-2-163 - Report to Commissioner.

§ 58-2-164 - Rate evasion fraud; prevention programs.

§ 58-2-165 - Annual, semiannual, monthly, or quarterly statements to be filed with Commissioner.

§ 58-2-171 - Qualifications of actuaries.

§ 58-2-180 - Punishment for making false statement.

§ 58-2-185 - Record of business kept by companies and insurance producers; Commissioner may inspect.

§ 58-2-190 - Commissioner may require special reports.

§ 58-2-195 - Commissioner may require records, reports, etc., for agencies, insurance producers, and others.

§ 58-2-200 - Books and papers required to be exhibited.

§ 58-2-205 - CPA audits of financial statements.

§ 58-2-210 - Rules for mortgage insurance consolidations.

§ 58-2-215 - Consumer Protection Fund.

§ 58-2-220 - Insurance Regulatory Information System and similar program test data not public records.

§ 58-2-230 - Commissioner to share information with Department of Labor.

§ 58-2-235 - Expired.

§ 58-2-240 - Market conduct analysis, financial analysis, and related information not public record.

§ 58-2-245 - Access to employer taxpayer identification numbers contained in public documents.

§ 58-2-250 - Electronic filings.

§ 58-2-255 - Electronic insurance communications and records.