Life & Health Licensing, Renewals and Other - Viatical To view information related to each subject, select the subject from the drop-down list. Select: Licensing, Renewals and Other... Licensing, Renewals and Other - HMO Licensing, Renewals and Other - PPO Licensing, Renewals and Other - MEWA Licensing, Renewals and Other - TPA Licensing, Renewals and Other - Viatical Licensing, Renewals and Other - Charitable Gift Annuities Licensing Forms and Checklist Reporting Filing Instructions Viatical Providers Licensing General Information: 2017 License renewal an Annual Report Notice General Information The Viatical Settlements Act (Summary of House Bill 359) Frequently Asked Questions (House Bill 359) NC Statutes - Part 5 of Article 58 of Chapter 58 of NCGS NC Administrative Code - T11 NCAC Chapter 12 Section .1700 Viatical Settlement Providers (VSP): Application Forms Required in an Initial Licensure Submission VSP License Transmittal VSP Initial License Application VSP Power of Attorney for Company VSP Power of Attorney for Partnership VSP Biographical Affidavit Application Forms Required in Renewal Licensure Submission VSP Renewal Notice Information VSP Renewal License Application VSP License Transmittal Viatical Settlement Brokers/Representatives: Agent Services Division Annual Reports due by June 1st each year from Viatical Settlement Providers & Brokers: Provider Annual Report Broker Annual Report Forms and Checklist Standard Required Forms and Checklists Reporting Providers Annual Report Brokers Annual Report Questions about reporting should be directed to the Life & Health Inbox at: L&Hinbox@ncdoi.gov Filing Instructions Viatical Settlement Provider (VSP) License Application Submission Instructions Viatical Providers Here is a list of the active licensed viatical settlement providers in North Carolina. Please contact the L&H Division regarding this list if you have any questions. We can be emailed at L&Hinbox@ncdoi.gov or call 919-807-6055. Active Viatical Settlement Provider