№ files_lp_4_process_3_120296
Regulatory notification form used by the North Carolina Department of Insurance for annual confirmation of continuing eligibility for de minimis registration by Professional Employer Organizations operating with limited employee presence in North Carolina.
Jurisdiction: State of North Carolina, United States
Agency: North Carolina Department of Insurance
Division: Financial Oversight & Special Entities Division
Document Type: Annual regulatory notification form
Legal Basis: N.C. Gen. Stat. § 58-89A-75(e)
Subject: De minimis registration status for Professional Employer Organizations
Submission Period: January 1 – January 15 (annually)
Required From: De minimis registrants operating as Professional Employer Organizations
Information Required: Registrant identification, controlling persons, number of assigned employees in North Carolina, client company details, contact information
Compliance Statement: Attestation under penalty of perjury regarding accuracy of submitted information and eligibility criteria
Regulatory Conditions: Limits on number of assigned employees in North Carolina and restrictions on physical office and sales presence in the state
Submission Authority: Commissioner of Insurance of the State of North Carolina
Contact Office: Financial Oversight & Special Entities Division, North Carolina Department of Insurance
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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