The North Carolina Department of Insurance (NC DOI) regulates the insurance industry in North Carolina, which encompasses all types of insurance, such as health, life, long-term care, disability, homeowners, and auto insurance, and oversees collection agencies, among other duties. The NC DOI assists consumers with questions about insurance and claims filing. It also investigates complaints and allegations of insurance fraud. In the context of protecting vulnerable adults, the NC DOI contributes in many ways, including:
Senior Fraud Education
The NC DOI offers programs and information about preventing fraud targeting older adults. This includes educating older adults about insurance scams, Medicare fraud, or other schemes that specifically prey on older adults.
SHIIP
The Seniors’ Health Insurance Information Program (SHIIP) is a part of the NC DOI. SHIIP counselors offer free, objective information about Medicare, Medicare supplements, Medicare Advantage plans, Medicare prescription drug plans, long-term care insurance, and other health insurance concerns. This helps older adults make informed decisions and avoid potential pitfalls.
Regulation and Consumer Protection
The NC DOI regulates insurance companies and agents to ensure they are operating legally and ethically. If an insurance company or agent is taking advantage of older an older adult or not acting in their best interest, the NC DOI can intervene.
Publications and Resources
The NC DOI provides publications and online resources specifically geared towards older adults, informing them about their rights, options, and potential red flags.
Collaboration with Other Agencies
While direct adult protective services does not fall under the NC DOI’s purview, they can collaborate with other state and local agencies that do handle such matters, like the North Carolina Division of Aging and Adult Services, and local county departments of social services. The NC DOI can provide these agencies with relevant information about insurance fraud or other related issues that might affect seniors.
