Key Takeaways

  • North Carolina requires a 10-day free look period for disability insurance policies
  • Individual disability policies must include standard policy provisions
  • North Carolina participates in the Long-Term Care Partnership Program
  • LTC policies must offer inflation protection options and nonforfeiture benefits
  • Producers must complete additional training to sell long-term care insurance
Last updated: January 2026

North Carolina Disability and Long-Term Care Insurance

North Carolina has specific regulations for disability income insurance and long-term care insurance that protect consumers and ensure adequate coverage.

Disability Income Insurance

Free Look Period

North Carolina requires a 10-day free look period for individual disability insurance:

  • Policyholder can return for full premium refund
  • Begins when policy is delivered
  • Applies to individual policies

Required Policy Provisions

North Carolina disability policies must include:

ProvisionRequirement
Grace PeriodMinimum 31 days for annual premium
ReinstatementMust allow reinstatement within 3 years
Notice of Claim20 days after loss begins
Time to Pay ClaimsPromptly after proof of loss
Legal ActionsNo earlier than 60 days after proof of loss
Time Limit on Certain Defenses2 years for contestability

Renewability Types

TypeDescription
Non-CancellableCannot cancel, cannot raise rates
Guaranteed RenewableCannot cancel, can raise rates by class
Conditionally RenewableCan cancel for specific reasons
Optionally RenewableInsurer can cancel at anniversary

Definition of Disability

North Carolina recognizes different definitions:

DefinitionCoverage
Own OccupationCannot perform your specific job
Any OccupationCannot perform any job you're suited for
Split DefinitionOwn occ initially, then any occ

Long-Term Care Insurance

North Carolina has comprehensive LTC insurance regulations:

Free Look Period

  • 30-day free look for LTC policies
  • Applies to all individual LTC policies
  • Policyholder can return for full refund

Required Provisions

ProvisionRequirement
RenewabilityMust be guaranteed renewable
Pre-existing ConditionsMax 6-month look-back period
Elimination PeriodMust disclose clearly
Inflation ProtectionMust offer option
NonforfeitureMust offer option

Inflation Protection Options

Insurers must offer at least one inflation protection option:

  • Compound inflation (3% or 5%)
  • Simple inflation
  • Consumer Price Index adjustment
  • Benefit increase option

North Carolina Partnership Program

North Carolina participates in the Long-Term Care Partnership Program:

How It Works

  • Purchase a Partnership-qualified LTC policy
  • Use benefits for care
  • If benefits exhaust, apply for Medicaid
  • Asset protection - Keep assets equal to benefits received

Example

Without PartnershipWith Partnership
Spend down to $2,000Protect assets up to benefits paid
Lose most assetsMay keep significant assets
Standard Medicaid rulesEnhanced asset protection

Producer Requirements

To sell LTC insurance in North Carolina:

  • Complete 8 hours of LTC-specific training initially
  • Complete ongoing training for renewals
  • Training must be NCDOI-approved
  • Must complete before selling LTC products
Test Your Knowledge

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Test Your Knowledge

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Test Your Knowledge

How many hours of initial training must a North Carolina producer complete to sell long-term care insurance?

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