SUBCHAPTER 6B ‑ THIRD PARTY ADMINISTRATOR

SECTION .0100 ‑ DESCRIPTION OF FORMS

11 NCAC 06B .0101          APPLICATION FORM

11 NCAC 06B .0102          BIOGRAPHICAL AFFIDAVIT

11 NCAC 06B .0103          TPA TRANSMITTAL

11 NCAC 06B .0104          RENEWAL APPLICATION FORM

11 NCAC 06B .0105          RENEWAL TPA TRANSMITTAL

History Note:        Filed as a Temporary Amendment Eff. July 18, 1989, For a Period of 180 Days to Expire on

January 12, 1990;

Filed as a Temporary Rule Eff. May 16, 1988 For a Period of 180 Days to Expire on

November 11, 1988;

Authority G.S. 58‑9; 58‑536;

Eff. November 1, 1988;

Amended Eff. February 1, 1990;

Repealed Eff. January 1, 1997.