DPC status
- DPC statute
Does the state have a law defining DPC as outside insurance regulation?
Yes. N.C. Gen. Stat. 58-3-8, enacted by Session Law 2020-85.
"A medical direct primary care agreement is not insurance and is not subject to the provisions of this Chapter. Entering into a medical direct primary care agreement is not the business of insurance and is not subject to the provisions of this Chapter."
N.C. Gen. Stat. 58-3-8(b) (opens in a new tab)Checked September 17, 2026
- Statute requirements
Required contract terms, disclosures, fee limits or registration
Seven required terms. No registration, no fee cap, no set notice period and no refund rule.
The agreement must be in writing; be signed by the provider or the provider's agent and by the patient, an adult family member or the patient's legal representative; allow either party to terminate with written notice; specify the periodic fee; specify the primary care services the fee covers; specify the duration and any automatic renewal periods; and prominently state in writing that it is not health insurance. The statute does not say how many days of notice are needed and does not require a refund of prepaid fees, so add both to your agreement.
N.C. Gen. Stat. 58-3-8(d) (opens in a new tab)Checked September 17, 2026
- Insurance regulator position
Any bulletin or ruling on memberships where no statute exists
No published position found. The statute controls.
News coverage of the bill reported senators saying the Department of Insurance did not object to it. That is a reporter's account of what legislators said, not a statement from the Department.
Carolina Journal report on the bill (opens in a new tab)Checked September 17, 2026