Insurance Continuing Education

• Licensee Written Certification
• Course Submission Form
• Individual Course Submission Packet

Insurer Information Examination Bureau Applications

• Accredited Reinsurer Application
• Medical Care Discount Card Application
• UCAA Adding Lines of Authority
• UCAA Expansion State Specific
• UCAA Primary State Specific
• UCAA Retaliatory Statement
• HMO Application
• Motor Club Application
• Premium Finance Co. Application
• Purchasing Group Application
• Qualified Charitable Organizations
• Rating Organization Application
• Reinsurance Intermediary Application
• Risk Retention Group Application
• Surplus Lines Company Application
• Third Party Administrator Application
• Viatical Settlement Provider Application

Corporate Changes

• Acquisition or Change in Ownership
• Adding to Lines of Authority
• Address Change
• Bulk Assumption Transfer
• Merger of Insurer
• Name Change
• Name Change - Surplus Lines
• Redomestication
• Redomestication - Surplus Lines
• Variable Authority

Lists

• Accredited Reinsurer List
• Eligible Surplus Lines Companies
• Surplus Lines Approved Risk List
  

Annual Fire and Police Forms

• Certification of Taxable Valuation
• Fire Department (Equipment) Report
• Police Finance Report
• Dept. of Administration Fire Finance Form

Misc

• Annual Renewals, Filings, & Tax Information
• NAIC Bio - Form11
• Service of Process Form 1042-00-INSURER
• Service of Process Form - SL
• Service of Process PG & RRG
• Service of Process Viatical BR
• Service of Process Viatical PR
• Surplus Lines Forms
• MT L&H Guaranty Assoc. Summary

Insurance Investigations

• Suspected Fraud Claim

Insurance Rates and Forms

• PPACA Uniform Compliance
• Contact Information
• General Procedures
• Certification Form
• Long Term Care Insurance Partnership
• Life & Disability Filing Instructions
• Form Filing Reference List
• P & C Rate Review Checklist
• Work Comp LCM Instructions
• Work Comp LCM Form Page 1
• Work Comp LCM Form Page 2

Insurance Licensing
*Business Entity (agency) licenses automatically renew in December, at no charge, if the affiliated producer’s license is active.

• Adjuster Licenses
• Business Entity - Car Rentals
• Resident or Non-Resident Business Entity Licenses*Important
• Certification/Clearance Letter Request Form
• Consultant Licenses
• Long-Term Care Training Licensee Compliance Reports
• Resident or Non-Resident Individual Producer Licensea *Important
• Surplus Line Producer's Licenses
• Motor Club Salesman or Agents

Contains application and instructions
*Business Entity (agency) licenses automatically renew in December, at no charge, if the affiliated producer’s license is active.

Viatical Settlement Broker Information

• Notification by Life Producer to act as Viatical Broker
• Viatical Settlement Broker Annual Reporting Forms
• Non-Life Licensed Viatical Broker Application

Securities Forms