|
AL
|
Alabama Department of Insurance
P.O. Box 303351
Montgomery, AL 36130
Or overnight delivery to:
201 Monroe Street, Suite 1700
Montgomery, AL 36104
|
Hamp Russell
(334) 240-4420
Richard.Russell@insurance.alabama.gov
Carla Donney
(334) 241-4180
Carla.Donney@insurance.alabama.gov
Company Licensing
admissions@insurance.alabama.gov
|
| AK |
Expansion Apps:
Alaska Division of Insurance
Insurance Financial Examiner
550 West 7th Avenue, Suite 1560
Anchorage, AK 99501-3567
Standard or Overnight Delivery
Use the above address for Anchorage
Corporate Amendments App:
Alaska Division of Insurance
Financial Reports and Audits Section
P.O. Box 110805
Juneau, AK 99811-0805
or
Overnight Delivery (Juneau-Only)
9th Floor, State Office Building
333 Willoughby
Juneau, AK 99801
|
Expansion Apps:
Jeffery Bethel
(907) 269-7919
jeffery.bethel@alaska.gov
Corporate Amendments Apps:
Kevin Richard
(907) 269-7900
kevin.richard@alaska.gov
Contact Changes and Form 12 Submissions:
Sonnet Reddoor
Sonnet.reddoor@alaska.gov
|
| AZ |
Arizona Department of Insurance and Financial Institutions
Financial Affairs Division
100 N. 15th Ave., Suite 261
Phoenix, AZ 85007-2630
|
Expansion, Adding and Deleting Lines of Business Applications
Cary W. Cook
Assistant Financial Compliance Officer
(602) 364-3986
cary.cook@difi.az.gov
Corporate Amendments Applications
Tony McCormack
Insurance Analyst
(602) 364-3245
tony.mccormack@difi.az.gov
|
| AR |
Arkansas Department of Commerce
Arkansas Insurance Department - Finance Division
1 Commerce Way, Suite 505
Little Rock, AR 72202-2087
|
Kimberly S. Johnson, Finance Division
(501) 371-2680
kimberly.johnson@arkansas.gov
|
| CA |
California Department of Insurance
Corporate Affairs Bureau
1901 Harrison Street, 6th Floor
Oakland, CA 94612
|
Expansion, Adding and Deleting Lines of Business; applications submitted electronically to email listed below. Filing fees mailed.
CAB-SF-Intake
CAB-SF-Intake@insurance.ca.gov
(415) 538-4035
|
| CO |
Colorado Division of Insurance
1560 Broadway, Suite 850
Denver, CO 80202
|
Expansion Apps:
Cindy Hathaway
Director, Corporate Affairs
(303) 894-7836
cindy.hathaway@state.co.us
Corporate Amendments Apps:
Leona Martinez
(303) 894-7475
Leona.Martinez@state.co.us
Service of Process:
Christine Gonzales-Ferrer
Compliance Specialist
christine.gonzales-ferrer@state.co.us
|
| CT |
State of Connecticut
Insurance Department
Financial Regulations Division
P.O. Box 816
Hartford, CT 06142-0816
Or overnight delivery to:
153 Market Street
Hartford, CT 06103
|
Company Licensing Section
(860) 297-3814
cid.financial@ct.gov
|
| DE |
Delaware Department of Insurance
Attn: BERG
1351 West North St., Suite 101
Dover, DE 19904
|
Expansion and Foreign Corp. Amendments Apps:
Attn: BERG
berg@delaware.gov
|
| DC |
Department of Insurance, Securities and Banking
Attn: Kathy Alexander
1050 First Street, NE, Suite 801
Washington, DC 20002
|
Kathy Alexander, Insurance Licensing Specialist
(202) 442-7819
kathy.alexander@dc.gov
Nathaniel Brown, Supervisory Ins. Examiner
(202) 442-7785
nathaniel.brown@dc.gov
|
| *FL |
For all Life & Health Applications:
Primary, Expansion & Corporate Amendment Apps:
Office of Insurance Regulation
Applications Coordination Section
200 East Gaines Street
Tallahassee, Florida 32399-0326
lhappcoord@floir.com
For all Property & Casualty Applications:
Primary, Expansion & Corporate Amendment Apps:
Office of Insurance Regulation
Applications Coordination Section
200 East Gaines Street
Tallahassee, Florida 32399-0326
pcappcoord@floir.com
|
Contact:
Joe Erhart
Applications Coordinator 鈥 L&H
(850) 413-5066
joe.erhart@floir.com
Contact:
Katherine Schwalb
Application Coordinator 鈥 P&C
(850) 413-2405
katherine.schwalb@floir.com
|
| FL |
*Applications are required to be submitted electronically; either by utilizing the UCAA Electronic Application or by submitting directly through the Office鈥檚 select iApply-Online Company Admissions. |
| GA |
Georgia Department of Insurance
Division of Insurance and Financial Oversight
2 Martin Luther King, Jr. Drive
Suite 904, West Tower
Atlanta, Georgia 30334
|
Expansion Applications/Adding and Deleting LOB contact:
Patricia Coppel, Assistant Director
404-656-2413
pcoppel@oci.ga.gov
Corporate Amendment Applications:
Keyatta Kelly, Business Support Supervisor
404-463-2104
RegServices@oci.ga.gov
|
| HI |
Expansion, and Corporate Amendment Applications:
State of Hawaii, Insurance Division
Department of Commerce and Consumer Affairs
Certification and Agency Examination Section
P. O. Box 3614
Honolulu, Hawaii 96811-3614
Or overnight delivery to:
State of Hawaii, Insurance Division
Department of Commerce & Consumer Affairs
Attn: Certification & Agency Examination Section
335 Merchant Street, Room 213
Honolulu, Hawaii 96813
|
Expansion Apps:
Irene Baek
Phone: (808) 586-3870
Email: ibaek@dcca.hawaii.gov
Andrew Chow, Insurance Examiner
Phone: (808) 586-3874
Fax: (808) 586-3873
Email: achow@dcca.hawaii.gov
Corporate Amendment Apps:
Gale E. Miyazaki, Insurance Examiner
Phone: (808) 587-6741
Fax: (808) 586-3873
Email: gmiyazak@dcca.hawaii.gov
|
| ID |
Idaho Department of Insurance
Company Admission
Technical Records Specialist
700 W. State Street, 3rd Floor
Boise, Idaho 83720-0043
|
Expansion Apps and For Adding and Deleting Lines of Business:
Company Admission
Technical Records Specialist
(208) 334-4250
DOI.CompanyActivities@doi.idaho.gov
Corporate Amendments App:
Candice Pratt
Technical Records Specialist
(208) 334-4311
candice.pratt@doi.idaho.gov
|
| IL |
Illinois Department of Insurance
Corporate Regulation Section
320 West Washington - 4th Floor
Springfield, IL 62767-0001
|
Expansion Apps; Foreign Corporate Amendment Applications:
Marcy Savage (P&C)
(217) 524-0016
Marcy.Savage@illinois.gov
Amy Stuart (Life & Health)
(217) 782-9694
Amy.stuart@illinois.gov
|
| IN |
Indiana Department of Insurance
Financial Services Division
311 West Washington Street, Suite 103
Indianapolis, IN 46204
|
Expansion Apps:
Connie Wright (317) 232-1994
cowright1@idoi.in.gov
Corporate Amendment Apps:
Annette Gunter 317-232-2428
agunter@idoi.in.gov
Deposits
Nasya Burkeen
(317) 232-2383
nburkeen@idoi.in.gov
|
| IA |
Iowa Insurance Division
1963 Bell Avenue, Suite 100
Des Moines, IA 50315
|
Dana Sanders
Company Licensing Coordinator
company.licensing@iid.iowa.gov
|
| KS |
Kansas Insurance Department
1300 SW Arrowhead Road
Topeka, KS 66604
|
Expansion Apps:
Tish Becker
Director of Financial Surveillance
(785) 296-7816
tish.becker@ks.gov
Jennifer Zavadil (Expansion)
Senior Financial Analyst
(785) 296-7820
jennifer.zavadil@ks.gov
Deposit Administration:
Sarah K. Smith
Financial Analyst
(785) 296-7819
sarah.smith@ks.gov
Corporate Amendments App:
Toni Garrard
Senior Administrative Assistant - Legal Division
785-296-7811
Toni.garrard@ks.gov
|
| KY |
Kentucky Department of Insurance
Financial Standards & Examination Division
PO Box 517
Frankfort, KY 40602-0517
|
Expansion App鈥檚.
Rodney Hugle, Asst. Director
(502) 564-6082 ext. 25256
Rodney.hugle@ky.gov
Corporate Amendments App:
Gina Metts
Financial Standards and Examination Division
(502) 782-5298
gina.metts@ky.gov
|
| LA |
Louisiana Department of Insurance
P.O. Box 94214
Baton Rouge, LA 70804-9214
Or overnight delivery to:
1702 N. 3rd Street
Baton Rouge, LA 70802
|
Expansion & Corporate Amendments Apps:
Tangela Byrd, Director
Office of Licensing
Company Licensing Division
(225) 342-5972
Fax: (225) 219-9322
Tangela.byrd@ldi.la.gov
|
| ME |
Maine Bureau of Insurance
34 State House Station
Augusta, ME 04333-0034
Overnight/Physical delivery to:
Bureau of Insurance
76 Northern Avenue
Gardiner, ME 04345
|
Expansion Applications:
Lauri Cooper, Senior Examiner
(207) 624-8464
laurelyn.s.cooper@maine.gov
Corporate Amendment Applications:
Lauri Cooper, Senior Examiner
(207) 624-8464
laurelyn.s.cooper@maine.gov
|
| MD |
Maryland Insurance Administration
Company Licensing Unit
200 St. Paul Place, Suite 2700
Baltimore, Maryland 21202
|
Erin Nickles
Director of Company Licensing and Premium Tax Auditing
(410) 468-2451 (Office)
erin.nickles@maryland.gov
|
| MA |
Commonwealth of Massachusetts Division of Insurance
Financial Surveillance and Insurance Licensing
1000 Washington Street, Suite 810
Boston, MA 02118-6200
|
Expansion/Corp. Amendment Apps:
Jack Baglio
Financial Surveillance & Company Licensing
(617) 521-7394
john.baglio@state.ma.us
|
| MI |
Department of Insurance and Financial Services
Office of Insurance Financial and Market Regulation
Mason Building, 7th Floor
530 W. Allegan Street
Lansing, MI 48933
or
P.O. Box 30220
Lansing, MI 48909-7720
|
Linda Martin
Application Coordinator
(517) 284-8756
martinl@michigan.gov
|
| MN |
Minnesota Department of Commerce
Insurance Division
85 7th Place East, Suite 280
St. Paul, MN 55101-2198
|
Company Licensing
companylic.commerce@state.mn.us
|
| MS |
Mississippi Insurance Department
P.O. Box 79
Jackson, MS 39205-0079
Or overnight delivery to:
1001 Woolfolk State Office Building
501 N. West Street
Jackson, MS 39201
|
Expansion Apps:
Chad T. Bridges, CFE
Chief Examiner
(601) 359-2136
Chad.Bridges@mid.ms.gov
Corp. Amendments Apps:
Compliance@mid.ms.gov
601-359-2479
|
| MO |
Department of Commerce and Insurance
Rm 530, HST Bldg.
301 W. High Street
Jefferson City, MO 65101
|
Expansion and Foreign Corp. Amend.
Kelly Hopper
Kelly.Hopper@insurance.mo.gov
(573)751-2711
|
| MT |
Montana State Auditor's Office
Commissioner of Securities and Insurance
840 Helena Avenue
Helena, MT 59601
|
Tavin Mogus
(406) 444-3469
tmogus@mt.gov
|
| NE |
Nebraska Department of Insurance
Financial Examination Division
1526 K Street, Suite 200
Lincoln, NE 68508
OR
PO Box 95087
Lincoln, NE 68509-5087
|
Expansion Apps:
Kristy Hadden
Company Administrator
(402) 471-0373
Kristy.hadden@nebraska.gov
Corporate Amendments Apps:
Lori Bruss
Staff Assistant II
(402) 471-4045
doi.companylicensing@nebraska.gov
Statutory Deposits:
doi.statutorydeposits@nebraska.gov
|
| NV |
Department of Business and Industry
Nevada Division of Insurance
Corporate & Financial Affairs
1818 East College Pkwy, Suite 103
Carson City, NV 89706
|
Company Licensing:
finances@doi.nv.gov
(775) 687-0700
|
| *NH |
Financial Regulation Division
New Hampshire Insurance Department
21 S. Fruit St., Suite 14
Concord, NH 03301
|
Expansion & Corporate Amendment Applications
companylicensing@ins.nh.gov
|
| *NJ |
Expansion and Foreign Corporate Amendment Apps:
Non Life/Health
New Jersey Department of
Banking and Insurance
Office of Solvency Regulation
Attn: Nakia Reid or Sally Becorena
P.O. Box 325
Trenton, NJ 08625-0325
Life/Health
New Jersey Department of
Banking and Insurance
Office of Solvency Regulation
Attn: June Duggan and Nakia Reid
P.O. Box 325
Trenton, NJ 08625-0325
Or overnight delivery to:
20 West State Street, 8th Floor
Trenton, NJ 08608
|
Expansion and Foreign Corporate Amendment Apps:
Non Life/Health
Attn: Nakia Reid or Sally Becorena
(609) 940-7613 or (609) 940-7436
Nakia.Reid@dobi.nj.gov or Sally.Becorena@dobi.nj.gov
Life/Health
Attn: Nakia Reid and June Duggan
(609) 940-7613 or (609) 940-7410
Nakia.Reid@dobi.nj.gov or June.duggan@dobi.nj.gov
All Corporate Amendments Applications:
Nakia Reid
(609) 940-7613
Nakia.Reid@dobi.nj.gov
|
| NM |
Office of Superintendent of Insurance
Company Licensing Bureau
P.O. Box 1689
Santa Fe, NM 87504-1689
Or overnight delivery to:
1120 Paseo de Peralta, Room 439
Santa Fe, NM 87501
|
Victoria A. Baca
Licensing Director
(505) 827-4554
Victoriaa.baca@osi.nm.gov
Ursula Almada
Company Licensing Bureau
(505) 827-4524
Ursula.almada@osi.nm.gov
|
| NY |
Property Expansion Apps
State of New York Department of Financial Services
Property Bureau, 20th Floor
One Commerce Plaza
Albany, NY 12257
State of New York Department of Financial Services
Attn: (Life, Health) Bureau*
One State Street
New York, NY 10004
Submit an additional original to:
Office of General Counsel
State of New York Department of Financial Services
One Commerce Plaza
Albany, NY 12257
*Only applies to Life and Health bureaus. |
Property Expansion Apps:
PropertyInsuranceCompanyLicensingUnit@dfs.ny.gov
Property Corporate Amendments, Mergers & Acquisitions Apps:
PropertyFinancial@dfs.ny.gov
Life
Victor Agbu
(212) 480-5040
Victor.agbu@dfs.ny.gov
Health
HealthBureauRegulatory@dfs.ny.gov
Tom Dudek
(212) 480-5037
Thomas.dudek@dfs.ny.gov
|
| *NC |
Expansion/ Corporate Amendments Apps:
North Carolina Department of Insurance
Financial Analysis & Receivership Division
1203 Mail Service Center
Raleigh, NC 27699-1203
Or overnight delivery to:
3200 Beechleaf Ct.
Raleigh, NC 27604
|
Expansion Apps:
Attn: Scott Wicker
(919) 807-6142
Scott.Wicker@ncdoi.gov
Corporate Amendments:
Attn: Joe Greene
(919) 807-6182
joseph.greene@ncdoi.gov
|
| ND |
North Dakota Insurance Department
Company Licensing
600 E. Boulevard Ave, Dept. 401
Bismarck, ND 58505
|
Company Licensing and Examinations Division
North Dakota Insurance Department
600 East Boulevard Ave., Dept. 401
Bismarck, ND 58505-0320
(701) 328-2440
colicexam@nd.gov
|
| OH |
Ohio Department of Insurance
Office of Risk Assessment
50 W. Town Street, Suite 300
Columbus, OH 43215
|
Expansion Apps:
Cameron Piatt
Assistant Chief-Taxes, Admissions and Foreign Analysis
Office of Risk Assessment
(614) 728-1074
Cameron.Piatt@insurance.ohio.gov
Corporate Amendment Apps:
Janice Wheatley
Office of Risk Assessment
(614) 728-1074
Janice.wheatley@insurance.ohio.gov
|
| *OK |
Expansion Applications 鈥 Fee $1,160
Oklahoma Insurance Department
Attn: Financial Division
400 NE 50th Street
Oklahoma City, OK 73105
Division Phone: 405-521-6648
Division Fax: 405-522-2640 or 405-522-4160
Contact Updates 鈥 No fee
UCAA Form 14 鈥 Please file electronically through the amendment application portal.
|
Luis Fuentes
Financial Specialist
(405)521-6623
Luis.Fuentes@oid.ok.gov
|
| OR |
Oregon Department of Consumer & Business Services
Division of Financial Regulation
350 Winter Street NE
Salem, Oregon 97301-3883
|
Insurance Institutions
503-947-7982
Web.Inscomp@dcbs.oregon.gov
|
| *PA |
Pennsylvania Insurance Department
Company Licensing Division
1345 Strawberry Square
Harrisburg, PA 17120
|
Steve Yerger, Senior
Insurance Company Licensing Specialist
(717) 783-2660
syerger@pa.gov
or
ra-in-companylicense@pa.gov
|
| PR |
Mailing Address:
361 Calle Calaf
PO Box 195415
San Juan, PR 00919
Street Address:
Edificio World Plaza
268 Mu帽oz Rivera Avenue
San Juan, PR 00918
|
Expansion and Foreign Corporate Amendments Apps:
Mrs. Glorimar Santiago
Director
Admissions and Financial Analysis Division
(787) 304-8686 Ext. 4401
gsantiago@ocs.pr.gov
Mrs. Maria Morcelo
Supervisor
Admissions and Financial Analysis Division
(787) 304-8686 Ext. 4404
mariamorcelo@ocs.pr.gov
|
| RI |
State of RI
Dept of Business Regulation
Insurance Division
1511 Pontiac Avenue, Bldg. 69-2
Cranston, RI 02920
|
Debra Almeida
Principal Insurance Examiner
(401) 462-9452
Debra.almeida@dbr.ri.gov
|
| SC |
South Carolina Department of Insurance
1201 Main St., Suite 1000
Columbia, SC 29201
Or:
P.O. Box 100105
Columbia, SC 29202-3105
|
Expansion Apps:
Deonna Rogers
Company Licensing Manager
(803) 737-6173
drogers@doi.sc.gov
Corporate Amendment Apps:
fnclmail@doi.sc.gov
|
| *SD |
South Dakota Division of Insurance
124 S. Euclid Ave, 2nd FL
Pierre, SD 57501
|
Ky Palmer
Program Assistant I
(605)773-4362
Ky.Palmer@state.sd.us
|
| TN |
Tennessee Department of Commerce and Insurance
500 James Robertson Parkway
10th Floor, Analytical Section
Nashville, TN 37243-0576
|
Phil Adams
(615) 741-6152
Phil.adams@tn.gov
|
| TX |
Company Licensing and Registration, MC: FRD
Texas Department of Insurance
1601 Congress Ave, Ste 6.900
Austin, TX 78701
|
Company Licensing and Registration Office
(512) 676-6365
General Inquiries: CompanyLicense@tdi.texas.gov
Submit Filings to: CLRFilings@tdi.texas.gov or via UCAA electronic application process
|
| UT |
Utah Insurance Department
Examination Division
4315 South 2700 West
Taylorsville, UT 84129
|
Jay Sueoka
Company Licensing
(801) 957-9253
company-renewals@utah.gov
Karen Gholston
(801) 957-9258
kgholston@utah.gov
|
| VT |
Department of Financial Regulation, Insurance Division
Company Licensing Section
89 Main Street
Montpelier, VT 05620
|
Company Licensing Section
(802) 828-2470
Dfr.complic@vermont.gov
|
| VA |
Virginia State Corporation Commission
Bureau of Insurance
P.O. Box 1157
Richmond, VA 23218
Or Overnight Delivery to:
Tyler Building
1300 E. Main Street
Richmond, VA 23219
|
Expansion Apps:
Kevin McClain
Insurance Financial Analyst
Company Licensing& Regulatory Compliance
kevin.mcclain@scc.virginia.gov
(804) 371-9432
Corporate Amendments Apps:
Gayle Henderson
Office Supervisor
(804) 371-9869
Gayle.Henderson@scc.virginia.gov
|
| WA |
Washington State Office of the Insurance Commissioner
P.O. Box 40255
Olympia, WA 98504-0255
Or Overnight delivery to:
5000 Capitol Blvd. SE
Tumwater, WA 98501
|
Expansion Apps:
Jason Carr
(360) 725-7193
jason.carr@oic.wa.gov
Corporate Amendments Apps:
Jason Carr
(360) 725-7193
jason.carr@oic.wa.gov
|
| WV |
WV Offices of the Insurance Commissioner
Financial Conditions Division
P.O. Box 50540
Charleston, WV 25305-0540
|
Financial Conditions Division
(304) 558-2100
oicfinancialconditions@wv.gov
|
| WI |
Office of the Commissioner Of Insurance
P.O. Box 7873
Madison, WI 53707-7873
Or Overnight delivery to:
Office of the Commissioner of Insurance
125 South Webster Street
Madison, WI 53703
|
Expansion Applications:
Mark McNabb
(608) 266-8854
mark.mcnabb@wisconsin.gov
Corporate Amendments Applications:
Suzanne Vinmans
(608) 266-9891
suzanne.vinmans@wisconsin.gov
|
| *WY |
Wyoming Dept. of Insurance
106 East 6th Avenue
Cheyenne, WY 82002
|
Expansion Apps:
Tracy McEwen
Chief Financial Examiner
(307) 777-5619
tracy.mcewen1@wyo.gov
Corporate Amendments Apps:
Joyce Aiken
(307) 777-7401
joyce.aitken1@wyo.gov
Tracy McEwen
Chief Financial Examiner
(307) 777-5619
tracy.mcewen1@wyo.gov
|
