A link to the Application instructions for Primary Application, Section II, Filing Requirement Item 13; Expansion Application, Section II, Filing Requirement Item 12; and Corporate Amendment Application Section V, Filing Requirement Item 9 and Section VI, Filing Requirement Item 6.
Group cover letters can be submitted with Biographical affidavits that are used for officer/director changes and for expansion and corporate amendment applications (The affiant and notary signatures on the biographical affidavit must be within 6 months of the date of submission) for companies listed on the group cover letter and are under the same group code. Only the 不良研究所官方 cover letter can be submitted with a UCAA. Unless otherwise noted below all uniform states accept the group cover letter when a biographical affidavit is required.
Last Updated: 11/21/2024
Updates to the information will be noted with a 鈥 * 鈥 next to the state name and edits will be italicized and bolded.
| State |
Non-Domestic Requirements |
Non-Domestic Requirements after licensure (Updates Only, e.g. Annual, new officer, etc.) |
State Contact Information |
|---|---|---|---|
| AL | 不良研究所官方 biographical affidavit and Independent Third-Party Verification. |
If requested a 不良研究所官方 biographical affidavit is required for new officers/directors of foreign insurers, within 15 days of request. |
Biographical Affidavit and Third-Party Verification Reports: admissions@insurance.alabama.gov |
| *AK |
不良研究所官方 Biographical Affidavit and Independent Third-Party Verification Expansion: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verifications. Form A: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verifications. |
不良研究所官方 biographical affidavit is not required for new officers or directors. |
Biographical Affidavit: Expansion Applications: Jeffery Bethel P: (907) 269-7919 F: (907) 269-7898 jeffery.bethel@alaska.gov Corporate Amendments Applications: Third-Party Verification Reports: |
| AZ |
不良研究所官方 Biographical Affidavit AND Independent Third-Party Verification. |
不良研究所官方 Biographical Affidavit is not required for new officers or directors. |
Biographical Affidavit Erica Bowsher erica.bowsher@difi.az.gov Third-Party Verification Reports: |
| AR |
Expansion: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verifications. |
Per Rule 7, 不良研究所官方 Biographical Affidavits are not required for new officers or a director, assuming the domestic state is reviewing changes. |
Biographical Affidavit and Third-Party Verification Reports: |
| *CA | Expansion: Yes, Fingerprints and 不良研究所官方 Biographical Affidavits. Please contact California's Department of Insurance directly at (415) 538-4035 to request the necessary fingerprint live scan () Foreign Corporate Amendment: Contact State |
After Licensure: 不良研究所官方 Biographical Affidavits and Fingerprints are required for changes in Officers, Directors or Key Managerial Personnel. Disclaimer of Control: Allowed |
CAB-SF-Intake@insurance.ca.gov or contact 415-438-4035
|
| CO | 不良研究所官方 Biographical Affidavits and Independent Third-Party Verification reports for all foreign companies. |
不良研究所官方 Biographical Affidavit is not required for new officers or directors. |
Biographical Affidavit and Third-Party Verification Reports: Cindy Hathaway dora_ins_corporateaffairs@state.co.us |
| CT |
Expansion: 不良研究所官方 Biographical Affidavits and Independent Third-Party Verification. |
A 不良研究所官方 Biographical Affidavit is required for new officers/directors as soon as possible. |
Biographical Affidavit: cid.financial@ct.gov 860-297-3800 Third-Party Verification Reports: |
| DE | 不良研究所官方 Biographical Affidavit and Third-Party Verification. |
不良研究所官方 biographical affidavit is not required for new officers or directors. A letter of notification is required for any changes in officers submitted electronically to berg@delaware.gov within 60 days of change. Include 不良研究所官方 number, business address, phone number, email address. |
Biographical Affidavit:
Third-Party Verification Reports: |
| DC | 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification. |
不良研究所官方 biographical affidavit is not required for new officers or directors. |
Biographical Affidavit and Third-Party Verification Reports: Nathaniel Kevin Brown Director - Financial Examinations, Insurance Bureau Department of Insurance, Securities and Banking 1050 First Street, NE, Suite 801 Washington, DC 20002 Telephone (202)442-7785 Nathaniel.Brown@dc.gov |
| *FL | 不良研究所官方 Biographical Affidavit, Independent Third-Party Verification and Fingerprint Cards (Fingerprint LiveScan available for Florida Residents Only). Refer to State Specific Requirements for Fingerprint Procedures. Please contact the Office of Insurance Regulation at (850) 413-2575 to request the necessary fingerprint cards or FPRequest@floir.com. Effective August 16, 2007, Florida no longer requires credit reports with the background investigations. |
A 不良研究所官方 biographical affidavit is required for new key officers. |
Biographical Affidavit: Life & Health Companies: Joe Erhart, Applications Coordinator Phone 850-413-5066 Email joe.erhart@floir.com) Property & Casualty Companies: Third-Party Verification Reports: |
| GA | 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification. |
Contact state for requirements. |
Biographical Affidavit: RegServices@oci.ga.gov Third-Party Verification Reports: |
| HI |
不良研究所官方 Biographical Affidavit and Independent Third-Party Verification. |
不良研究所官方 Biographical Affidavit is required for new Officers when filing for Mergers and Acquisitions only. |
Biographical Affidavit and Third-Party Verification Reports: Irene Baek Insurance Examiner State of Hawaii Department of Commerce & Consumer Affairs Insurance Division 335 Merchant Street, Room 213, Honolulu, HI 96813 Email: ibaek@dcca.hawaii.gov (808) 586-8151 |
| ID |
Expansion: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification. |
A 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification report is not required for new Officers or Directors provided the company files annual and quarterly financial statements electronically with the 不良研究所官方. Foreign insurers licensed in Idaho are not required to file separate notices of changes in officers and directors. |
Biographical Affidavit and Third-Party Verification Reports: doi.companyactivities@doi.idaho.gov |
| IL | 不良研究所官方 Biographical Affidavits for all foreign companies Independent Third-Party Verification Reports are required for each Officer and Director of the applicant. |
不良研究所官方 Biographical Affidavit is required for new officers or directors. Notification of a change in officers or directors is required within 30 days. Independent Third-Party Verifications are required for new officers and directors. |
Biographical Affidavit: Life, Accident & Health Companies: Third-Party Verification Reports: |
| IN |
with electronic signature which complies with the electronic transaction act (IETA) ) and Independent Third-Party Verification required for all domestic companies Note: Electronic signatures from commercially available software, such as Docusign or Esign, are acceptable. 鈥淐heck the Box鈥 signatures or 鈥淩ubber Stamp鈥 signatures Do Not Comply. |
Notification of a change in officers or directors is required within 30 days. |
Application Submissions Corporate Amendment Updates |
| IA | 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification. |
不良研究所官方 Biographical Affidavit is not required for new Officers or Directors. |
Biographical Affidavit and Third-Party Verification Reports: Dana Sanders company.licensing@iid.iowa.gov or Iowa Insurance Division Attn: Dana Sanders 1963 Bell Avenue Des Moines, Iowa 50315 |
| KS |
Expansion: 不良研究所官方 Biographical Affidavit and Independent Third- Party Verification. |
不良研究所官方 Biographical Affidavit is not required for new Officers and Directors. Notification required via SBS of any change in President or Corporate Secretary. |
Biographical Affidavit and Third-Party Verification Reports: Tish Becker Kansas Insurance Department tish.becker@ks.gov 785-296-7816 Third-party background reports should be sent electronically (via e-mail) to the following state contact: |
| *KY | 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification. Group Cover Letter: Not Acceptable |
不良研究所官方 Biographical Affidavit is required for new President鈥檚 only, within 30 days. |
Biographical Affidavit and Third-Party Verification Reports: DOI.FinancialStandardsMail@ky.gov |
| LA |
Expansion Application: Complete Biographical Affidavits (Form 11) on most current form for all Officers and Directors. Independent Third-Party Verifications required for all Officers and Directors. |
Completed Biographical Affidavits (Form 11) on the most current form must be submitted for all 鈥淪enior Officers鈥 as defined by state law and for all Directors within sixty days of election or appointment. Independent Third-Party Verifications are not required. For information on how to file see . |
Biographical Affidavit and Third-Party Verification Reports: Tangela Byrd Insurance Manager Louisiana Department of Insurance 1702 North 3rd Street (70802) P.O. Box 94214 Baton Rouge, LA 70804-9214 Tangela.Byrd@ldi.la.gov |
| ME | 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification. |
不良研究所官方 Biographical Affidavit is NOT required for new Officers or Directors. Letter of notification for changes/updates is also NOT required. |
Biographical Affidavit and Third-Party Verification Reports: Lauri Cooper laurelyn.s.cooper@maine.gov or USPS Mailing Address (incl. overnight express): 34 State House Station Augusta, ME 04333 Physical Delivery Address (such as FedEx and UPS): |
| MD | 不良研究所官方 Biographical Affidavit certified by Independent Third-Party Verification. |
不良研究所官方 Biographical Affidavit is not required for new Officers or Directors. |
Biographical Affidavit and Third-Party Verification Reports: Erin Nickels Mailing address: Maryland Insurance Administration 200 St. Paul Place, Suite 2700 Baltimore, Maryland 21202 Email address: Colicensing.mia@maryland.gov |
| MA | 不良研究所官方 Biographical Affidavit required for Officers and Directors of all Applicant Companies. |
不良研究所官方 Biographical Affidavits are not required for new Officers and Directors of foreign companies. In lieu of biographies a letter of notification is required for any changes in Officers or Directors submitted electronically to Companies.Mailbox@Mass.gov. |
Biographical Affidavit: companies.mailbox@mass.gov Third-Party Verification Reports: |
| MI |
Expansion: 不良研究所官方 Biographical Affidavit dated within 6 months of filing application and Independent Third-Party Verification Report required. |
不良研究所官方 Biographical Affidavit and Independent Third-Party Verification not required. |
Biographical Affidavit and Third-Party Verification Reports: Third-party verifications should be sent directly to DIFS by the third-party verifier. Linda Martin, Application Coordinator, 517-284-8756 or martinl@michigan.gov If reports cannot be sent electronically, hard copies should be sent to: Linda Martin, Application Coordinator Michigan Department of Insurance and Financial Services Office of Insurance Financial and Market Regulation P. O. Box 30220 Lansing, MI 48909 OR 530 W. Allegan St., 7th Fl. Lansing, MI 48933 |
| MN | Expansion Applications: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verifications are required for Expansion Applications, signatures must be original and must be dated within 6 months of application. Foreign Corporate Amendments: 不良研究所官方 Biographical Affidavit required for change of control, signatures must be original and must be dated within 6 months of application. |
不良研究所官方 Biographical Affidavit and Independent Third-Party Verifications are not required for new officers and directors. |
Biographical Affidavit: Jenn Gagner, Applications Coordinator or Jennifer Price, Licensing Director, at companylic.commerce@state.mn.us Third-Party Verification Reports: |
| MS |
Expansion: 不良研究所官方 Biographical Affidavit |
不良研究所官方 Biographical Affidavit is not required for new Officers or Directors. A letter of notification is required for any changes in Officers or Directors submitted electronically to filings@mid.ms.gov. |
Biographical Affidavit: Chad Bridges Email: Chad.Bridges@mid.ms.gov Phone #: 601-359-2136 Third-Party Verification Reports: |
| MO | 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification. |
不良研究所官方 Biographical Affidavits are not required for new Officers or Directors. A letter of notification is required for any changes in Officers and Directors submitted to InsuranceSolvency@insurance.mo.gov. |
Biographical Affidavit: InsuranceSolvency@insurance.mo.gov (573)526-4877 Third-Party Verification Reports: |
| *MT | 不良研究所官方 Biographical Affidavit Group Cover Letter: Acceptable |
不良研究所官方 Biographical Affidavit is not required for new Officers or Directors. |
Biographical Affidavit and Third-Party Verification Reports upload to: Contact: |
| NE |
Expansion: UCAA biographical affidavit and 3rd party verification but no fingerprints |
Notification of officer and director updates is required but no biographical affidavits need to be submitted. |
Biographical Affidavit and Third-Party Verification Reports: Doi.companylicensing@nebraska.gov |
| NV |
Expansion: Listing of Officers, Directors and Key Managerial Personnel. |
Listing required within 90 days, indicating new Officers, Directors and Key Managerial Personnel. |
Biographical Affidavit and Third-Party Verification Reports: finances@doi.nv.gov |
| NH |
不良研究所官方 Biographical Affidavit |
不良研究所官方 Biographical Affidavit is not required for new Officers or Directors. |
Biographical Affidavit and Third-Party Verification Reports: linda.m.zalinskie@ins.nh.gov |
| NJ |
P&C: 不良研究所官方 Biographical Affidavit |
P&C and L&H: 不良研究所官方 Biographical Affidavit and a letter of notification is required for any changes in Officers or Directors. |
Biographical Affidavit and Third-Party Verification Reports: |
| NM | 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification |
A letter of notification is required for any changes in Officers and Directors. |
Biographical Affidavit and Third-Party Verification Reports: Ursula Almada Ursula.Almada@osi.nm.gov Victoria Baca Victoriaa.Baca@osi.nm.gov
|
| *NY |
不良研究所官方 Biographical Affidavit and Independent Third-Party Verification. |
After Licensure: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification are required for changes in Officers, Directors or Key Managerial Personnel. |
Biographical Affidavit and Third-Party Verification Reports:
Third party verification reports should be sent directly to NY DFS by the third-party vendor using the (an account is not required). A copy of the biographical affidavit is required to be included with the report. State Email Contacts: |
| NC | 不良研究所官方 Biographical Affidavit |
不良研究所官方 Biographical Affidavit is not required for new Officers or Directors. |
Biographical Affidavit and Third-Party Verification Reports: Scott Wicker Scott.Wicker@ncdoi.gov 919-807-6142 Third-Party Verification reports are not required by North Carolina, however, in the event the company chooses to send the reports, send to Scott Wicker. |
| ND | Expansion: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification
Group Cover Letter: Not Acceptable |
不良研究所官方 Biographical Affidavit is not required for new Officers or Directors. |
Biographical Affidavit: 鈥嬧嬧婱att Fischer mattfischer@nd.gov or Nichole Feldman nrfeldman@nd.gov Third-Party Verification Reports: |
| OH | 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification |
不良研究所官方 Biographical Affidavit is not required for new Officers or Directors. |
Biographical Affidavit and Third-Party Verification Reports: Cam Piatt clyde.piatt@insurance.ohio.gov 614 728-1074 |
| *OK |
Expansion: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification is required 鈥 no fingerprints. |
Informational filing only written on company letterhead. Oklahoma will rely on the review of Biographical Affidavits by the domiciliary regulator; therefore no 不良研究所官方 Biographical Affidavit will be required for new Officers or Directors of foreign/alien companies. A PDF copy of the letter can be emailed to UCAA@oid.ok.gov to eliminate paper and postage. |
Biographical Affidavit and Third-Party Verification Reports: Ryan Rowe UCAA@oid.ok.gov for Insurers.Jeanette Pearce RIS@oid.ok.gov for Regulated Industries and
|
| OR | Biographical Affidavit for all Officers and Directors of the company as listed on the jurat page of the filed statement. |
不良研究所官方 Biographical Affidavit is not required for new Officers or Directors. |
Biographical Affidavit and Third-Party Verification Reports: Email: orinsreg.ins@dcbs.oregon.gov Phone number: 503-947-7982 |
| PA | 不良研究所官方 Biographical Affidavit |
Neither 不良研究所官方 Biographical Affidavits nor any other notification is required for new Officers or Directors of admitted foreign insurers. |
Biographical Affidavit: Diana L. Sherman Acting Deputy Commissioner 1345 Strawberry Square Harrisburg, PA 17120 Phone: 717.503.5462 Email: disherman@pa.gov Third-Party Verification Reports: Not Required |
| PR | 不良研究所官方 Biographical Affidavit. |
N/A |
Biographical Affidavit and Third-Party Verification Reports: Glorimar Santiago gsantiago@ocs.pr.gov |
| RI |
Expansion: Rhode Island will no longer require the Independent Third-Party Verifications. Rhode Island will only require the 不良研究所官方 Biographical Affidavit. |
不良研究所官方 Biographical Affidavit is not required for new Officers or Directors. |
Biographical Affidavit and Third-Party Verification Reports: Debra Almeida Debra.almeida@dbr.ri.gov |
| SC |
Expansion: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification are required. |
After Licensure: 不良研究所官方 Biographical Affidavit is not required for new Officers or Directors |
Biographical Affidavit and Third-Party Verification Reports: |
| SD |
Expansion: Do Not submit Biographical Affidavits or employee organizational charts for Foreign Insurance companies. They are not required of Foreign insurance companies at any time. |
不良研究所官方 Biographical Affidavits are not required for new Officers or Directors |
|
| TN |
Expansion: 不良研究所官方 Biographical Affidavit |
None to Tennessee (if filed with the domiciliary state) |
Biographical Affidavit and Third-Party Verification Reports: Phil Adams phil.adams@tn.gov |
| TX |
Initial application must include all Directors and the Chief Executive Officer, President, Executive Director, Secretary, Treasurer, Chief Financial Officer/Controller, Chief Operating Officer, Medical Director (if applicable), and any individuals that own 10% or more, beneficial ownership in the Applicant Company and the Applicant Company鈥檚 ultimate controlling person, pursuant to UCAA instructions and requirements. Fingerprint receipts from Identogo and Third-Party Verifications are needed for President, Secretary, Treasurer, Chief Financial Officer/Controller, or equivalent positions, and any individuals that own 10% or more, beneficial ownership in the Applicant Company and the Applicant Company鈥檚 ultimate controlling person. |
If the most recent Jurat page reflects the current Officers and Directors, 不良研究所官方 Biographical Affidavit and fingerprint receipts do not need to be submitted. If the Jurat page is not up to date, 不良研究所官方 Biographical Affidavit and fingerprint receipts are required for new key Officers within 30 days. |
Biographical Affidavit: Laura Weld laura.weld@tdi.texas.gov Third-Party Verification Reports: |
| UT | 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification. |
A letter is required listing changes for additions and/or removals. |
Biographical Affidavit and Third-Party Verification Reports: Jay Sueoka jsueoka@utah.gov or company-renewals@utah.gov |
| VT |
For Licensure Expansion: 不良研究所官方 Biographical Affidavit. Background reports are not required. |
Not Required |
Biographical Affidavit: (802)-828-2470 or dfr.complic@vermont.gov Third-Party Verification Reports: |
| VA | Expansion: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification are required. Corporate Amendment: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification are NOT required. |
不良研究所官方 Biographical Affidavit and Independent Third-Party Verification are not required for new Officers or Directors. |
Biographical Affidavit and Third-Party Verification Reports: Kevin McClain Financial Analyst Direct Line: (804) 371-9432 Kevin.McClain@scc.virginia.gov |
| *WA |
Expansion: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification are required. |
不良研究所官方 Biographical Affidavit and Third-Party Verification are not required for new Officers or Directors. |
Biographical Affidavit: Jason Carr jason.carr@oic.wa.gov Third-Party Verification Reports: clc@oic.wa.gov |
| WV | Expansion: 不良研究所官方 Biographical Affidavit is required. |
After Licensure: 不良研究所官方 Biographical Affidavit and Notifications are not required for new officers and/or directors OR amendments to officers and/or directors. |
WV Offices of the Insurance Commissioner *Do not email Bio's to the above email. They can be viewed in UCAA or sent to: WV Offices of the Insurance Commissioner Third-Party Verification Reports: |
| WI |
Expansion: 不良研究所官方 Biographical Affidavit required (but not fingerprints or Independent Third-Party Verifications) |
Written notices for any changes in the company president or secretary. (Bios, Fingerprints and Independent Third-Party Verifications are not required.) |
Biographical Affidavit: Third-Party Verification Reports: |
| WY |
Expansion: 不良研究所官方 Biographical Affidavit and Independent Third-Party Verification. |
不良研究所官方 Biographical Affidavit is only required for new President/CEO, within 90 days. |
Biographical Affidavit and Third-Party Verification Reports: Doug Melvin doug.melvin@wyo.gov |