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Last Revised on 3/20/2024

Company Licensing Working Group

The National Treatment and Coordination (E) Working Group is co-chaired by Debbie Doggett, Missouri Insurance Department and Cam Piatt, Ohio Department of Insurance. This group was established to address and review the Company Licensing Model Act #320 with regards to the Primary and Expansion applications, along with the hard copy requirements for the electronic UCAA format, and other issues with the electronic UCAA tool as needed. 

The National Treatment and Coordination (E) Working Group is forming multiple ad hoc groups to move forward in the development of the new UCAA electronic applications. The ad hoc groups will be made up of industry users, vendors and state regulators. If you are interested in participating in any of these ad hoc groups, please contact Jane Barr at jbarr@naic.org.

The ad hoc groups will be for:
Primary & Redomestication Application development
Domestic Corporate Amendment Application Forms & Instructions
Form A & Form E Forms & Instructions
Foreign Expansion and Corporate Amendment Conversion
Biographical Affidavit Database

Any questions or concerns contact Jane Barr jbarr@naic.org

Proposals for UCAA forms and instructions are posted on the UCAA home page. All suggested changes should utilize the proposal form and be sent via email to Jane Barr jbarr@naic.org.

For updates to the state charts or the UCAA webpage email Jane Barr jbarr@naic.org . 

Contact Jane Barr jbarr@naic.org for all training requests regarding the UCAA application and the Form A Database.

The UCAA forms and publications are updated during the first week of January each year for revisions to the copyright dates. 

Description of Change Posted Date
Primary Application and Redomestication Application were released into electronic format only. 10/31/2023

Enhancements were made to the UCAA electronic application for:

  • Amending an application 鈥 an application can be amended if it is less than two-years from the original submission date, the system will not allow applications with an original submission date older than two-years to be amended.
  • Form 3 鈥 enhancements were made to the electronic application to reflect when a state has had a change to their lines of business.
11/24/2020
Corporate Amendment Requirements 鈥 The Application Progress page was updated to validate requirements each corporate amendment type. 04/12/2019
Form 12 鈥 the language in the electronic application for the question 鈥淥rganized under the laws of鈥 was revised to match the hard copy of Form 12. 04/12/2019
Form 14 鈥 External Healthcare Review Contact was added; New Mailing Address phone number description was updated to 鈥淢ain Administrative Office Phone Number.鈥 04/12/2019
The UCAA Primary, Expansion and Corporate Amendment Instructions were changed from HTML format to PDF format on the UCAA webpage. 04/02/2018
The Application Selection Page in the electronic application was revised. For more detail, refer to the UCAA Industry User Guides on the UCAA webpage. 12/08/2017
Corporate Amendment Attachments 鈥 Section references were updated based on changes to the Corporate Amendment instructions. 09/15/2017
Form 12 - a separate field for the authorization date was added to the electronic application.  04/21/2017
Form 2C 鈥 was modified to validate the application information according to the change type selected. All required (*) information must be completed before the application can be submitted. 03/17/2017
The Letter of Good Standing Templates for Life and Non-Life companies has been added to the Company Licensing page on StateNet. 02/28/2017
Form 2C 鈥 A dropdown field to add the non-surviving entity鈥檚 cocode has been added to page 1 for a Merger of Two or More Foreign Insurers. 12/09/2016
Form 2C 鈥 The question 鈥淗as the Applicant Company鈥檚 designee to appoint and remove agents changed as a result of this corporate amendment?鈥 was added to the electronic application. 08/19/2016
Form 12 鈥 Uniform Consent to Service of Process was added as a stand-alone application to the UCAA electronic application. 03/26/2016
New links were added to the UCAA webpage for Company Licensing Events and UCAA Definitions. 04/03/2015

Definitions

Description of Changes Posted Date

The definition for 鈥湶涣佳芯克俜 Biographical Affidavit鈥 was revised from 鈥渘ot more than one year鈥 to 鈥渘ot more than six months鈥

Effective 1/1/2019 signatures on the biographical affidavit will be required to be within 6 months of the application submission.

04/02/2018
 

06/22/2018

Modification to add 鈥渃yber security鈥 to the 鈥淜ey Persons in Control Functions鈥 definition was adopted by the NTC(E)WG.  12/08/2017
Modifications to 鈥淪tate Charts鈥 and 鈥淪tate-Specific Information鈥 definitions were adopted by NTC(E)WG. 09/25/2017
The definition for 鈥淎dmitted鈥 was revised. 10/14/2016
Definitions adopted by the NTC(E)WG for Alien Insurer, Domestic Insurer, Domiciliary State and Foreign Insurer were added to the UCAA Definitions on the UCAA webpage. 01/12/2016

Instructions

Description of Changes Revision Date

The Primary Application instructions were revised for Item 7. Holding Company Act Filings to include the Corporate Governance Annual Disclosure (CGAD) and a new Item 21. Corporate Governance Annual Disclosure was added to the Primary Application Redomestication instructions.
EDITORIAL CHANGE: The page numbers for the Expansion and Corporate Amendment Instructions were updated as a result of the changes to the Primary Application instruction changes. 

12/08/2020
EDITORIAL CHANGE: The sentence 鈥淐alifornia, Kentucky and New York require two (2) complete copies.鈥 was removed from the Expansion instructions and these sentences were removed from the Corporate Amendment instructions 鈥淟ouisiana and New York require two (2) complete copies. California requires two (2) complete copies for each change.鈥 12/09/2019

The Expansion Instructions Section 1 were revised to clarify that the Applicant Company must be authorized in their domiciliary state for the lines of business requested in the application.
The Corporate Amendment Adding and/or Deleting Lines of Business Instructions were revised to clarify that the Applicant Company must identify the lines of business it is currently authorized to transact and specify which lines of authority to add or delete.

12/09/2019
Added Statement of Voluntary Dissolution Instructions to the Corporate Amendment Instructions. 04/08/2019
The Primary, Expansion and Corporate Amendment instructions were revised for the Biographical Affidavit to add 鈥淓ach question on the biographical affidavit must have a response. If an answer is 鈥淣one鈥, then so state. Incomplete biographical affidavits could delay the background investigation report and result in a delay of the application review by the state.鈥 04/08/2019
EDITORIAL CHANGE: The email address to notify the 不良研究所官方 of a merger, name change, change of control or redomestication has been changed from FDRCCREQ@不良研究所官方.ORG to jheinz@naic.org. 08/06/2018
The Corporate Amendment Adding/Deleting Lines of Business Instructions were revised to provide instruction that the Applicant Company should not apply for or retain any lines of business that they are not authorized to write in their domiciliary state. 08/06/2018

The Primary, Expansion and Corporate Amendment instructions/best practices were revised to allow for acceptance of the biographical affidavit for six months from the original signature date and a new background report for updated biographical affidavit.

Effective 1/1/2019 signatures on the biographical affidavit must be within 6-months of the application submission date.

03/26/2018

 

06/22/2018

The Corporate Amendment and Expansion instructions for biographical affidavits were modified to add a Disclaimer of Control requirement if the individual with 10% or more beneficial ownership in the Applicant Company or the Applicant Company鈥檚 ultimate controlling person does not file a biographical affidavit.  03/26/2018
The Expansion and Corporate Amendment Instructions (Adding/Deleting Lines of Business and Merger) were revised to add references to review the Seasoning Requirements prior to submitting the application.

03/26/2018

The Primary, Expansion and Corporate Amendment instructions were revised to specify that the application can be submitted in hard-copy or filed electronically. References to other tools on the UCAA website were added and references to a manual that is no longer provided were removed. 08/08/2017
Instructions were added for the Uniform Consent to Service of Process application. 12/12/2016
The Corporate Amendment instructions were revised for a Merger of Two or More Foreign Insurers for the non-surviving entity. 12/12/2016
The Corporate Amendment Instructions for a Merger of Two or More Foreign Insurers were revised in Step 2 to include a reference for referring to the UCAA FAQs-General. 08/28/2016

The UCAA Primary, Expansion and Corporate Amendment Application Instructions were updated on the UCAA webpage.

  • The following changes were made to the Primary, Expansion and Corporate Amendment instructions:
    • Reference for 鈥淎pplicant Company鈥 was added.
    • The 鈥淗ow to File鈥 section was updated.
    •  Plan of Operation/Proforma Instructions were updated
  • The reference for 鈥淗olding Company Act Filings鈥 and instructions were updated for the primary and expansion application.
  • The Statutory Deposit Certificate instructions were updated for the expansion and corporate amendment application.
11/18/2014

Best Practices

Description of Change Revision Date
EDITORIAL CHANGE: Updated reference to access the "Best Practices for Background Investigations, Background Guidelines and Red Flags" from StateNet to the Company Licensing Collab webpage. 08/14/2021

Posted 03/22/2022

Additional guidance was added the Best Practices for Appendix D - Form A Review Best Practices under 2.f. in reviewing and understanding a complex organization and ownership structures.  08/14/2021
EDITORIAL CHANGE: References to Level 1 were removed from pages 33 and 82. 12/09/2019
The Best Practices were updated to include changes for Risk-Based Prioritization to align with the Financial Analysis Handbook; Part D Organization Licensing Standards; changes in the 不良研究所官方 Insurance Data Security Model Law (#668); biographical affidavit review process; and the addition of the corporate amendment change type Statement of Withdrawal/Complete Surrender and the Appendix E 鈥 Speed to Market. 12/09/2019
Best Practices were added to Primary, Expansion and Corporate Amendment 鈥 不良研究所官方 Biographical Affidavit sections for utilizing regulatory tools in the review of the Biographical Affidavit. 04/08/2019

The Primary, Expansion and Corporate Amendment instructions/best practices were revised to allow for acceptance of the biographical affidavit for six months from the original signature date and a new background report for updated biographical affidavit.

Effective 1/1/2019 signatures on the biographical affidavit must be within 6-months of the application submission date.

03/26/2018

 

06/22/2018

Primary Application Review Checklist 鈥 revisions were made to Item 2 to clarify biographical affidavit requirements and the requirements for appointed actuaries and appointed CPA. 12/04/2017
Appendix D 鈥 Form A Review Best Practices were added to the Handbook and references to the new Appendix were added. 08/08/2017
Best Practices were added for the Review of the Plan of Operations (Proforma, Financial Statements, Narrative/Business Plan and Questionnaire). 04/10/2017
Best Practices were added for the Uniform Consent to Service of Process application. 12/12/2016
The Corporate Amendment Application 鈥 Redomestication was revised in Section 1 for Form 3 and the Lines of Business Matrix. 12/12/2016
The Primary Application Review Checklist was added to Appendix A of the Best Practices as well as references to the checklist in the Primary Application Section. 08/28/2016
The Corporate Amendment Application 鈥 Merger of Two or More Foreign Insurers were revised for Form 3. 08/28/2016

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change Revision Date/
Adoption Date
Posted Date
Form 1P was revised to add the Corporate Governance Annual Disclosure (CGAD) to Item 7 and a new Item 21 鈥 Corporate Governance Annual Disclosure was added to the Redomestication section. 12/08/2020 12/16/2020
Form 1C, 1E & 1P were revised to allow for acceptance of the biographical affidavit for six months from the original signature date. 03/26/2018 04/02/2018
Form 1C & 1E were updated to add clarification to key managerial personnel who are required to complete a biographical affidavit and language was added to require a Disclaimer of Control be filed for individuals with 10% or more beneficial ownership in the Applicant Company or the Applicant Company鈥檚 Ultimate Controlling Person.

Form 1P was update to add clarifying language for those individuals who are defined as key managerial personnel.

03/26/2018 04/02/2018

Form 1C & 1E 鈥 Sentence was added that the Form cannot be edited for electronic filings and additional items to the application should be attached via the UCAA portal or mailed directly to the state.

Form 1C 鈥 Item 12 and 14 detail descriptions were revised.

12/04/2017 03/22/2018
Form 1C 鈥 Section references were updated based revisions to the Corporate Amendment instructions. 08/08/2017 09/15/2017
Form 1C, Item 1. Application Form was updated to include Section VIII in "Original Certificate of Authority or an Affidavit of Lost Certificate of Authority (Form 15) (not applicable for Sections VIII, IX and X).鈥 11/18/2014 10/14/2016
Form 1E & Form 1P - Language was added to the checklists for consistency with the instructions. The change adds clarifying language to identify the requirements for Reports of Examination section. 03/30/2015 04/17/2015

Form 1C 鈥 Section VIII was added to the Plan of Operation and revised the Certificate of Deposit for Statutory Deposit Requirements section.

Note: States should accept both the 11/18/14 and 12/19/14 revision date for Form 1C for applications submitted on or before 8/3/16.

12/19/2014

Revision date should have been 11/18/14

12/19/2014
Form 1E & 1P 鈥 Revisions were made to 7. Holding Company Act Filings and Form 1C, 1E & 1P Applicant Company reference was added. 11/18/2014 12/04/2014

 

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change

Revision Date/
Adoption Date

Effective Date
Form 2C 鈥 was modified to group relevant application information according to change type selected. 02/28/2017

03/17/2017 (electronic application)

05/11/2017 (word and PDF)

Form 2C 鈥 a text box to include the name and cocode of the non-surviving entity were added to Page 1 for a Merger of Two or More Foreign Insurer. 08/29/2016 12/09/2016
Form 2C 鈥 Change of City of Domicile within Domestic State/Mailing Address was changed to Change of Statutory Home Office Address. 08/29/2016 10/14/2016
Form 2E - A new question was added that asks if the Applicant Company is a member of a group or is required to file an Own Risk Solvency Assessment (ORSA) report. 08/18/2014 04/17/2015
Form 2C 鈥 Added the following: previous and new group name; previous and new state for a redomestication; effective date of merger; effective date of change of control of a foreign insurer and the previous and new group code. 08/18/2014 12/19/2014
Form 2P 鈥 The term 鈥淎pplicant Company鈥 was added to be used uniformly in all UCAA forms. 08/18/2014 12/04/2014

 

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

State Line of Business Revision Date Posted Date
Hawaii Added footnote reference to "Refer to Form 3 Line of Business Matrix for details." 10/12/2023 03/20/2024
Delaware The Life lines of business were changed to be included in one line: Life [18 Del. C. Section 902] including subdivisions 鈥 Variable Annuities [18 Del. Admin C. 1201], Variable Life [18 Del. Admin C 1205], and Credit Life [18 Del. C. Section 902].

The Health lines of business were changed to be included in one line: Health [18 Del. C. Section 903] including subdivision Credit Health [18 Del. C. Section 903]

10/12/2023 10/12/2023
Rhode Island Added new line of business "Pet Insurance" 10/12/2023 10/12/2023
Arkansas Added new line of business "Family Leave Insurance A.C.A. 搂23-62-112." 08/28/2023 08/28/2023
Kansas The following lines of business were added: "Fidelity Bonds"; "Forgery Bonds"; "Personal Lines - For Licensing Purposes"; "Risk Retention Group/Surplus Lines - For Licensing Purposes"; "Self-Service Storage - For Licensing Purposes"; "Surety Bonds"; "Annuities"; "Life"; "Variable Annuities"; and "Variable Life".

 The following lines of business were removed: "Fidelity, Surety & Forgery Bonds"; "Life (Includes Annuity and Variable Contracts)"

06/01/2023 06/01/2023
New Jersey EDITORIAL: Corrected statutory reference for (9) Automobile Physical Damage (N.J.S.A. 17:17-1b). (No revision date change)     N/A 05/23/2023
District of Columbia Revised the "Individual Annuities (Fixed and Variable)(Sec 31-4442)" line of business to be split into two lines: "Individual Annuities (Fixed)(Sec 31-4442)" and "Individual Annuities (Variable)(Sec 31-4442)"
Revised the "Group Annuities (Fixed and Variable) (Sec 31-4442)" line of business to be split into two lines: "Group Annuities (Fixed) (Sec 31-4442)" and "Group Annuities (Variable) (Sec 31-4442)"
05/03/2023 05/04/2023
Utah Added "Vehicle Liability Insurance (Utah Code Ann. 搂31A-1-301(188))" back to Form 3 with new code reference.  04/14/2023 04/14/2023
North Carolina Added "(23) Mortgage Guaranty (Monoline) (NCGS 58-7-15)*" back to Form 3.  03/07/2023 03/07/2023
All States Form 3 was revised across all states to align with the formatting of the new electronic primary application and was updated to reflect state specific changes. 02/17/2023 02/17/2023
New York Added the following lines of business: (32) Donor Medical Expense Insurance, and (33) Excess Business Disability Insurance 10/18/2022 10/18/2022
Kansas Revised the lines of business to add: "Life (Includes Annuity and Variable Contracts)" and "Bail Bonds"; and remove: "Annuities," "Variable Life," "Variable Annuities," and "Fidelity, Surety & Forgery Bonds Excluding Bail Bonds." Removed the word "Insurance" from "Mortgage Guaranty." 08/30/2022 08/31/2022
Kansas  Added the following lines of business: "Annuities," "Variable Life," "Variable Annuities," and "Fidelity, Surety & Forgery Bonds Excluding Bail Bonds." Removed the headers "Casualty Insurance" and "Fire Insurance." Removed the language "(Includes Annuity and Variable Contracts)" from the Life line of business. Removed the "Accident and Health" line of business that was previously listed under the Casualty section.   08/01/2022 08/01/2022
Virginia Added the following lines of business: "71 Modified Guaranteed Life Insurance,"72 Modified Guaranteed Annuities," and "76 Family Leave." Added "Insurance" to "32 Legal Services Insurance." 07/01/2022 07/01/2022
Iowa Editorial Change to hard copy only: Line "Life (508, 509, 511 and 515) - accident and health." 
Note: No change to revision date due to editorial change. 
05/28/2021 08/09/2021
Utah Removed header fields for Health, Life and Property and Casualty and updated the statute references for the following lines of business: Surety Insurance (Utah Code Ann. 搂 31A-1-301(176)); Title Insurance (Utah Code Ann. 搂 31A-1-301(179)); Vehicle Liability Insurance (Utah Code Ann. 搂 31A-1-301(184)); Workers鈥 Compensation Insurance (Utah Code Ann. 搂 31A-1-301(187)) 05/28/2021 05/28/2021
Georgia Added a new line of business "Fraternal [O.C.G.A. Section 33-15]" 04/29/2021 04/29/2021
New Hampshire Added the new line of business 鈥淗ealth Maintenance Organization (RSA 402-B)鈥 11/04/2020 11/04/2020
Georgia Inserted the term 鈥淐asualty鈥 for the following lines of business: 鈥淐asualty 鈥 Including Workers鈥 Compensation [O.C.G.A. Section 33-7-3]鈥 and 鈥淐asualty 鈥 Excluding Workers鈥 Compensation [O.C.G.A Section 33-7-3]鈥 11/04/2020 11/04/2020
Arkansas Added 鈥淟iability (ACA 23-62-105)鈥 and 鈥淔idelity (ACA 23-62-106)鈥 to the hard copy Form 3 only. 11/04/2020 11/04/2020
Alaska Removed 鈥淎utomobile Service Corporation (AS 21.59)鈥 from the electronic application Form 3 only. 11/04/2020 11/04/2020
Utah The Life Insurance including annuity and variable products line of business were split out into three separate lines: Life Insurance (Utah Code Ann. 搂31A-1-301(110)); Annuity (Utah Code Ann. 搂31A-1-301(9)); Variable Contract (Utah Code Ann. 搂31A-20-106). 08/14/2020 08/14/2020
Washington New lines of business were added for: Health (RCW 48.11.030); Health Maintenance Organization (RCW 48.46); Health Care Service Contractor (RCW 48.44); Limited Health Service Contractor (RCW 48.44). 01/22/2020 01/22/2020
Arkansas New line of business was added for: Health Maintenance Organization (23-76-102). 01/22/2020 01/22/2020
Utah Headings were added for Health, Life and Property and Casualty and the lines of business were recategorized by line of business. Sublines were added for Limited Health Plan 鈥 Dental and Limited Health Plan 鈥 Vision. Updates to statute references were made to the following lines of business: Life Insurance including annuity and variable products; Credit Guarantee; Legal Expense; Liability Insurance; Marine & Transportation; Motor Club; Professional Liability excluding medical malpractice; Professional Liability including medical malpractice; Property insurance; Surety Insurance; Title Insurance; Vehicle Liability Insurance; and Workers' Compensation Insurance. 10/24/2019 10/24/2019
Hawaii Added subclass lines of business to Life Insurance, Property Insurance and Marine and Transportation lines of business and updated statute references. 07/12/2019 07/12/2019
Hawaii Split Property Insurance (Section 431: 1-206, HRS)* into two separate lines of business: Property Insurance, with Hurricane (Section 431: 1-206, HRS)* and Property Insurance, without Hurricane (Section 431: 1-206, HRS). 05/07/2019 05/07/2019
Texas Added footnote references to Title, Mortgage Guaranty Type I and Type II lines of business. Updated footnote (h) and added footnote (i). 04/03/2019 04/03/2019
Pennsylvania Editorial change to footnote: Note 3. 04/03/2019 04/03/2019
New York Split (3) (i) & (ii) 鈥 A&H into two separate lines of business: (3) (i) 鈥 A&H 鈥 Other Than Non-Cancellable Disability and (3) (ii) 鈥 A&H 鈥 Non-Cancellable Disability. 04/03/2019 04/03/2019
Georgia Added statute references to all lines of business, added new lines of business: Casualty [O.C.G.A. 搂 33-3-5(3)] and Health Maintenance Organization [O.C.G.A 搂 33-3-5(6) and 搂 33-21-1 et. seq.] 04/03/2019 04/03/2019
Alaska Split Marine, Wet Marine & Transportation (A.S. 21.12.090) into two separate lines: Marine (A.S. 21.12.090(a)) and Wet Marine & Transportation (A.S. 21.12.090(b)) 04/03/2019 04/03/2019
Utah Added a new line of business for 鈥淧roperty (Section 31A-1-301 (41)(a))鈥 and revised statute references for the following lines of business: Life Insurance, including annuity and variable products, (Utah Code Ann. 搂 31A-1-301(9) & 31A-20-106)); Accident & Health (Utah Code Ann. 搂 31A-1-301(1)(a)); Property Insurance (Utah Code Ann. 搂 31A-1-301 (145)(a)(b));  Surety Insurance (Utah Code Ann. 搂 31A-1-301 (169)); Vehicle Liability Insurance (Utah Code Ann. 搂 31A-1-301(177)); Liability Insurance (Utah Code Ann. 搂 31A-1-301(104)(a)); Marine and Transport (Utah Code Ann. 搂 31A-1-301(88) & (126)); Workers鈥 Compensation Insurance (Utah Code Ann. 搂 31A-1-301(180)); Title Insurance (Utah Code Ann. 搂 31A-1-301(172)); Professional Liability, excluding medical malpractice (Utah Code Ann. 搂 31A-1-301(103)(a)); Professional Liability, including medical malpractice (Utah Code Ann. 搂 31A-1-301(115 & 138)); Motor Club (Utah Code Ann. 搂 31A-1-301(116)); Limited Health Plan (Utah Code Ann. 搂 31A-8-101(3)(a)); Credit Guarantee (Utah Code Ann. 搂 31A-1-301(36)(a)); Legal Expense (Utah Code Ann. 搂 31A-1-301(103)(a)) 11/15/2018 11/15/2018
Michigan Revised the line description to insert the word 鈥淐asualty鈥 for the following lines of business: Steam Boiler, Flywheel and Machinery (MCL 500.624(1)a); Liability (MCL 500.624(1)b); Automobile, including Section 500.625, disability coverage supplemental to automobile insurance (MCL 500.624(1)b); Workers鈥 Compensation (MCL 500.624(1)b); Plate Glass (MCL 500.624(1)c); Sprinkler and Water Damage (MCL 500.624(1)d); Credit (MCL 500.624(1)e); Burglary and Theft (MCL 500.624(1)f); Livestock (MCL 500.624(1)g); Malpractice (MCL 500.624(1)h); Miscellaneous (MCL 500.624(1)i). 11/15/2018 11/15/2018
District of Columbia Added four new lines of business: (2.4) Private Crop (Sec. 31-2502.11), (2.5) Private Flood (Sec. 31-2502.11), (17.1) Other Liability鈥擮ccurrence (Sec. 31-2502.11) and (17.2) Other Liability鈥擟laims Made (Sec. 31-2502.11). Revisions were made to the descriptions of the following lines of business: (11) Medical Malpractice (Sec. 31-2502.11); (15.2) Non-cancelable A&H (Sec. 31-2502.11); (15.7) All Other A&H (Sec. 31-2502.11); (15.8)   Federal Employees Health Benefits Program 11/15/2018 11/15/2018
Pennsylvania Updated the website link in Note 3 to: 01/19/2018 01/19/2018
New Mexico The New Mexico lines of business were revised effective July 1, 2017 to: Life and Annuities (NMSA Section 59A-7-2); Accident and Health (NMSA Section 59A-7-3); Property (NMSA 59A-7-4); Casualty (NMSA Section 59A-7-6); and Variable Life and Annuity (NMSA Section 59A-7-7). 01/19/2018 01/19/2018
Illinois Added three new lines of business: Fraternal Benefit Society [215 ILCS 5/282.1 et.seq.]; Health Maintenance Organization (HMO) [215 ILCS 125/1-1 et seq.]; Limited Health Service Organization (LHSO) [215 ILCS 130/1001 et seq.] 11/06/2017 11/06/2017
Hawaii

Revised line description for 鈥淒isability (Section 431:1-205, HRS)鈥 to 鈥淎ccident and Health Insurance (Section 431:1-205, HRS).鈥
Added footnotes and revised footnote references for the Property Insurance, Vehicle Insurance, General Casualty Insurance and Ocean Marine. 

10/13/2017 10/13/2017
Texas Updated Footnotes (c) and (e). 03/03/2017 03/03/2017
Pennsylvania Updated the website link in Note 3 to: . 09/15/2016 02/13/2017
Arizona Added a new line of business for Recognized Surplus Lines A.R.S. 搂搂 20-407.01 & 20-409. 09/15/2016 09/16/2016
Vermont Added statute/regulation reference for the Variable Annuity and Variable Life lines of business to include 鈥(Section 3301(a)(1))鈥 with 鈥(Section 3857).鈥 07/27/2016 07/29/2016
Virginia Removed Modified Guaranteed Life #71 and Modified Guaranteed Annuities #72. 03/03/2016 03/03/2016
New Hampshire Revised description of the Liability/Casualty Coverages, including Workers鈥 Compensation (RSA 401.1.V) and Other Casualty Risks. Insurance against any other casualty risk not otherwise specified under paragraph V. (RSA 401.1, VIII) lines of business.  01/12/2016 01/12/2016
South Dakota Deleted the line of business for (23-B) Prepaid Legal. 09/08/2015 09/08/2015
California Deleted the line of business for Mortgage (CIC 117). 08/14/2015 08/14/2015
Kansas Added a new line of business for Cost of Legal Services. 07/01/2015 07/01/2015
Texas Deleted the line of business Prepaid Legal Services (h) and Footnote (H) Prepaid Legal Services business also has a separate policy forms filing requirements. 03/04/2015 03/04/2015
District of Columbia Updated line (21.1) Private Passenger Auto Physical Damage (Sec. 31-2502.11) and added (20) Glass (Sec-2502.11). 02/18/2015 02/18/2015

State

Line of Business

Posted/Revision
Date

Minnesota Removed "Livestock (10)" from line 9.1, added "and Inland Marine (2a)" to line 9.2 and added "Legal Expense (15)" to line 34

12/13/2023

Utah

Updates the life, annuity and variable annuity references with the new lines of business.

08/14/2020

Pennsylvania

Statute references were updated for the following lines of business: Accident & Health and Credit Accident & Health.

01/16/2020

Hawaii

Statute references were updated for the following lines of business: Ocean Marine, Inland Marine and Aircraft (all perils).

01/16/2020

Hawaii

Added subclasses to Life Insurance, Property Insurance and Marine and Transportation lines of business and updated statute references.

07/12/2019

Hawaii

Updated the Lines of Business for Property Insurance, with Hurricane (Section 431: 1-206, HRS)* and Property Insurance, without Hurricane (Section 431: 1-206, HRS).

05/07/2019

Maine

Corrected line of business reference for Multiple Peril Crop to Allied Lines from Farmowners Multiple Peril.

04/05/2019

Texas

Updated statute references for Mortgage Guaranty and Title lines of business.

04/03/2019

Georgia

Added Health Maintenance Organization line of business and statute reference.

04/03/2019

Florida

Removed statute reference 鈥淐ommercial Auto Physical Damage Only (0212) from 21.1 Private Passenger Auto Physical Damage line and added statute reference 鈥淐ommercial Auto Physical Damage Only (0212) and Casualty (Section 624.605) to Line 21.2 Commercial Auto Physical Damage.

04/03/2019

Delaware

Added statute references for the following lines of business: Private Crop, Private Flood; Federal Employees Health Benefits Plan Premium, Other Liability 鈥 Claims Made; Commercial Auto Physical Damage and Title.

04/03/2019

Connecticut

Added statute references for the following lines of business: Private Crop, Private Flood, Federal Employees Health Benefits Plan Premium, Other Liability 鈥 Claims Made, and Commercial Auto Physical Damage.

04/03/2019

All States

Added the following lines of business to the Matrix: 2.4 Private Crop; 2.5 Private Flood; 15.8 Federal Employees Health Benefits Plan Premium; 17.1 Other Liability 鈥 Occurrence; 17.2 Other Liability 鈥 Claims Made; 21.1 Private Passenger Auto Physical Damage; and 21.2 Commercial Auto Physical Damage.
Updates were made to the following states as a result of the changes to the Matrix: AK, AL, AR, AZ, DC, GA, HI, IN, KS, KY, LA, MA, ME, MI, MN, MO, MS, MT, NC, ND, NH, NM, NV, OK, OR, PA, TN, TX, UT, VA, VT, WA, WI, WY.

11/15/2018

 

California

The statute reference for Other Liability was revised to Liability (CIC 108)

09/24/2018

New Mexico

Updated for references to the new lines of business on the Matrix

01/19/2018

Hawaii

The statute reference for 鈥淒isability (Section 431:1-205, HRS)鈥 was revised to 鈥淎ccident and Health Insurance (Section 431:1-205, HRS).鈥

10/13/2017

Vermont

Added statute/regulation reference to the Variable Annuities line of business 鈥渁nd (搂 3857)鈥

07/27/2016

Connecticut

Added a line of business reference to 15.4 Non-renewable for stated reasons only; 15.6 Medicare Title XVIII exempt from state taxes or fees; 17.3 Excess Workers鈥 Compensation; 30 Warranty and Health Care Center (HMO).

08/26/2015

Kansas

Added a new line of business for Cost of Legal Services

07/01/2015

Texas

Deleted references to Prepaid Legal Services (h) in Lines: 23 Fidelity; 34 Aggregate write-ins for other lines of business ; and Life

03/04/2015

Florida

Updated the statute/regulation references for all annual statement lines of business on the Matrix

03/02/2015

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date, with the exception of Form 6 鈥 Certificate of Compliance and Form 7 鈥 Certificate of Deposit which may only be accepted up to 6 months or 1 year depending on the state鈥檚 requirement. Please check the for each state鈥檚 requirements. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change

Revision Date/
Adoption Date

Posted Date

Corrected the formatting/spacing for the date.

Note: States should accept both the 08/18/04 and 08/18/14 revision date for Form 6 for applications submitted on or before 08/31/2017. Certificates processed through the electronic application reflect the 8/18/2014 revision date.

08/18/2004

Revision date should have been 08/18/14

04/04/2017

The term 鈥淎pplicant Company鈥 was added to be used uniformly in all UCAA forms.

Note: States should accept both the 08/18/04 and 08/18/14 revision date for Form 6 for applications submitted on or before 08/31/2017. Certificates processed through the electronic application reflect the 8/18/2014 revision date.

08/18/2004

Revision date should have been 08/18/14

12/04/2014

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date, with the exception of Form 6 鈥 Certificate of Compliance and Form 7 鈥 Certificate of Deposit which may only be accepted up to 6 months or 1 year depending on the state鈥檚 requirement. Please check the for each state鈥檚 requirements. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change

Revision Date/
Adoption Date

Posted Date

The NTC(E)WG adopted the addition of 鈥淿__Policyholders or Creditors鈥 to the 鈥淔or benefit of鈥 section.

08/17/2015

02/19/2016

The term 鈥淎pplicant Company鈥 was added to be used uniformly in all UCAA forms.

08/18/2014

12/04/2014

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change

Revision Date/
Adoption Date

Posted Date

Form 8 - A new sub-question F. was added to Question 15. The new requirement will require the Applicant Company to attach a copy of their investment policy as part of the questionnaire. The new requirement pertains only to a primary and redomestication application.

11/18/2014

12/04/2014

Form 8 and 8C 鈥 The term 鈥淎pplicant Company鈥 was added to be used uniformly in all UCAA forms.

08/18/2014

12/04/2014

Description of Change

Revision Date/
Adoption Date

Posted Date

Form 9 鈥 Original Development of the Form.  12/13/2021 07/01/2023

Important Information

NOTE:  The form will be accepted up to six months from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change

Revision Date/
Adoption Date

Posted Date

The 不良研究所官方 Biographical Affidavit Addendum page for Residence was posted to the UCAA webpage as Form 11b. 08/17/2022 08/17/2022
The 不良研究所官方 Biographical Affidavit Addendum pages for Education, Employment, Licenses, Professional Societies, General and Blank were posted to the UCAA webpage as Form 11b.

NOTE: Form 11 was modified to remove the addendum pages, however, the revision date remained as 12/08/2020.

06/13/2022 06/17/2022
The 不良研究所官方 Biographical Cover Letter for officer/director changes that are part of the same group was posted to the UCAA webpage as Form 11a.  08/14/2021 08/24/2021

The Biographical Affidavit was revised to update the Notary section on Pages 6, 8, 9, 10, and 11 to add the following verbiage within the notary section 鈥渇oregoing instrument was acknowledged before me by means of _physical presence or _ online notarization,鈥︹赌.
Effective 1/1/2021.

12/08/2020

12/16/2020

The form was revised to add a section to 鈥淪pecify Purpose for Completion鈥 and Form A:________  UCAA Type:_________   Other: ________; clarification to list the Applicant Company Name, Address, City, State/Province, Postal Code, and Phone on Page 1 and 7; and the Government ID Number and Country of Issuance was added to Question 4 of the Supplemental Personal Information.
Effective 1/1/2020.

12/09/2019

12/16/2019

Language was added to Question 15 for officers, directors, etc. employed by the holding company to include the group code. Language was also added to indicate that all fields must have a response.

04/08/2019

04/09/2019

The disclosure language in Form 11 was revised to reflect the six-month signature requirement.

Effective 1/1/2019 signatures on the biographical affidavit must be within 6-months of the application submission date.

03/26/2018

06/11/2018
 

06/22/2018

Additional language was added to Form 11- Biographical Affidavit and the Supplement Information page regarding additional requirements for international searches.

12/04/2017

12/08/2017

The term 鈥淎pplicant Company鈥 was added to be used uniformly in all UCAA forms.

08/18/2014

12/04/2014

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change

Revision Date/
Adoption Date

Effective Date

Appian Application - Consent to Service of Process requirements were updated for Minnesota to require a Resident Agent only.    12/05/2023
Legacy Application - Form 12 was revised for Minnesota to reflect that only a resident agent is required to receive the Service of Process. The Minnesota footnote was also revised to read as "Minnesota does not forward Service of Process. Service of Process must be accomplished using the procedures set forth in MN Stat. 搂 45.028. Applicant Company should complete Exhibit B to provide a resident agent address that Commerce will keep on file. Resident agent must have a Minnesota address." 12/05/2023 12/05/2023
Exhibit A was updated for Minnesota and West Virginia. For Minnesota, the "~" footnote was revised. For Minnesota the footnote "Form accepted only as part of a Uniform Certificate of Authority application." was removed.  10/13/2023 10/13/2023
Exhibit A was updated for Colorado to reflect that only a resident agent is required to receive the Service of Process. 08/09/2022 08/09/2022

Added 鈥淪tatutory鈥 before 鈥淗ome Office Address鈥 to clarify that the address listed should be the Statutory Home Office Address and further clarification was added for companies that are organized in one state and domiciled (regulated) in another state.

12/09/2019

01/10/2020

Exhibit A was updated for Montana to reflect that a resident agent is now required to receive the Service of Process.

06/28/2019

06/28/2019

Removed Secretary of State requirement for Vermont from Exhibit B.

03/15/2019

03/15/2019

The NTC(E)WG adopted the addition of a signature date for the Secretary to be added to the Resolution page.

11/21/2015

02/19/2016

Minnesota can now accept Form 12. The Exhibit A was updated to reflect the changes for the Minnesota requirements.

11/21/2015

02/19/2016

The term 鈥淎pplicant Company鈥 was added to be used uniformly in all UCAA forms.

08/18/2014

12/04/2014

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change

Revision Date/
Adoption Date

Posted Date

P/C - Updated the Premium and Net Incurred Claims worksheets to align P/C lines of business as defined in the Annual Statement Instructions.  12/15/2023 12/15/2023

P/C 鈥 Corrected the formula in the Nation Net Prem & Loss Dev LOB to remove the 鈥*1000鈥 and removed the 鈥淰erification from P&L鈥 line from the Authorized Incurred Loss by LOB tab. Note: There was no change to the revision date of the form since changes were the results of a correction.

01/01/2019

02/15/2019

Health, Life, P/C and Title 鈥 The proforma workbooks were converted to Microsoft Office 2010 and revised to closely follow the annual statement. See UCAA website for detailed revisions.

01/01/2019 (revision)/
11/17/18 (adopted)

11/26/2018

Health 鈥 LOB Analysis Tab, the XXX were removed from Lines 6 & 15 for the Other Non-Health Column and formulas were updated to include these amounts.

10/07/2016

10/07/2016

Health 鈥 The format type was updated to .xls.

01/20/2015

01/20/2015

The term 鈥淎pplicant Company鈥 was added to be used uniformly in all UCAA forms for Life, Health, P/C and Title.

08/18/2014

12/04/2014

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change

Revision Date/
Adoption Date

Posted Date

The NTC(E)WG adopted changes to include a Cybersecurity Contact. 08/14/2021 11/16/2021

The NTC(E)WG adopted changes to include: 1) new contact for External Healthcare Review; 2) modifications to move the 鈥淣ote鈥 from the bottom of page 1 to the paragraph below the Mailing Address/Contact Change header; 3) added 鈥淢ain Administrative Office鈥 in front of phone number for the New Mailing Address; and 4) removed the state table from page 2.

04/08/2019

04/12/2019

The NTC(E)WG adopted a requirement for a toll free/instate phone number to be listed for the claims information contact; consumer complaints contact; and policyholder information contact.

04/10/2017

04/21/2017

The NTC(E)WG adopted changes to include: 1) Modifications to the language under the Name Change, Mailing Address/Contact Change and Notes sections; 2) the addition of the Fraud Assessment Invoice Contact; and 3) clarification to the line description for the 鈥淣ame of MGA.鈥

08/17/2015

02/19/2016

The term 鈥淎pplicant Company鈥 was added to be used uniformly in all UCAA forms.

08/18/2014

12/04/2014

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change

Revision Date/
Adoption Date

Posted Date

The following verbiage was added within the notary section 鈥渇oregoing instrument was acknowledged before me by means of _physical presence or _ online notarization,鈥︹赌.

12/08/2020

12/16/2020

Original Development of the Form.

3/28/2010

 

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change

Revision Date/
Adoption Date

Posted Date

Form 16a and Form 16b instructions were removed from the webpage and added to the Corporate Amendment Instructions.

04/08/2019

04/12/2019

Form 16b 鈥 Original Posting of the Form and Instructions.

04/25/2014

 

Form 16a 鈥 Original Development of the Form and Instructions.

08/16/2010

 

Important Information

NOTE:  Forms will be accepted up to one year from the signature date, the most recent form should be utilized, check the revision date on each form and verify the posting date, listed below. States can accept prior versions as long as the application is submitted prior to the posting date. The copyright date of the form should not be older than the revision date. The electronic application is automatically updated to the most recent copyright and revision date of each form.

Description of Change

Revision Date/
Adoption Date

Posted Date

The term 鈥淎pplicant Company鈥 was added to be used uniformly in all UCAA forms.

08/18/2014

12/04/2014

State

Description of Change

Posted Date

Kansas Added the following requirement "Kansas does not accept Primary and Expansion Applications pertaining to HMOs through the UCAA process. Information pertaining to HMO Applications is provided on the Kansas Insurance Department鈥檚 website at ." 03/15/2024
Georgia Updated state specific requirements.  01/29/2024
Rhode Island Updated statutory references and filing requirements.  11/27/2023
North Carolina Updated contact info in Other Corporate Amendment section to Jessica Murray. 09/11/2023
Kansas Updated state specific requirements for Uniform Consent to Service of Process (Form 12) and Background Investigation Reports. 07/24/2023
Minnesota Updated state specific requirements to remove items reflected in charts. 06/13/2023
Minnesota Updated Corporate Amendment section - bullet 1 to reference Uniform Consent to Service of Process (UCAA Form 12). 06/092023
New York  Updated contact information for HMO's. 06/09/2023
Wisconsin Removed "Hard Copy" requirement. 01/12/2023
California Updated Bulletin reference to "Bulletin 2018-4." 01/12/2023
Delaware Updated links in the Legal References and State-Specific Information.  01/12/2023
Virginia Added requirements for Reports of Examination and updated links to statutory references. 01/12/2023
Nebraska Updated filing requirements for Primary, Expansion and Corporate Amendments. 01/12/2023
Idaho Updated contact information. 01/12/2023
Texas Updated links for the Legal References and Texas Administrative Code. 01/12/2023
Rhode Island Updated links to Expansion Applications and Corporate Amendments.  01/12/2023
Montana Updated Primary and Expansion State Specific Requirements links. 01/06/2023
Idaho Updated contact information to Michele Munoz. 11/11/2022
North Dakota Added "For questions please email colicexam@nd.gov or visit ." 10/05/2022
Nebraska Added the following: Effective Immediately: Payments should be made through the online payment portal at:
10/03/2022
Montana Updated links for Primary and Expansion Application requirements and contact information. 09/13/2022
Ohio Updated biographical affidavit requirements and added requirements for primary application.  09/07/2022
Iowa Updated links for Insurance Bulletins and Contact the Iowa Insurance Division. Added a link to the Iowa Division for companies applying for licensure.  07/18/2022
North Carolina Updated Scott Wicker's phone number and updated contact information to Joe Greene for the 鈥淐orporate Amendments For Companies requesting additional lines of business and/or change of licensed status鈥 section.  07/12/2022
New York Added Merger and Acquisition and Property Corporate Amendment requirements sections. 07/01/2022
Louisiana Added footnote for capital and surplus requirements for Homeowners' and Fire and Allied lines of business.  06/07/2022
North Carolina Updated contact information to Scott Wicker.  06/01/2022
Arizona Updated Department name and website link 05/26/2022
Virginia Added language to the "Other Information" section regarding the Primary Application.  05/20/2022
Ohio Updated State Specific information link. 05/20/2022
Idaho Updated contact information for Idaho Industrial Commission. 05/18/2022
Virginia Updated state specific language for Other Information related to background reports.  05/10/2022
Idaho Added Corporate Amendment Application information.  03/21/2022
North Carolina Updated the state specific information for North Carolina 03/11/2022
Florida Updated the Anti-Fraud Contact from Emily Graetz to Launa Foreman. 03/09/2022
Kansas  Updated multiple sections within state specific information for Kansas.  03/04/2022
Virginia Updated link and information for filing instructions under the "Tentative Approval" section #1.  01/04/2022
Idaho Updated link for Managed Care Organization Additional Information and Variable Products Additional Information to . 12/10/2021
Rhode Island Updated state contact to Katherine Ortiz. 12/08/2021
Washington Updated Fee Schedule 06/11/2021
Alabama Updated state contact to Jessica Williamson for name change. 06/09/2021
Washington Updated Expansion Application fee from $400 to $275. 06/09/2021
Texas Updated Filing Fee Requirements and inserted link . 02/10/2021

Hawaii

Updated information under the Uniform Certificate of Authority Applications (UCAA) section for: applications to be filed electronically and payment of fees through OPTins.

01/13/2021

New Mexico

Removed link:

Replaced Link with:

Removed link: Replaced link with:

01/06/2021

Florida

Updated link for Statutory Deposits to

Updated Application Coordination Contact Information section.

12/18/2020

Kansas

Update link under the Legal Reference section to:

Updated link to obtain Kansas Bulletins to:

12/15/2020

California

Updated website link for Retaliatory Fee Bulletin to:
Updated address for Fee for Name Reservation to 1901 Harrison Street, 6th Floor, Oakland, CA 94612.

12/15/2020

Texas

Added the following to the state specific information: 鈥淭he Certificate of Deposit and Certificate of Compliance is no longer required for the UCAA Expansion and Corporate Amendment application.鈥

10/29/2020

Florida

Updated the following information:

Post-Filing Requirements

Anti-Fraud Plans -

Statutory Deposits: 

Contact Telephone Numbers

Anti-Fraud Contact Information
Contact Emily Graetz, Division of Investigative & Forensic Services, 200 E. Gaines Street, Tallahassee, Florida 32399-0324. Or a request may be made by phone: (850) 413-4094, or email: Emily.Graetz@myfloridacfo.com or difsiuadmin@myfloridacfo.com

Application Coordination Contact Information
Contact the Office of Insurance Regulation, Company Admissions Section, 200 E. Gaines Street, Larson Building, Tallahassee, Florida 32399-0326 or inquiries may be made by phone at 850/413-2512 for Life & Health Applications, email address lhappcoord@floir.com,  or 850/413-2575 for Property & Casualty Applications, email address pcappcoord@floir.com.

09/23/2020

North Dakota

Updated contact information to Laura Helbling.

07/01/2020

Georgia

Updated the Lexis Law reference under the Legal References section.

06/12/2020

Mississippi

Updated Lexis Law reference under the Legal References section.

06/12/2020

Oregon

Updated link under the Legal References section to

06/12/2020

Rhode Island

Updated website links to the Filing instructions, Legal References, and Registration of Other Company Types.

06/12/2020

New Mexico

Updated website links to the Company Contact Processing Form, Legal References and Section 59A-37-2 and 59A

06/12/2020

North Carolina

Updated the primary application contact information to Joseph Greene.

05/06/2020

Virginia

In the Corporate Amendments, Mergers, etc. section updated Form SCC710N to Form SCC760/922 and added the following links:  Clerk鈥檚 Office Website and .

04/24/2020

Virginia

Updated link in the Legal References section to .

Updated the contact in the Reinsurance Companies section to Henry Harris, henry.harris@scc.virginia.gov,  (804) 371-9186. 

04/23/2020

Washington

Revised the following sections: Legal References; Admission Fees; and Capital and Surplus Requirements.

01/09/2020

Vermont

Updated website link to Bulletin 43.

01/09/2020

North Dakota

Updated contact information.  

01/09/2020

Michigan

Updated the Legal References website link.

01/09/2020

Maryland

Updated the link to the certificate of compliance form for Workers鈥 Compensation.

01/09/2020

Illinois

Added the Insurance Laws and Insurance Regulations website links.

01/09/2020

Idaho

Revised the contact information and modified the information for the Expansion and Addition or Deletions to Lines of Business applications.

01/09/2020

Hawaii

The following sections were updated: State Specific Information; Uniform Certificate of Authority Applications; and Corporate Amendment Applications.

01/09/2020

Georgia

The GID-7 requirements were updated to read as 鈥淓ffective 01-01-2020 the GID-7 is no longer required if a copy of the domiciliary states retaliatory information (located on the UCAA website) is attached.   

01/09/2020

Connecticut

Updated the website address for the Office of the Secretary of State

01/09/2020

California

Updated the address for the Workers鈥 Compensation Insurance Rating Bureau

01/09/2020

Tennessee

Added the following sentence 鈥淓xcept for applicable fee(s), expansion and corporate amendment applications should be filed in their entirety in electronic format only (no hardcopy) using the 不良研究所官方/UCAA Electronic Application, which is available on the 不良研究所官方鈥檚 website: .鈥

12/15/2019

Kansas

Added the following sentence 鈥淓ffective July 1, 2019, all Expansion and Corporate Amendment Applications must be submitted using the 不良研究所官方 UCAA Electronic Application, which is available on the 不良研究所官方's website: 鈥 Deleted the following reference from paragraph 7 鈥淭he Consent should be executed with original signatures by the President and Secretary and should reflect the date they signed it. The original Consent should be submitted in a printed format.鈥 and 鈥渋n a printed format鈥 from paragraph 8.

04/18/2019

Idaho

Added language for Expansion and Corporate Amendment Adding Lines of Business applications that policy forms must be submitted when amending the certificate of authority to add the disability or life line of business.

02/15/2019

Texas

Updated link in the 鈥淎dding a Line鈥 section from to

02/15/2019

Ohio

Updated the state specific information to reflect the requirement changes in 鈥渨et鈥 signatures. Wet signatures are only required for the biographical affidavit.

02/08/2019

Georgia

Updated the hyperlink to the Georgia state specific forms to

02/05/2019

Washington

Added the following language 鈥淒o not submit payment with the expansion application. We will separately request payment prior to the issuance of certificate. See the Retaliatory Fee chart for corporate amendment application fees.鈥

01/14/2019

Texas

Updated website link under Legal References and Other State-Specific Information; Added additional information to the Primary Applications for Redomestications to Texas, Adding a Line, and Corporate Amendment sections.

01/07/2019

Rhode Island

Updated contact information for questions and the registration of other company types.

01/07/2019

Idaho

Updated the website links under the Legal References and the Industrial Commission.

01/07/2019

Nevada

Added requirement for address changes to be filed through the Nevada electronic portal at

05/17/2018

Connecticut

Updated the seasoning requirements from 3 years to 2 years based on Department policy

05/10/2018

South Dakota

A new link to the SD webpage was added:

04/23/2018

Wyoming

Updated the website link under Legal References to ; updated the Reports of Examination section from 36 months to 60 months; added reference 鈥(updated as of 3-9-18)鈥 in the Seasoning Requirements section; and removed 鈥淐hapter 26 鈥 Farm Mutual Property Insurers鈥 from the Requirements for Wyoming Domestic Insurance Companies.

03/22/2018