2017-2018 Insurer Annual Assessments

This document contains all 2017-2018 assessments effective July 1, 2017, that will be mailed to insurers on Monday, July 3, 2017.  Please either use the insurer's page from this document or the notice we mail, and EITHER: Remit payment using the NAIC OPTins system (OPTins.org); or, if you are unable to use the OPTins system, send payment with a copy of the insurer's assessment notice.

Assessments are due July 31, 2017.

New Options for Providing Your Application to Us

Learn the FAST & EASY way to submit a license or renewal application.

Form C-RFI

An insurer completes and includes Form C-RFI when responding to a Department of Insurance request for information relating to a complaint from the insurer's customers.  Last updated 3/1/2017 @ 19:10.

List of Domestic Surplus Lines Insurers

Surplus lines brokers must place business with an Arizona-authorized insurer when insurance is procurable from an authorized insurer.  When insurance is not procurable from an authorized insurer, a surplus lines broker may procure coverage from a Domestic Surplus Lines Insurer, from an insurer on Arizona's List of Qualified Unauthorized Surplus Line Insurers, or from an insurer on the NAIC Quarterly Listing of Alien Insurers.

List of Qualified Unauthorized Surplus Line Insurers

Surplus lines brokers must place business with an Arizona-authorized insurer when insurance is procurable from an authorized insurer.  When insurance is not procurable from an authorized insurer, a surplus lines broker may procure coverage from a Domestic Surplus Lines Insurer, from an insurer on Arizona's List of Qualified Unauthorized Surplus Line Insurers, or from an insurer on the NAIC Quarterly Listing of Alien Insurers.

ADOI Fee Schedule