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  • Form C-RFI

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.  

PDF icon c-rfi_20200221.pdf
Priority: 
200
FY 2021 Insurer Notice of Assessment

Follow instructions on the first page to locate your page(s) of the document.

Use your OPTins "Assessment" account (optins.org) to pay your assessments.

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.

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