Skip to main content
Arizona Department of Insurance
Arizona Department of Insurance

Search form

  • Home
    • Español
    • About the ADOI
    • Fee Schedule
    • Enforcement Actions
    • Job Opportunities
    • Laws, Rules and Bulletins
    • LICENSE SEARCH Instructions
    • Mailing Lists
    • Public Meetings
    • Record Requests/Service of Process
    • Reports
  • Consumers
  • Producers
  • Insurers
  • PROVIDERS
  • LICENSE SEARCH
  • CONTACT US

Captive Insurer Management Firm Profile

PDF icon CID_Mgmt Firm Profile 10 2018.pdf
Captive Insurer Reinsurance Structure
Amended Certificate of Authority - Company Code
Preparing the Management Discussion and Analysis Report
Risk Retention Group Captive Reference Guide
Captive Division Facts and Statistics
Captive Insurer (Non-RRG) Reference Guide
The Risk Retention Reporter: Licensing Quality RRGs is Aim of Arizona Captive Program
Captive Insurer Biographical Affidavit
Captive Insurer Certificate of Authority Application: Use this form to apply for a domestic captive or captive risk retention group insurer license.
Captive Insurer Conflict of Interest - Directors and Officers
Captive Insurer Irrevocable Letter of Credit - Sample Form
Captive Insurer Protected Cell Supplemental Application
ADOI Fee Schedule

Fees are nonrefundable upon payment.  ARS § 20-167(A)

Footer Utility

  • Statewide Policies
  • Site Map
  • Privacy Policy