INSURERS

NEWS: Insurer annual assessments for Fiscal Year 2017-2018 are due July 31, 2017. A document containing all assessment notices is provided on this page.


The INSURERS section of our web site provides information to insurance companies and insurance intermediaries that want to be authorized/registered to operate in Arizona.

Licensing/Registration Requirements and forms for an insurance company or insurance intermediary to obtain authority to operate in Arizona and for acquisitions and holding company registrations.
Trust Deposits  Forms and instructions for establishing trust accounts and making required trust deposits through the Department of Insurance.
Financial Reporting Forms that insurers need to complete to satisfy periodic financial reporting requirements.
Rates, Forms & Compliance

Information about form, rate, advertising and contract filing requirements; and, required surveys and reports for

Laws and Rules  Links to sites where you can access laws and rules you need to understand so you can remain in compliance.
Insurance Fraud  Information about the Arizona Department of Insurance Fraud Unit and ways to report suspected insurance fraud
Taxes Forms and instructions for reporting and paying insurance premium tax.
File a Health Care Appeal Portal allowing health insurers to file health care appeals with the Arizona Department of Insurance for external independent review pursuant to Arizona Revised Statutes § 20-2537.

 

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.

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.

Insurance Professional License Number Crosswalk (MS EXCEL)

With the Department of Insurance move off of its old regulatory system to State Based Systems ("SBS"), the license number for each Arizona-licensed insurance professional (insurance producer/agent, surplus lines broker, insurance adjuster, etc.) changed. Attached is a MICROSOFT EXCEL file that contains the name, old (legacy) license number, new license number and National Producer Number for each insurance professional licensed whose license expired/expires on or after 4/30/2016. Use the LICENSE SEARCH menu option at the top of this page to view the license record for a particular licensee or company.

Insurance Professional License Number Crosswalk (CSV)

With the Department of Insurance move off of its old regulatory system to State Based Systems ("SBS"), the license number for each Arizona-licensed insurance professional (insurance producer/agent, surplus lines broker, insurance adjuster, etc.) changed. Attached is a COMMA-SEPARATED VALUES (CSV) file that contains the name, old (legacy) license number, new license number and National Producer Number for each insurance professional licensed whose license expired/expires on or after 4/30/2016. Use the LICENSE SEARCH menu option at the top of this page to view the license record for a particular licensee or company.

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.

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.

ADOI Fee Schedule