DOMESTIC INSURER: Unaffiliated Credit Life & Disability Reinsurer

NEW ADDRESS


Arizona Department of Insurance
100 North 15th Avenue, Suite 261

Phoenix, AZ  85007-2630

Starting July 1, 2020, we will be the
Department of Insurance and Financial Institutions (DIFI).


NOTICE

Arizona state agencies are experiencing telephone system problems that may impact your ability to reach us.  If you can e-mail us instead (see our CONTACT US page), please do so.  We do not have an estimate time by which the problem will be resolved.  We are very sorry for any inconvenience this is causing.


Taxes | Domestic | UCLDR


If your fiscal year ends on December 31, EITHER

  • use OPTins to pay your annual fee between July 1 and August 1, OR
  • complete and file Form E-UCLDR with your payment between July 1 and August 1.

If your fiscal year does not end on December 31, EITHER

  • use OPTins to pay your annual fee between July 1 and November 1, OR
  • complete and file Form E-UCLDR with your payment between July 1 and November 1.

In OPTins (www.optins.org), upload Form E-UCLDR and pay $4,800, consisting of:

  • $300 for Payment Type 28
  • $4,500 for Payment Type 57

HOW DID WE DO?

Please Provide Your Feedback

  • To report errors with forms or instructions, or to suggest ways to improve them, please send e-mail to our Tax Unit at [email protected].