No Paper Insurance Forms and Rate Filings After July 1, 2015

In an effort to increase administrative efficiencies, AZDOI will require all types of insurance form and rate filings to be submitted via the System for Electronic Rate & Form Filing (SERFF) beginning 7/1/2015.  Please do not submit paper filings after that date.  Here’s information on getting started in SERFF and on SERFF training.  Questions regarding this upcoming change can be addressed to Gerald Tharp in the Property & Casualty Section, [email protected].

Warning - Phishing Scam

We are aware of a phishing scam targeting insurance professionals claiming that the National Association of Insurance Commissioners received a complaint that the professional submitted a falsified claim. This fraudulent email displays the NAIC and CIPR logos, can originate from what appears to be an naic.org or gmail.com email account, and instructs the recipient to click on a link to download the complaint notification.

Certain antivirus products will detect this as a malicious email.  If you receive a similar email and have any concerns, contact the NAIC Service Desk at (816) 783-8500 or [email protected].

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16.0 Workers' Compensation Form-Rate Filing Checklist
19.0 Personal Auto Form Filing Checklist
19.0 Personal Auto Rate Rule Filing Checklist
33.0 Service Contracts Filing Checklist
4.0 Homeowners Form Filing Checklist
4.0 Homeowners Rate Rule Filing Checklist
Administrative Order 13A-007-INS: Loss Ratio Standards and Prima Facie Rates for Credit Property Insurance and Credit Unemployment Insurance
Administrative Order 13A-071-INS

PROPERTY AND CASUALTY RATE AND FORM FILING EXEMPTIONS; COMMERCIAL NON-CANCELLATION RESTRICTION EXEMPTIONS; RECOGNIZED SURPLUS LINES

Administrative Order 15A-005-INS: Life and Disability Form Filing Exemptions; Group Long-term Care Form Filing Exemptions (Note, Exhibit A applies to advertising).
Arizona Sample Notice of Continuation Coverage (Mini-COBRA)

Pursuant to ARS § 20-2330, a health benefits plan issued or renewed after December 31, 2018, must allow an enrollee and any qualified dependent to continue coverage after a qualifying event.  The law requires a small employer (with an average of at least 1 but fewer than 20 employees) to notify an enrollee in writing of the right of the enrollee and any qualified dependents to continue coverage under the employer's health benefits plan upon an enrollee's qualifying event.  Pursuant to Subsection C of the law, the Department has prepared a sample notice of coverage continuation form and is making the sample available on its website.  A small employer that uses, properly completes, and timely issues the Department's form is presumed to satisfy notification requirements.  On January 23, 2019, the Department uploaded a new version of the form.

Arizona’s Medical EHB Benchmark Plan - Prior
Arizona’s Pediatric Dental/Vision Benchmark Plan - Prior
CREDIT LIFE, DISABILITY AND UNEMPLOYMENT EXPERIENCE REPORT
CREDIT PROPERTY EXPERIENCE REPORT, ANNUAL STATEMENT SUPPLEMENT
CTRF 385 01-2017– Consent to Rate Forms and Instructions – Other than Workers’ Compensation
CTRF WC357 01-2017- Consent to Rate Forms and Instruction – Workers Compensation
Form 1024A: Insurer Rate Service Organization Reference Filing Adoption Form
Form 1024B: Calculation of Company Loss Cost Multiplier
Form 1024B: Insurer Rate Service Organization Calculation of Company Loss Cost Multiplier
Form CU 1621: Credit Property/Credit Unemployment Certification of Rates

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