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].

Uniform Property and Casualty Product Coding Matrix
CTRF 385 01-2017– Consent to Rate Forms and Instructions – Other than Workers’ Compensation
Property and Casualty Filing Information/Instructions
CREDIT PROPERTY EXPERIENCE REPORT, ANNUAL STATEMENT SUPPLEMENT
CREDIT LIFE, DISABILITY AND UNEMPLOYMENT EXPERIENCE REPORT
Administrative Order 15A-005-INS: Life and Disability Form Filing Exemptions; Group Long-term Care Form Filing Exemptions (Note, Exhibit A applies to advertising).
Notice of Exemption from Life and Health Form and Advertising Filing Requirements
Arizona’s Medical EHB Benchmark Plan - Prior
Arizona’s Pediatric Dental/Vision Benchmark Plan - Prior
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.

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