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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).


PHONE SYSTEM PROBLEMS

The State is encountering problems with its phone system not properly handling calls and dropping calls.  We apologize for any problems you encounter when trying to reach us by phone.  Our e-mail services are continuing to work well.  E-mail addresses for each area are available in the CONTACT US section of our web site 

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Title Last updatedsort descending Attachments
Form RO31010: License Application for a Rating Organization 09/12/2014 (Sat)
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Microsoft Office document icon RatingOrgApp31010.doc35.5 KB
Frequently Asked Questions and Key Facts about Health Insurance Rate Review 10/12/2014 (Sat)
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PDF icon FAQsfinal26ap11.pdf239.71 KB
Form E478I: Arizona Special Schedule P Report Instructions 04/12/2014 (Wed)
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PDF icon E478I.pdf25.47 KB
FINANCIAL REPORTING - DOMESTIC: Health Care Services Organization 11/01/2015 (Thu)
Form L-HFAI-INST: Instructions for Using the Health Filing Access Interface (HFAI) 04/01/2015 (Thu)
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PDF icon L-HFAI-INST.pdf83.08 KB
Facebook Helps Nab Phoenix Women for Insurance Fraud 03/02/2015 (Tue)
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PDF icon Press Release 2014-04177.76 KB
Fifth Man Arrested in False Auto Claim Conspiracy 03/02/2015 (Tue)
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PDF icon Press Release 2014-06181.71 KB
Form ER001: Filing Instructions 03/02/2015 (Wed)
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PDF icon Form ER001: Filing Instructions654.89 KB
Form ER001: Filing Instructions 04/02/2015 (Wed)
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PDF icon Form ER001: Filing Instructions153.63 KB
FINANCIAL REPORTING - FOREIGN/ALIEN: Risk Retention Group 11/02/2015 (Tue)
FINANCIAL REPORTING - DOMESTIC: Risk Retention Group 12/02/2015 (Tue)
Form II-Certification: Industrial Insured Certification 03/03/2015 (Mon)
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PDF icon Industrial Insured Certification (01-2015) New Heading.pdf18.47 KB
Forma Para Pedir Asistencia 04/03/2015 (Tue)
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PDF icon Forma para Pedir Asistencia (3).pdf2.24 MB
FINANCIAL REPORTING - DOMESTIC: Mechanical Reimbursement Reinsurer 02/04/2015 (Mon)
Form HIPAADATA: HIPAA Report 09/05/2015 (Fri)
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PDF icon HIPAADATA FORM 2015 PDF.pdf50.91 KB
Form EXSAPP: Application for Workers' Compensation Deposit Reduction - Instructions 12/06/2015 (Tue)
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PDF icon EXSAPP.pdf204.59 KB
FILING INSTRUCTIONS 06/06/2015 (Wed)
Flood Insurance Information 10/09/2015 (Thu)
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PDF icon Flood Insurance Information Sept 2015 Update.pdf26.29 KB
Fraud Unit News: Undercover Sting Leads to Arrest for Insurance Fraud 09/11/2015 (Mon)
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PDF icon Press Release 20151002 - Donald Parra.pdf20.08 KB
FINANCIAL REPORTING - FOREIGN/ALIEN: Reinsurer 04/02/2016 (Tue)
Form E230: Change to Domestic Insurer Statutory Agent 04/11/2016 (Thu)
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PDF icon E230_0.pdf520.69 KB
File Electronically 01/11/2016 (Thu)
Form P-LSBD: Life Settlement Broker: Disclosures to Owner and Provider 04/11/2016 (Thu)
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PDF icon p-lsbd.pdf41.64 KB
Form P-VOC: Life Settlement: Verification of Coverage for Life Insurance Policies 04/11/2016 (Thu)
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PDF icon p-voc.pdf198.39 KB
Form P-LSDO: Life Settlement: Provider/Broker Disclosures to Owner 04/11/2016 (Thu)
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PDF icon p-lsdo.pdf998.7 KB
Frequently Asked Questions About Rate Increases 10/12/2016 (Tue)
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PDF icon Consumer FAQs health insurance rates 11.30.16.pdf143.36 KB
Final Extension of Transition Policies through December 31, 2017 01/03/2017 (Tue)
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PDF icon PR2016-002_2017TransitionPolicy20160325.pdf40.19 KB
Form E-AMEND: Summary to Changes to Taxes and Fees 12/01/2018 (Sat)
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File e-amend.xlsx69.07 KB
Form E-TAX-AGENTS: 12/01/2018 (Sat)
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File Form E-TAX-AGENTS4.01 MB
Form E-INSTALL: Tax Installment Report 11/01/2018 (Wed)
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File Form E-INSTALL3.62 MB
Form C-TPC: Third-party Consent 08/04/2018 (Sun)
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PDF icon Form C-TPC137.9 KB
Finding a License Record 07/04/2018 (Sun)
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PDF icon FindingALicenseRecord.pdf178.19 KB
Flooding after Wildfires: Department of Emergency and Military Affairs 05/04/2018 (Tue)
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PDF icon DEMA_PR_re_flooding_after_fires_0.pdf149.78 KB
Form E-651: Checklist for Application for Life Care Provider Permit 02/06/2018 (Tue)
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PDF icon AdmLifeCareE651.pdf52.06 KB
Form E-653: Checklist for Change from a Provisional Permit to Life Care Provider Permit 02/06/2018 (Tue)
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PDF icon Form E-65354.28 KB
Form E-RE-I: Reinsurer Initial Instructions 02/06/2018 (Tue)
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PDF icon E-RE-I (Instructions)52.68 KB

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