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Title Last updatedsort descending Attachments
Form CU 1621: Credit Property/Credit Unemployment Certification of Rates 02/04/2019 (Mon)
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PDF icon CU 1621 Certification Form.pdf694.38 KB
Form L-LTD: Limited License Authority Application 10/05/2019 (Tue)
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PDF icon l-ltd_20180618.pdf240.58 KB
Form E-LR.I: Annual Statement Filing Instructions 08/05/2019 (Fri)
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PDF icon Life and Disability Reinsurer Annual Instructions E-LRI (2).pdf125.13 KB
Form E-MRR.I: Annual Statement Filing Instructions 08/05/2019 (Fri)
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PDF icon Mechanical Reimbursement Reinsurer Annual Instructions E-MRRI (3).pdf143.37 KB
Form E-CR-INFO: Certified Reinsurer Information 10/06/2019 (Wed)
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PDF icon Certified Reinsurer E-CR-INFO Information 20190518.pdf159.4 KB
Form L-CRT: Letter of Certification Request 09/06/2019 (Fri)
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PDF icon form_l-crt_e_.pdf999.65 KB
Filing a Complaint 03/06/2019 (Fri)
Fingerprinting Services 12/06/2019 (Mon)
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PDF icon FingerprintServices_201906.pdf172.34 KB
Form E-AFR.IC: Audited Financial Report Internal Control Filings Transmittal 02/06/2019 (Thu)
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PDF icon Audited Financial Report Internal Control Filings E-AFR.IC_.WebVersion.pdf760.83 KB
Form E-AFR.IC.RE: Audited Financial Report Internal Control Filings Transmittal Reinsurer 02/06/2019 (Thu)
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PDF icon Audited Financial Report Internal Control Filings E-AFR.IC_.RE_.pdf594.89 KB
FY 2020 INSURER ANNUAL ASSESSMENT INVOICES ARE AVAILABLE 01/07/2019 (Thu)
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PDF icon Assessment Letter for Specified Assessment Date 20190712.pdf9.91 MB
Form L-176: Insurance License Application for a Business Entity 03/07/2019 (Fri)
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PDF icon L-176-Form-and-Instructions_20190712.pdf477.29 KB
FY 2020 Agency Strategic Plan 12/07/2019 (Thu)
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PDF icon FY 2020 Agency Strategic Plan85.7 KB
Form L-191: License Renewal Application for an Individual 12/07/2019 (Mon)
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PDF icon form_l-191_0.pdf314.72 KB
Form E-100: Application for Life and Health Administrator Registration 08/08/2019 (Mon)
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PDF icon Form E-100 TPA New Application 20190809.pdf1.72 MB
File a Complaint with Us 08/08/2019 (Fri)
FY 2020 Agency Budget Request 01/09/2019 (Tue)
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PDF icon FY2020AgencyBudgetRequest.pdf2.04 MB
FY 2021 Agency Budget Request 01/09/2019 (Tue)
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PDF icon IDA-AGENCY_BUDGET_REQUEST-FY2021.pdf1.74 MB

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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].