NEW ADDRESS Starting January 27, 2020

Arizona Department of Insurance

100 North 15th Avenue, Suite 261

Phoenix, AZ  85007-2630

VISITORS

Citizens, license applicants, process servers:

  • We will continue to provide assistance from Suite 102 through Friday, January 24, 2020. 
  • We will be up and running in Suite 261 starting Monday, January 27, 2020.

 

    MAIL

    Send mail to our new suite number effective immediately (before January 27, 2020). 

    Please make sure to update our address in your contact lists and information systems.

    Sitemap

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    Titlesort descending Last updated Attachments
    FINANCIAL REPORTING - FOREIGN/ALIEN: Reinsurer 04/02/2016 (Tue)
    FINANCIAL REPORTING - FOREIGN/ALIEN: Risk Retention Group 11/02/2015 (Tue)
    FINANCIAL REPORTING - FOREIGN/ALIEN: Title Insurer 02/12/2014 (Fri)
    Financial Reporting for Foreign/Alien Entities 04/12/2014 (Fri)
    FINANCIAL REPORTING: Senior Residential Entrance Fee Contract Provider 09/12/2014 (Fri)
    FIND US AT OUR NEW ADDRESS!! 09/12/2018 (Tue)
    Finding a License Record 07/04/2018 (Sun)
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    PDF icon FindingALicenseRecord.pdf178.19 KB
    Fingerprinting Services 12/06/2019 (Mon)
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    PDF icon FingerprintServices_201906.pdf172.34 KB
    Flood Insurance Information 10/09/2015 (Thu)
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    PDF icon Flood Insurance Information Sept 2015 Update.pdf26.29 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
    Flooding after Wildfires: Department of Emergency and Military Affairs 06/11/2014 (Sat)
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    PDF icon DEMA_PR_re_flooding_after_fires.pdf40.26 KB
    For Captives Other Than RRGs: Captive Insurer Annual Report and Renewal Fee Transmittal 03/10/2018 (Mon)
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    PDF icon Captive AR-Transmittal 10 2018.SAVEABLE.pdf840.41 KB
    For Risk Retention Groups: Captive Insurer Annual Report and Renewal Fee Transmittal 03/10/2018 (Mon)
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    PDF icon Captive RRG - Annual Transmittal 844.78 KB
    FOREIGN INSURER: Accredited Reinsurer 03/01/2019 (Fri)
    FOREIGN INSURER: Employee Benefit Trust/Association 03/01/2019 (Fri)
    FOREIGN INSURER: Exempt Insurer ARS § 20-401.05 03/01/2019 (Fri)
    FOREIGN INSURER: Fraternal Benefit Society 03/01/2019 (Fri)
    FOREIGN INSURER: Health Care Services Organization 03/01/2019 (Fri)
    FOREIGN INSURER: HMDO Service Corporation 03/01/2019 (Fri)
    FOREIGN INSURER: Life/Disability/Health Insurer 03/01/2019 (Fri)
    FOREIGN INSURER: Mortgage Guaranty Insurer 03/01/2019 (Fri)
    FOREIGN INSURER: Prepaid Legal Insurer 03/01/2019 (Fri)
    FOREIGN INSURER: Property/Casualty Insurer 07/10/2019 (Wed)
    FOREIGN INSURER: Risk Retention Group 03/01/2019 (Fri)
    FOREIGN INSURER: Service Corporation (HMDO) 03/01/2019 (Fri)
    FOREIGN INSURER: Title Insurer 03/01/2019 (Fri)
    FOREIGN INSURER: Unaffiliated Credit Life & Disability Reinsurer 03/01/2019 (Fri)
    Foreign Insurers 04/01/2020 (Thu)
    Form 1024A: Insurer Rate Service Organization Reference Filing Adoption Form 08/11/2014 (Fri)
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    PDF icon REFERENCE_FILING_ADOPTION_FORM_1024A_(Fillable).pdf30.92 KB
    Form 1024B: Calculation of Company Loss Cost Multiplier 08/11/2014 (Fri)
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    PDF icon CALCULATION_OF_COMPANY_LOSS_COST_MULTIPLIER_1024B_(Fillable).pdf70.68 KB
    Form 1024B: Insurer Rate Service Organization Calculation of Company Loss Cost Multiplier 08/11/2014 (Fri)
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    Microsoft Office document icon CALCULATION_OF_COMPANY_LOSS_COST_MULTIPLIER_1024B.DOC26 KB
    Form C-RFI 03/07/2018 (Mon)
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    PDF icon form_c-rfi.pdf850.66 KB
    Form C-TPC: Third-party Consent 08/04/2018 (Sun)
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    PDF icon Form C-TPC137.9 KB
    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 E-100-A: Life and Health Administrator Registration Addendum 02/12/2018 (Tue)
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    PDF icon Form E-100-A TPA New Application Addendum.pdf762.14 KB
    Form E-100-B: Life and Health Administrator Biographical List 02/12/2018 (Tue)
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    PDF icon Form E-100-B TPA Biographical List.pdf767.11 KB

    Pages