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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).

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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
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
Form E-CR-I: Certified Reinsurer Instructions 02/06/2018 (Tue)
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PDF icon Certified Reinsurer CR-I Instructions.pdf57.17 KB

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