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Title Last updatedsort ascending Attachments
Form E-ACTOP: Actuarial Opinion Exemption Guidelines 12/01/2019 (Tue)
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PDF icon Actuarial Opinion Financial Hardship Exemption E-ACTOP.WebVersion.pdf747.73 KB
FINANCIAL REPORTING - FOREIGN/ALIEN: Mutual Aid Association 12/01/2019 (Tue)
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PDF icon Mutual Aid Association Filing Requirements697.04 KB
FOREIGN INSURER: Unaffiliated Credit Life & Disability Reinsurer 03/01/2019 (Fri)
FOREIGN INSURER: Title Insurer 03/01/2019 (Fri)
FOREIGN INSURER: Service Corporation (HMDO) 03/01/2019 (Fri)
FOREIGN INSURER: Risk Retention Group 03/01/2019 (Fri)
FOREIGN INSURER: Prepaid Legal Insurer 03/01/2019 (Fri)
FOREIGN INSURER: Mortgage Guaranty Insurer 03/01/2019 (Fri)
FOREIGN INSURER: Life/Disability/Health Insurer 03/01/2019 (Fri)
FOREIGN INSURER: HMDO Service Corporation 03/01/2019 (Fri)
FOREIGN INSURER: Health Care Services Organization 03/01/2019 (Fri)
FOREIGN INSURER: Fraternal Benefit Society 03/01/2019 (Fri)
FOREIGN INSURER: Exempt Insurer ARS § 20-401.05 03/01/2019 (Fri)
FOREIGN INSURER: Employee Benefit Trust/Association 03/01/2019 (Fri)
FOREIGN INSURER: Accredited Reinsurer 03/01/2019 (Fri)
Form E-TAX: Annual Tax and Fees Report 12/01/2019 (Fri)
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File Form E-TAX (v. 20181211)88.31 KB
Form E-LRTF: Local and Regional Taxes and Fees; Survey of Arizona Domestic Insurers 12/01/2019 (Fri)
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File Form E-LRTF (v. 20190118)1.02 MB
Form E-UCLDR: Unaffiliated Credit Life & Disability Reinsurer Annual Fees Report 11/01/2019 (Fri)
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PDF icon Form E-UCLDR (v. 20181217)366.26 KB
Form E-TITLE: Retaliation Report for a Foreign/Alien Title Insurer 11/01/2019 (Fri)
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File Form E-TITLE (v. 20190118)52.21 KB
Form E-TAX-I: Annual Tax and Fees Report Instructions 11/01/2019 (Fri)
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PDF icon E-TAX-I: Tax Instructions389.27 KB
Form E-TC: Tax Credits 11/01/2019 (Fri)
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File Form E-TC (v. 20190118)47.91 KB
Form E-SGHI: Accountable Health Plan Small-employer Group Health Insurance Plan Premium 11/01/2019 (Fri)
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File Form E-SGHI (v. 20190117)416.73 KB
Form E-RT: Retaliation Report 10/01/2019 (Fri)
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File Form E-RT (v. 20181211)78.62 KB
Form E-II: Industrial Insured Premium Receipts Tax Report 10/01/2019 (Fri)
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PDF icon Form E-II (v. 20190118)1.26 MB
Form E-FBS: Annual Fees and Retaliation Report for a Fraternal Benefit Society 10/01/2019 (Fri)
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PDF icon Form E-FBS (v. 20190118)898.02 KB
Form E-AHCCCS: AHCCCS Contractor Quarterly Premium Tax Report 09/01/2019 (Fri)
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File Form E-AHCCCS56.59 KB
Form E-NAIC.TITLE: Annual Filing Checklist 03/01/2019 (Thu)
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PDF icon E-NAIC.TITLE_.pdf209.8 KB
Form E-NAIC.FRATERNAL: Annual Filing Checklist 03/01/2019 (Thu)
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PDF icon E-NAIC.Fraternal.pdf245.18 KB
Form E-MRR.AS: Annual Statement Filings Worksheet 09/12/2018 (Thu)
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PDF icon Form E-MRR.AS 1.11 MB
Form E-LR.AS: Annual Statement Filings Worksheet 03/12/2018 (Tue)
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PDF icon Form L-RA.AS Worksheet1.11 MB
Form E-503-TPA: Affidavit of Lost Certificate of Registration 03/12/2018 (Tue)
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PDF icon Form E-503-TPA Affidavit of Lost Certificate of Registration.pdf983.69 KB
Form E-200: TPA Registration Application Checklist 02/12/2018 (Tue)
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PDF icon TPA Form E-200_20160721.pdf927.57 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 E157: Bond of Life and Health Administrator 02/12/2018 (Tue)
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PDF icon Bond of Life and Health Administrator 645.6 KB
Form E-115: Life and Health (Third-party) Administrator Information Update 02/12/2018 (Tue)
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PDF icon TPA Form E-1151.46 MB
Form E-111: Renewal Application for Life and Health Administrator Registration 02/12/2018 (Tue)
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PDF icon Form E-111 TPA Renewal Application.pdf1.41 MB

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