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NEW AGENCY

Arizona Department of Insurance
100 North 15th Avenue, Suite 261
Phoenix, AZ  85007-2630

Starting July 1, 2020, we became the
Department of Insurance and Financial Institutions (DIFI).

(6) | " (1) | 0 (665) | 1 (1502) | 2 (91) | 3 (3) | 4 (7) | 5 (8) | 6 (20) | 7 (46) | 8 (107) | 9 (536) | > (1) | A (175) | B (22) | C (140) | D (44) | E (20) | F (278) | G (19) | H (57) | I (83) | J (2) | K (1) | L (58) | M (175) | N (84) | O (22) | P (229) | Q (1) | R (207) | S (53) | T (34) | U (13) | V (4) | W (66) | Y (3) | • (1)
Title Last updatedsort descending Attachments
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: Risk Retention Group 03/01/2019 (Fri)
FOREIGN INSURER: Service Corporation (HMDO) 03/01/2019 (Fri)
FOREIGN INSURER: Title Insurer 03/01/2019 (Fri)
FINANCIAL REPORTING - FOREIGN/ALIEN: Mutual Aid Association 12/01/2019 (Tue)
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PDF icon Mutual Aid Association Filing Requirements697.04 KB
Form E-LIFECARE.AMEND: Amendment to Annual Report 12/01/2019 (Tue)
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PDF icon Life Care Provider Annual Report Amendment E-LIFECARE.AMEND_.WebVersion.pdf703.64 KB
Form L-177: Report of a Change to Members, Officers or Directors 01/02/2019 (Wed)
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PDF icon Form L-177618.01 KB
Form L-CRT: Certification Letter Request 02/04/2019 (Tue)
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PDF icon form_l-crt_e_04022019.pdf999.65 KB
Form L-192: License Renewal Application for a Business Entity 02/04/2019 (Tue)
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File l-192_20190402.docx81.02 KB
Form F101: Fraud Referral Form 05/04/2019 (Sat)
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PDF icon Form F-101: Fraud Referral Form219.47 KB
Form E-MG.CEDE: Supplementary Schedule F-3 09/04/2019 (Mon)
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PDF icon Mortgage Guaranty Cede E-MG.CEDE (2).pdf167.38 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 L-LTD: Limited License Authority Application 10/05/2019 (Tue)
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PDF icon l-ltd_20180618.pdf240.58 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 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 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
FOREIGN INSURER: Property/Casualty Insurer 07/10/2019 (Wed)
Form E-LIFECARE: Annual Report Form 01/11/2019 (Tue)
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PDF icon Life Care Provider Annual Report E-LIFECARE.pdf3.56 MB
Form E-LIFECARE.AS: Annual Report Filing Checklist 01/11/2019 (Tue)
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PDF icon Life Care Provider Annual Report Filing Checklist E-LIFECARE.AS_.pdf870.89 KB
Form E-MG.MPP: Report of Policyholders Position 01/11/2019 (Tue)
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PDF icon Mortgage Guaranty MPP E-MG.MPP_.pdf1.24 MB
Form E-AFR.IC: Audited Financial Report Internal Control Filings Transmittal 11/11/2019 (Thu)
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PDF icon Audited Financial Report Internal Control Filings E-AFR.IC_.pdf1.35 MB
FY 2020 INSURER ANNUAL ASSESSMENT INVOICES ARE AVAILABLE 04/01/2020 (Thu)
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PDF icon Assessment Letter for Specified Assessment Date 20190712.pdf9.91 MB
Foreign Insurers 04/01/2020 (Thu)
Form SOONBDRIST-S: Informal Settlement Conference Scheduling Details 03/01/2020 (Fri)
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PDF icon Form SOONBDRIST-S151.98 KB
Form SOONBDRFI-P: Request for Information - Healthcare Provider 03/01/2020 (Fri)
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PDF icon Form SOONBDRFI-P2.34 MB
Form SOONBDRFI-I: Request for Information - Insurer 03/01/2020 (Fri)
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PDF icon Form SOONBDRFI-I (v. 20190207)2.25 MB

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