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Forms
  Adobe Acrobat Document   General Insurance Complaint Form   Adobe Consumer Complaint Form  
  Adobe Acrobat Document   Workers' Compensation Complaint Form   Adobe Consumer Complaint Form  
  Adobe Acrobat Document   Homeowners Interactive Inventory Chart    
    Medical Malpractice Report Form    
  Adobe Acrobat Document   Burial Insurance Benefit Assignment Form   Adobe Burial Insurance Benefit Assignment Form  
Agent Licensing
  Adobe Acrobat Document   2008 C. E. Reinstatement Form Adobe 2003 C. E. Reinstatement Form  
  Adobe Acrobat Document   Adjuster Application Adobe Agent Adjuster Application Form  
  Adobe Acrobat Document   Agent Request Form Adobe Agent Request Form  
  Adobe Acrobat Document   Appointment/Termination Form Adobe Appointment/Termination Form  
    Continuing Education Information    
  Adobe Acrobat Document   Emergency Adjuster Application  
    Late Renewal Forms    
  Adobe Acrobat Document   Non-Resident Agent Application Adobe Non-Resident Agent Application Form  
  Adobe Acrobat Document   Resident Agent Application Adobe Resident Agent Application  
  Adobe Acrobat Document   Surplus Lines Licensee Application (Individual) Adobe Excess Lines Form  
  Adobe Acrobat Document   Title Agent Application Adobe Title Agent Application Form  
  Adobe Acrobat Document   1033 Instructions Adobe Title Agent Application Form  
  Adobe Acrobat Document   1033 Frequently Asked Questions Adobe Title Agent Application Form  
  Adobe Acrobat Document   1033 Short Form Application for Written Consent to Engage in the Business of Insurance Adobe Title Agent Application Form  
Agency
  Adobe Acrobat Document   Agency Request Form Adobe Agency Request Form  
  Adobe Acrobat Document   Resident Business Entity Application Adobe Resident Business Entity Application  
  Adobe Acrobat Document   Managing General Agent License Instructions and Forms  
  Adobe Acrobat Document   Managing General Agent License Renewal Instructions and Forms  
  Adobe Acrobat Document   Non-Resident Business Entity Application Adobe Non-Resident Agent Application Form  
    Tax Information and Forms for Insurance Companies and Surplus Lines Licensee      
    General Information      
             
      General Forms      
    Certificate of Assuming Insurer    
  Adobe Acrobat Document   Trust Agreement Checklist Producers Diligent Search Form  
    Charitable Gift Annuity Form Adobe NAIC Uniform Application For TPA Form  
  Adobe Acrobat Document   Private Passenger Automobile Renewal Election Form   Accident And Health Survey  
    Certificate of Advertising Compliance    
             
      Accredited Reinsurer      
    Accredited Reinsurer Instructions    
    Accredited Reinsurer Application for License    
  Adobe Acrobat Document   Accredited Reinsurer Requirements with Trusteed Producers Diligent Search Form  
             
      Discount Medical Plan Organizations (DMPO)      
  Adobe Acrobat Document   Discount Medical Plan Organizations: Instructions   Accident And Health Survey  
  Adobe Acrobat Document   Discount Medical Plan Organizations: Renewal Instructions   Accident And Health Survey  
  Adobe Acrobat Document   Discount Medical Plan Organizations: Application    
  Adobe Acrobat Document   Discount Medical Plan Organizations: Surety Bond   Accident And Health Survey  
             
      Domestic Farmers Mutual      
    Domestic Farmers Mutual Instructions    
    Domestic Farmers Mutual Application for License    
             
      Fraternal Societies      
    Fraternal Societies Instructions    
    Fraternal Societies Application for License    
             
      Health Maintenance Organization (HMO)      
    HMO Application for License    
  Adobe Acrobat Document   HMO Domestic Application   Accident And Health Survey  
  Adobe Acrobat Document   HMO Foreign Application   Accident And Health Survey  
    HMO Annual Filing Requirements    
  Adobe Acrobat Document   Annual/Quarterly County Enrollment Worksheet Accident And Health Survey    
  Adobe Acrobat Document   HMO Product Mix Report Accident And Health Survey    
             
      Domestic Hospital, Medical & Dental Corporations (HMDI)      
    HMDI Instructions    
    HMDI Application for License    
             
      Managing General Agent (MGA)      
  Adobe Acrobat Document   Managing General Agent License Instructions Accident And Health Survey  
  Adobe Acrobat Document   Managing General Agent License Application Form MGA-1 Accident And Health Survey  
  Adobe Acrobat Document   Managing General Agent License Application Form MGA-2 Accident And Health Survey  
  Adobe Acrobat Document   Managing General Agent License Application Form MGA-3 Accident And Health Survey  
  Adobe Acrobat Document   Managing General Agent Renewal Instructions Accident And Health Survey  
  Adobe Acrobat Document   Managing General Agent Renewal Application Form MGA-4 Accident And Health Survey  
  Adobe Acrobat Document   Managing General Agent Renewal Application Form MGA-5 Accident And Health Survey  
             
      Professional Employer Organization (PEO)      
    PEO Filing Instructions    
    Form PEO-1    
             
      Reinsurance Intermediary      
  Adobe Acrobat Document   Reinsurance Intermediary License Instructions Accident And Health Survey  
  Adobe Acrobat Document   Reinsurance Intermediary License Form Accident And Health Survey  
  Adobe Acrobat Document   Reinsurance Intermediary Renewal Instructions Accident And Health Survey  
  Adobe Acrobat Document   Reinsurance Intermediary Renewal Form Accident And Health Survey  
  Adobe Acrobat Document   Reinsurance Intermediary Manager Form Accident And Health Survey  
             
      Risk Retention      
    Requirements For Risk Retention Groups      
  Adobe Acrobat Document   Risk Retention Group State of Domicile Certification   PDF Risk Retention Group State of Domicile Certification Form  
  Adobe Acrobat Document   Risk Retention Group Modification Form   PDF Risk Retention Group State of Domicile Certification Form  
  Adobe Acrobat Document   Affidavit of Filing and Annual Statement Attestation   PDF Risk Retention Group State of Domicile Certification Form  
  Adobe Acrobat Document   Risk Purchasing Group Modification Form   PDF Risk Retention Group State of Domicile Certification Form  
    Registration For Risk Purchasing Groups      
  Adobe Acrobat Document   Risk Purchasing Group Statement of Premiums Accident And Health Survey    
             
      Surplus Lines      
    Surplus Lines Eligibility Application Accident And Health Survey  
  Adobe Acrobat Document   Alien Surplus Lines Insurer Affidavit of Filing and Financial Statement Attestation   Producers Diligent Search Form  
             
      Third Party Administrator (TPA)      
  Adobe Acrobat Document   Affidavit Application Adobe TPA Instructions Form  
  Adobe Acrobat Document   Bond of Administrators Form Adobe TPA Bond Form  
  Adobe Acrobat Document   Corporate Changes Instructions Adobe TPA Affidavit Form  
  Adobe Acrobat Document   NAIC Uniform Application for TPA’s Adobe NAIC Uniform Application For TPA Form  
  Adobe Acrobat Document   Registration (Form TPA-1) Adobe NAIC Uniform Application For TPA Form  
  Adobe Acrobat Document   TPA Instructions Adobe NAIC Uniform Application For TPA Form  
  Adobe Acrobat Document   Withdrawal Instructions Adobe NAIC Uniform Application For TPA Form  
             
      Viatical Settlement      
    Viatical Settlement Broker Application (Entity)    
    Viatical Settlement Broker Application (Individual)    
    Viatical Settlement Provider Instructions    
    Viatical Settlement Provider Application    
  Adobe Acrobat Document   Viatical Settlement Provider Reporting Requirements Producers Diligent Search Form  
  Adobe Acrobat Document   Viatical Settlement Broker Annual Reporting Form Producers Diligent Search Form  
    Viatical Settlement Provider Surety Bond    
             
      Survey      
  Adobe Acrobat Document   Accident & Health Survey 2008   Accident And Health Survey  
Fraud Unit
  Adobe Acrobat Document   Suspected Insurance Fraud Citizen Reporting Form Adobe Third Party Administrators Form  
  Adobe Acrobat Document   Uniform Suspected Insurance Fraud Reporting Form Adobe Third Party Administrators Form  
  Adobe Acrobat Document   Insurance Company Fraud Contact Form Adobe Third Party Administrators Form  
Rates & Forms
  Adobe Acrobat Document   Credit Life and Credit Accident and Sickness Experience Report Adobe Form Filing Abstract  
  Adobe Acrobat Document   Property and Casualty Insurance Form Filing Abstract Adobe Form Filing Abstract  
  Adobe Acrobat Document   Property and Casualty Insurance Rate Filing Abstract Adobe Rate Filing Abstract Form  
  Adobe Acrobat Document   Loss Cost Reference Filing Form Adobe Loss Cost Reference Filing Form  
  Adobe Acrobat Document   Accident and Sickness Insurance Form Filing Abstract Adobe Accident And Sickness Insurance Form Filing Abstract Form  
  Adobe Acrobat Document   Accident And Sickness Insurance Rate Filing Abstract Adobe Accident And Sickness Insurance Rate Filing Abstract Form  
  Adobe Acrobat Document   Mass Marketed Life And Health Insurance Form Filing Abstract Adobe Mass Marketd Life And Health Insurance Form Filing Abstract Form  
  Adobe Acrobat Document   Mass Marketed Life And Health Insurance Advertising Filing Abstract Adobe Mass Marketed Life And Health Insurance Advertising Filing Abstract Form  
  Adobe Acrobat Document   TRIPREA 2007 Filing Procedures  
Taxes
      Insurance Companies    
    OPTins (Online Premium Tax for Insurance)    
    Quarterly Tax Form    
    Annual Tax Packet - Company    
    Online Tax Filing    
  Adobe Acrobat Document   Petition for Refund Producers Diligent Search Form  
           
      Surplus Lines Licensee    
    OPTins (Online Premium Tax for Insurance)    
    Quarterly Tax Form    
  Adobe Acrobat Document   Annual Tax Packet Producers Diligent Search Form  
    Online Tax Filing    
  Adobe Acrobat Document   Producers Surplus Lines Due Diligence form rev. 07-04 Producers Diligent Search Form  
  Adobe Acrobat Document   Surplus Lines Tax Allocation Schedule Producers Diligent Search Form  
  Adobe Acrobat Document   Annual Report Spreadsheet Producers Diligent Search Form  
  Adobe Acrobat Document   Petition for Refund Producers Diligent Search Form  
           
      Penalty Waiver / Reduction Request    
  Adobe Acrobat Document   Failure to File/Pay - Company Producers Diligent Search Form  
  Adobe Acrobat Document   Failure to File/Pay - Licensee Producers Diligent Search Form  
Uniform Credentialing
      Instructions for Uniform Credentialing Of Health Care Practitioners      
  Adobe Acrobat Document   Credentialing Form Adobe Credentialing Form  
  Adobe Acrobat Document   Recredentialing Form Adobe Recredentialing Form  
     
     
 
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