| Title | Document |
|---|---|
| Form E-AFR.IC: Audited Financial Report Internal Control Filings Transmittal | Download |
| Form E-178: Certificate of Disclosure | Download |
| Form E-LIFECARE: Annual Report Form | Download |
| Form E-LR.AS: Annual Statement Filings Worksheet | Download |
| Form E-NAIC.LD: Annual Filing Checklist | Download |
| Form E157: Bond of Life and Health Administrator | Download |
| Form P-LSC: Life Settlement Provider: Contract Checklist | Download |
| Form E-100: Application for Life and Health Administrator Registration | Download |
| NAIC Form 11: Biographical Affidavit | Download |
| Form E-111: Renewal Application for Life and Health Administrator Registration | Download |
| Preparing the Management Discussion and Analysis Report | Download |
| Form E-PC.INDINS: Report of Policies Issued to Industrial Insureds | Download |
| Form E-PC.INDINS: Report of Policies Issued to Industrial Insureds | Download |
| Form E-RE-A: Reinsurer Annual Instructions | Download |
| Form E-SR.AFR: Sr. Residential Entrance Fee Contracts: Provider Annual Audited Financial Report Transmittal Form | Download |
| Form E-SR.INSTR: Sr. Residential Entrance Fee Contracts: Provider Compliance With A.R.S. Title 44, Chapter 25, Article 1 | Download |
| Form E-UCLDR.AS: Annual Statement Filing Worksheet | Download |
| Form E-UCLDR.CERT: Certification | Download |
| Form E-UCLDR.I: Annual Statement Filing Instructions | Download |
| CTRF 385 01-2017– Consent to Rate Forms and Instructions – Other than Workers’ Compensation | Download |
| Form LTCPP-AZ Attachment B: Pre-purchase Notice | Download |
| Form LTCPP-AZ Attachment C: Post-purchase Notice | Download |
| Form E-PC.350: Producer-controlled Property and Casualty Insurance Report | Download |
| Form E-PC.350: Producer-controlled Property and Casualty Insurance Report | Download |
| Form E-PC.INDINS: Report of Policies Issued to Industrial Insureds | Download |
| Form 1024B: Calculation of Company Loss Cost Multiplier | Download |
| 19.0 Personal Auto Form Filing Checklist | Download |
| 19.0 Personal Auto Rate Rule Filing Checklist | Download |
| 33.0 Service Contracts Filing Checklist | Download |
| Health Care Appeals Transmittal Form | Download |
| Form E-HCSO.13: Certificate of Advertising Compliance | Download |
| Form E-HCSO.13: Certificate of Advertising Compliance | Download |
| Form HIPAADATA: HIPAA Report | Download |
| HIPAA Report Exhibit 1: Products Offered in the Individual Marketplace | Download |
| HIPAA Report Exhibit 2: Earned Premium Volumes and Covered Individuals | Download |
| HIPAA Report Exhibit 3: Products/Marketing Materials Available to Eligible Individuals | Download |
| Form LTCPP-AZ Attachment A: Insurer Certification Form | Download |
| Form CU 1621: Credit Property/Credit Unemployment Certification of Rates | Download |
| Updated Exemption Order 21A-051-INS: UPDATED EXEMPTION ORDER RELATING TO ARIZONA LIFE & HEALTH FILING REQUIREMENTS | Download |
| Updated Exemption Order 21A-051-INS: UPDATED EXEMPTION ORDER RELATING TO ARIZONA LIFE & HEALTH FILING REQUIREMENTS | Download |