Title Document
Form E-UCLDR.AS: Annual Statement Filing Worksheet Download
Form E-UCLDR.CERT: Certification Download
Form E-UCLDR.I: Annual Statement Filing Instructions Download
Uniform Property and Casualty Product Coding Matrix 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 E-PC.INDINS: Report of Policies Issued to Industrial Insureds Download
Form E-PC.INDINS: Report of Policies Issued to Industrial Insureds Download
CTRF WC357 01-2017- Consent to Rate Forms and Instruction – Workers Compensation Download
Form 1024B: Calculation of Company Loss Cost Multiplier Download
Form E-HCSO.13: Certificate of Advertising Compliance Download
Administrative Order 15A-005-INS: Life and Disability Form Filing Exemptions; Group Long-term Care Form Filing Exemptions (Note, Exhibit A applies to advertising). Download
Form E-HCSO.13: Certificate of Advertising Compliance Download
Administrative Order 15A-005-INS: Life and Disability Form Filing Exemptions; Group Long-term Care Form Filing Exemptions (Note, Exhibit A applies to advertising). Download
Form HIPAADATA: HIPAA Report Download
Administrative Order 13A-071-INS Download
HIPAA Report Exhibit 1: Products Offered in the Individual Marketplace Download
Administrative Order 13A-007-INS: Loss Ratio Standards and Prima Facie Rates for Credit Property Insurance and Credit Unemployment Insurance Download
HIPAA Report Exhibit 2: Earned Premium Volumes and Covered Individuals Download
General Filing Instructions Download
HIPAA Report Exhibit 3: Products/Marketing Materials Available to Eligible Individuals Download
4.0 Homeowners Form Filing Checklist Download
Form LTCPP-AZ Attachment A: Insurer Certification Form Download
General Filing Checklist Download
Form CU 1621: Credit Property/Credit Unemployment Certification of Rates Download
4.0 Homeowners Rate Rule Filing Checklist Download
Form 1024A: Insurer Rate Service Organization Reference Filing Adoption Form Download
16.0 Workers' Compensation Form-Rate Filing Checklist 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
Notice of Exemption from Life and Health Form and Advertising Filing Requirements Download
Notice of Exemption from Life and Health Form and Advertising Filing Requirements Download
Health Care Appeals Transmittal Form Download
Insurance Rules (Arizona Administrative Code Title 20) Download
MCE: YOUNG AMERICA INSURANCE COMPANY (27090) Download

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