Title Document
Form E-178: Certificate of Disclosure Download
Form E185: Outline for Compliance with Insurance Holding Company Systems Reporting Requirements Download
Form E-MG.MPP: Report of Policyholders Position Download
Form E-NAIC.PC: Annual Filing Checklist 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
Form E157: Bond of Life and Health Administrator Download
Preparing the Management Discussion and Analysis Report 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 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 1024B: Calculation of Company Loss Cost Multiplier 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
Administrative Order 13A-071-INS Download
Administrative Order 13A-007-INS: Loss Ratio Standards and Prima Facie Rates for Credit Property Insurance and Credit Unemployment Insurance 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

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