| 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 |