Form 14 - Industry UCAA | NAIC
Form 14 Information Chart
The chart below identifies the requirements for mailing address and contact notification updates. A link to the application instructions (Form 14 - Change of Address/Contact Notification) are provided.
Last update: 07/24/2023
Updates to the information will be noted with a “*” next to the state name and edits will be italicized and bolded
| State | Accepts the UCAA Form 14 |
Format Accepted: |
Additional State Specific Requirements for Form 14 – Mailing Address and Contact Updates |
|---|---|---|---|
| AL | Yes | Both | Electronic submission preferred. |
| AK | Yes | Both | Officer signed and legible. |
| AZ | Yes | Electronic | |
| AR | Yes | Both | Electronic submission preferred. |
| CA | Yes | Electronic | |
| CO | No | Contact and mailing address changes should be completed by the company through http://www.dora.state.co.us/pls/real/oat.main. | |
| CT | Yes | Both | Electronic submission preferred. |
| DE | Yes | Electronic | |
| DC | Yes | Electronic | |
| FL | Yes | Both | Electronic submission preferred. |
| GA | Yes | Electronic | Electronic submission is preferred. The Georgia state specific form GID-351-RS can be requested from Bruce Williamson at bwilliamson@oci.ga.gov. |
| HI | Yes | Both | Electronic submission preferred. |
| ID | Yes | Electronic | |
| IL | Yes | Electronic | |
| IN | Yes | Electronic |
Company may update available addresses via the Company/Entity Address Portal. Link is located on the IDOI website at IDOI: Company/Entity Financial Compliance under the Resources section. If individual making the updates doesn’t have the required PIN# they may select the “Need PIN?” link to display the current PIN contact. If PIN contact isn’t established or needs to be updated a request can be submitted to fnclsvcs@idoi.in.gov . |
| IA | Contact state for requirements. | ||
| *KS | No | Contact and mailing address changes should be completed by the company through State Based Systems. The Department will no longer process changes from UCAA Form 14. Please visit www.statebasedsystems.com and select “Kansas” from the jurisdiction dropdown. Options for insurance companies are under “SBS For Organizations”. | |
| KY | Yes | Electronic | |
| LA | Yes | Both | http://ldi.la.gov/industry/company-licensing/company-contact-changes |
| ME | Yes | Electronic | |
| MD | Yes | Electronic | |
| MA | Yes | Electronic | For a Massachusetts domestic insurer, the principal office address can only be changed by filing a Certificate of Change of Principal Office. Insurers must file this form with the Secretary of the Commonwealth pursuant to Massachusetts Insurance Laws - General Laws, Chapter 175, Section 34. Instructions - https://www.mass.gov/doc/domestic-company-home-office-address-change/download Form - download (mass.gov) |
| MI | Yes | Electronic | |
| MN | Yes | Both | Electronic submission preferred, if in hard copy - email to companylic.commerce@state.mn.us. |
| MS | Yes | Electronic | |
| MO | Yes | Electronic | |
| MT | Yes | Electronic | |
| NE | Yes | Both | Electronic submission preferred. |
| NV | No | Nevada requires all licensed companies to make contact/addresses (excluding statutory home office address)/email address updates through the Nevada Company Address Change Service Portal on the Nevada Division of Insurance webpage at https://doi.nv.gov/Insurers. Contact state for requirements and pin number at finances@doi.nv.gov. Statutory home office address changes require a UCAA Corporate Amendment Application. | |
| NH | Yes | Electronic | |
| NJ | Yes | Electronic | |
| NM | Yes | Electronic | Electronic submission preferred. |
| NY | Yes | The Life Bureau prefers both the UCAA electronic submission and hard copies, especially for large files that are easily readable in hard copy format. The Property Bureau requires the submission of two hard copies in addition to the UCAA electronic submission. The Health Bureau requests that hard copies be mailed to the Health Bureau and email copies be sent to: HealthBureauRegulatory@dfs.ny.gov. | |
| NC | Yes | Electronic | |
| ND | Yes | Electronic | Electronic submission preferred. |
| OH | Yes | Both | Electronic submission preferred. |
| OK | Yes | Electronic | |
| OR | Yes | Electronic | |
| PA | Yes | Electronic | |
| PR | Contact state for requirements. | ||
| RI | Yes | Electronic | |
| SC | Yes | Both | Electronic submission preferred. |
| SD | Yes | Electronic | |
| TN | Yes | Electronic | |
| TX | Yes | Electronic | Electronic submission preferred |
| *UT | Yes | Both | If in hard copy, email to company-renewals@utah.gov. |
| VT | Yes | Both | |
| VA | Yes | Both | Prefer to receive in both hard copy and electronically. |
| WA | Yes | Electronic | |
| WV | Yes | Electronic | Electronic submission preferred. |
| WI | Yes | Electronic | Electronic submission preferred. |
| WY | No | Submit via the Wyoming Insurance Department Address Change portal. |