Foreign Form 14 - Industry UCAA
Foreign 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: 07/19/2024
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 | Electronic | Contact and mailing address changes should be completed by the company through http://www.dora.state.co.us/pls/real/oat.main. |
| CT | Yes | Electronic | Electronic submission preferred. |
| DE | Yes | Electronic | Electronic submission preferred or can be emailed to us at BERG@Delaware.gov. |
| DC | Yes | Electronic | |
| *FL | Yes | Electronic | Electronic submission preferred. |
| GA | Yes | Electronic | Electronic submission is preferred. The Georgia state specific form GID-351-RS can be requested from Keyatta Kelly kkelly@oci.ga.gov. |
| HI | Yes | Both | Electronic submission preferred. |
| ID | 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 “Idaho” from the jurisdiction dropdown. | |
| IL | Yes | Electronic | Electronic submission preferred. Cannot change statutory home office city in Illinois using Form 14. |
| 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 | Yes | Both | Electronic submission preferred. |
| *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 | Both | Electronic submission preferred. |
| MN | Yes | Electronic | |
| MS | Yes | Electronic | |
| MO | Yes | Electronic | |
| MT | Yes | Electronic | |
| NE | Yes | Both | Prefer companies update information through SBS; however will accept Form14. |
| 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 |
UCAANotifications@dobi.nj.gov. As applicable, certain contact and mailing address (excluding Home Office and Statutory Address) changes should be completed by the company through State Based Systems. |
| NM | Yes | Electronic | Electronic submission preferred. |
| NY | Yes | The Life Bureau will accept the UCAA electronic submission. The Property Bureau will accept 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. All filings should be submitted to the appropriate NYDFS portal which should be indicated on the NYDFS website. | |
| 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 | Yes | Both | Contact state for requirements. |
| RI | Yes | Electronic | |
| SC | Yes | Electronic | Electronic submission preferred. |
| SD | Yes | Electronic | |
| TN | Yes | Electronic | |
| TX | Yes | Electronic | UCAA electronic application. |
| UT | Yes | Both | If in hard copy, email to company-renewals@utah.gov. |
| VT | Yes | Both | If hard copy, Email to DFR.CompLic@vermont.gov. |
| VA | Yes | Both | Prefer to receive in both hard copy and electronically. |
| WA | Yes | Electronic | |
| WV | Yes | Electronic | Electronic submission preferred. |
| WI | Yes | Both | Electronic submission preferred. |
| WY | No | Submit via the Wyoming Insurance Department Address Change portal. |