No filing fee.
$25 if Articles of Incorporation amended.
Additional $25 if Bylaws amended.
Make a check payable to State of Alabama.

Surrender current Alabama Certificate of Authority.
Certified copy of Articles of Incorporation (only if amended).
Certified copy of Bylaws (only if amended).
Original Certificate of Compliance from state of domicile.
Signed and notarized statement from the Company stating that there is no existing or run-off claims for the line(s) to be deleted.
Ala. Code Section 27-3-17, 27-4-2.

Certified copy of Articles of Incorporation (if amended).
Certified copy of Bylaws (if amended).
Original Certificate of Compliance from state of domicile.
Original Alaska Certificate of Authority or completed Form 15.
AS 21.09.245 and 3 AAC 31.050.

$500.00

Ark. Code Ann. 23-61-401(1) & Rule 57: Any insurer desiring to surrender its Certificate of Authority, withdraw from this state, or discontinue the writing of certain classes of insurance in this state shall give ninety (90) day’s notice in writing to the State Insurance Department and shall state in writing its reasons for such action. The commissioner may waive any part of the notice requirement.  A.C.A §23-63-211(e)/

Provide a statement notarized by an officer of the company that there are no outstanding policies, claims and liabilities for the line(s) requested to be deleted. If business exists under the line(s) requested to be deleted, submit documentation regarding transfer or assumption of existing business, or summary of the company’s plan to run-off any existing business in the line(s) to be deleted.

If a line of business that is authorized in Arkansas is deleted in the state of domicile, it must be also deleted from the Arkansas Certificate of Authority.        

Company name change due to re-domestication:
1. Transmittal Letter signed by Company Officer
2. Certified copy of Amended Articles of Incorporation
3. Certified copy of Approved Order issued by domiciliary state, and
4. Copy of Amended Bylaws.
Change resulting from a merger, in addition to the above:
1. Certified copy of the merger agreement
2. Copy of the current District of Columbia Certificates of Authority for both the existing and the existing companies.
Expands company’s authority by adding lines:
1. Transmittal Letter signed by an Officer of the company
2. Copy of Certificate of Authority from domiciliary state, and
3. Copy of Certificate of Compliance from domiciliary state.

$5.00 Filing Fee.
Make Checks payable to:
Department of Financial Services
P. O. Box 6100
Tallahassee, FL  32314-6100

Applicants are required to include the following codes on each check:
$5 Filing Fee Codes:
TY/CL-11/41
F/T-W

90 days written notice of reason for discontinuing the writing of the line. Refer to Section 624.430, Florida Statutes, and Rule 690-141.020, Florida Administrative Code for the required format for the Notice and its contents. Cover Letter along with Application and Checklist, Form 3, Form 8C, Plan of Operation and Copy of Filing Fee before mailing.
Do NOT return Certificate of Authority.

Return of the company’s original Hawaii Certificate of Authority or an affidavit of loss notarized and signed by an officer of the company. In addition, the following requirements apply when deleting a class of insurance: Thirteen months formal notice required before deleting Property insurance (HRS, §431P-17); deleting Vehicle insurance is subject to HRS, 431:10C-111 & 431:10C-111.5; provide the approximate number of Hawaii policyholders affected; provide a list & description of policies & form numbers held by Hawaii policyholders; an explanation of the affects to Hawaii policyholders. If policies will be assumed submit certificate of assumption & readability.

Greater of retaliatory fee or

• $10 Certificate of Authority.
• $10 if Articles of Incorporation amended.
• $25 if Bylaws amended.

IC 27-1-3-15 Fees and charges.

Must complete UCAA Corporate Amendment Application.
Surrender current Indiana Certificate of Authority.
Certified Copy of Articles of Incorporation (only if amended).
Certified copy of Bylaws by Corporate Secretary (only if amended).

Letter requesting deletion of particular line(s).
Return of the current Iowa Certificate of Authority for amendment.
Statute sections for fees are 511.24, 515.128 and 505.14

KRS 304.3-170; 806 KAR 4:010 Section 1 (3)(b) for fees. Must complete Corporate Amendment Application.

24-A M.R.S.A. § 415-A: Withdrawal plan must be submitted for approval at least 60 days prior to the proposed date of termination. See section 415-A and Me. Dep’t of Prof. & Fin. Reg., 02-031 CMR 400 for plan requirements which must be addressed when answering the Form *C Questionnaire.

A company discontinuing a line of business subject to either Cancellation Control Act, whether or not it terminates its authority for that line, must comply with 24-A M.R.S.A. § 2916-C or § 3055-A, as applicable.

Company will need to furnish the current Maryland original Certificate of Authority. In addition, a cover letter requesting the lines of insurance that will be deleted.

In addition to the UCAA Corporate Amendment application, a letter signed by a company officer must be included stating the line(s) of authority the company is requesting to delete from its certificate of authority.

No application fee.
Article of Incorporation amendment - $100.
Bylaw amendment – $75.

Amend License $25.00.

$50 each:

• Domestic Certificate of Authority/Compliance
• If Articles of Incorporation Amended
• If Bylaws Amended

Line of business may be deleted when no MS premiums/losses are reported for that line. Return current Certificate of Authority for amendment. UCAA Form #3 Lines of Business.

If a company has no open liabilities in New Jersey for the lines it wishes to delete, it may submit a certification to that effect from its Board of Directors to:
New Jersey Department of Banking and Insurance
Solvency Regulation - Nakia Reed
P.O. Box 325
Trenton, NJ 08625

If a company has open liabilities, it must submit a withdrawal plan pursuant to N.J.A.C. 11:2-29.1 et seq. to the address noted above.

Life and Health insurer Info: Certified copy of the Board of Directors resolution authorizing management to amend its license to delete the specific lines of business. If deleting a Life line the insurer must consult with the Life Bureau for approval to file the orange blank.

Property Lines Info: Certified copy of the Board of Directors resolution authorizing management to amend its license to delete the specific lines of business. If deleting a line the insurers must provide satisfactory evidence/documentation that all liability incident to that line has been eliminated and its license authority to do such kind of business in all other jurisdictions have been terminated.

If a line of business that is authorized in NC is deleted in the home state, it must be deleted from the NC Certificate of Authority. See NCGS 58-16-5(2). Compliance with the notification requirements of NCGS 58-41-45 and other requirements of NCGS Chapter 58, Article 41.

- Surrender current ND Certificate of Authority.
- Articles of Incorporation, if amended.
- Bylaws, if amended.
- Payment made payable to the “ND Insurance Commissioner.” Accept check, Visa, MasterCard or Discover.
- File all UCAA Corporate Amendments.
- Withdrawal Plan, if necessary.

Title 36 O.S. §321

(1)   $50 if Articles of Incorporation amended.
(2)   Additional $50 if Bylaws were amended.
(3)   No fee for amended Certificate of Authority.
(4)   Surrender original OK Certificate of Authority for replacement.
(5)   Make a check payable to Oklahoma Insurance Department.

Issuing an amended Certificate of Authority – $4.00.

Note: Pursuant to RIGL §27-2-17(a), foreign company fees are retaliatory if the company’s state of domicile would charge a Rhode Island insurance company a higher fee for a like transaction.

$0

Deleting a line of business requires a plan of withdrawal as prescribed by UCA § 31A-4-115. After filing a plan of withdrawal for a line of business, an application for Certificate of Authority deleting the line of authority must be submitted. If line is for health benefit, UAC Rule 590-199 must be complied with. Statutes, Administrative Rules, and forms are available at https://insurance.utah.gov/.

Licensed companies are not licensed for specific authorized lines of insurance.  Each company is licensed for the lines indicated by its charter or domestic state. Note – Companies withdrawing lines of insurance are subject to all cancellation, renewal, non-renewal and notification clauses, as well as applicable HIPPA and Vermont Statutes.  For more information on the above clauses, contact the Insurance Analysis Section of the Department.

Larger of $25.00 fee or retaliatory amount for amending the Certificate of Authority. (If a change to the Articles of Incorporation is required due to the removal of the line of business, then the appropriate filing fee will also be charged.) Please make checks payable to: Wisconsin Office of the Commissioner of Insurance

An insurer may at any time request alteration of its Certificate of Authority in writing pursuant to s. 618.12(4), Wis. Stat. Any transfer of business or reinsurance other than in the normal and usual course of business must be reported to the Office not less than 30 days in advance of the proposed effective date, and is subject to disapproval under s. 618.32, Wis. Stat. If applying for a release from regulation, the company must comply with s. 618.36, Wis. Stat.

Larger of $15.00 fee or retaliatory amount for amending the Certificate of Authority. Please make checks payable to:  Wyoming State Treasurer.

Wyoming requires a written request from an officer stating which line(s) the company wants to delete. In addition, the original Certificate of Authority (or an affidavit of loss) must be returned for amendment. If leaving the health market, the company must comply with W.S. 26-15-121 and W.S. 26-19-305. See also Chapter 11 of Regulations regarding notice of policy forms that are no longer active. If leaving the property & casualty market, the company must comply with Chapter 35 of the Wyoming Insurance Code.