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Foreign Fingerprint and Biographical Affidavit Requirements - Industry UCAA
Foreign Fingerprint and Biographical Affidavit Requirements

A link to the Application instructions for Primary Application, Section II, Filing Requirement Item 13;  Expansion Application, Section II, Filing Requirement Item 12; and Corporate Amendment Application Section V, Filing Requirement Item 9 and Section VI, Filing Requirement Item 6.

Group cover letters can be submitted with Biographical affidavits that are used for officer/director changes and for expansion and corporate amendment applications (The affiant and notary signatures on the biographical affidavit  must be within 6 months of the date of submission) for companies listed on the group cover letter and are under the same group code. Only the NAIC cover letter can be submitted with a UCAA. Unless otherwise noted below all uniform states accept the group cover letter when a biographical affidavit is required.

Last Updated: 11/21/2024
Updates to the information will be noted with a “ * ” next to the state name and edits will be italicized and bolded. 

State

Non-Domestic Requirements
For Licensure (Expansion) OR
Corporate Amendment Application

Non-Domestic Requirements after licensure (Updates Only, e.g. Annual, new officer, etc.)

State Contact Information
AL NAIC biographical affidavit and Independent Third-Party Verification.

If requested a NAIC biographical affidavit is required for new officers/directors of foreign insurers, within 15 days of request.

Biographical Affidavit and Third-Party Verification Reports: 
admissions@insurance.alabama.gov
*AK

NAIC Biographical Affidavit and Independent Third-Party Verification
NOTE: Verification reports should be sent to the state at the time of submission of the application. Reports received without an application pending will be destroyed.

Expansion: NAIC Biographical Affidavit and Independent Third-Party Verifications.

Form A:  NAIC Biographical Affidavit and Independent Third-Party Verifications.

NAIC biographical affidavit is not required for new officers or directors.
 

Biographical Affidavit: 
Expansion Applications:
Jeffery Bethel
P: (907) 269-7919
F: (907) 269-7898
jeffery.bethel@alaska.gov

Corporate Amendments Applications:
Kevin Richard
P: (907) 269-7903
F: (907) 269-7910
kevin.richard@alaska.gov

Third-Party Verification Reports:
Secure email to:
jeffery.bethel@alaska.gov
kevin.richard@alaska.gov
OR
Mail to:
Alaska Division of Insurance
550 W 7th Avenue, Suite 1560
Anchorage, AK 99501-3567

AZ

NAIC Biographical Affidavit AND Independent Third-Party Verification.

NAIC Biographical Affidavit is not required for new officers or directors.

Biographical Affidavit
Erica Bowsher erica.bowsher@difi.az.gov

Third-Party Verification Reports:
financialfilings@difi.az.gov

AR

Expansion: NAIC Biographical Affidavit and Independent Third-Party Verifications.
Foreign Corporate Amendment: NAIC Biographical Affidavit and Independent Third-Party Verifications.

Per Rule 7, NAIC Biographical Affidavits are not required for new officers or a director, assuming the domestic state is reviewing changes.

Biographical Affidavit and Third-Party Verification Reports:
Kimberly Johnson
501-371-2680
Insurance.Finance@arkansas.gov 

*CA Expansion: Yes, Fingerprints and NAIC Biographical Affidavits. Please contact California's Department of Insurance directly at (415) 538-4035 to request the necessary fingerprint live scan (Fingerprint Instructions - Item #7)
Foreign Corporate Amendment: Contact State 

After Licensure: NAIC Biographical Affidavits and Fingerprints are required for changes in Officers, Directors or Key Managerial Personnel.

Disclaimer of Control: Allowed

CAB-SF-Intake@insurance.ca.gov or
contact 415-438-4035

 

CO NAIC Biographical Affidavits and Independent Third-Party Verification reports for all foreign companies.

NAIC Biographical Affidavit is not required for new officers or directors.

Biographical Affidavit and Third-Party Verification Reports:
Cindy Hathaway
dora_ins_corporateaffairs@state.co.us
 
CT

Expansion: NAIC Biographical Affidavits and Independent Third-Party Verification.
License/Corporate Amendment: NAIC Biographical Affidavits are required for new officers/directors if not previously provided.

A NAIC Biographical Affidavit is required for new officers/directors as soon as possible.

Biographical Affidavit: 
cid.financial@ct.gov
860-297-3800

Third-Party Verification Reports:

DE NAIC Biographical Affidavit and Third-Party Verification.

NAIC biographical affidavit is not required for new officers or directors. A letter of notification is required for any changes in officers submitted electronically to berg@delaware.gov within 60 days of change. Include NAIC number, business address, phone number, email address. 

Biographical Affidavit: 

Third-Party Verification Reports:

DC NAIC Biographical Affidavit and Independent Third-Party Verification.

NAIC biographical affidavit is not required for new officers or directors.

Biographical Affidavit and Third-Party Verification Reports:
Nathaniel Kevin Brown
Director - Financial Examinations, Insurance Bureau
Department of Insurance, Securities and Banking
1050 First Street, NE, Suite 801
Washington, DC 20002
Telephone (202)442-7785 
Nathaniel.Brown@dc.gov
*FL NAIC Biographical Affidavit, Independent Third-Party Verification and Fingerprint Cards (Fingerprint LiveScan available for Florida Residents Only). Refer to State Specific Requirements for Fingerprint Procedures. Please contact the Office of Insurance Regulation at (850) 413-2575 to request the necessary fingerprint cards or FPRequest@floir.com. Effective August 16, 2007, Florida no longer requires credit reports with the background investigations.

A NAIC biographical affidavit is required for new key officers.
 

Biographical Affidavit: 
Life & Health Companies:
Joe Erhart, Applications Coordinator
Phone 850-413-5066
Email joe.erhart@floir.com)

Property & Casualty Companies:
Wesley White
Applications Coordinator
Phone 850-413-5225 
Email wesley.white@floir.com

Third-Party Verification Reports:
bkgrnd-inv@floir.com

GA NAIC Biographical Affidavit and Independent Third-Party Verification.

Contact state for requirements.

Biographical Affidavit: 
RegServices@oci.ga.gov

Third-Party Verification Reports:
RegServices@oci.ga.gov and 
pcoppel@oci.ga.gov

HI

NAIC Biographical Affidavit and Independent Third-Party Verification.

NAIC Biographical Affidavit is required for new Officers when filing for Mergers and Acquisitions only.

Biographical Affidavit and Third-Party Verification Reports:
I
rene Baek
Insurance Examiner
State of Hawaii Department of Commerce & Consumer Affairs
Insurance Division
335 Merchant Street, Room 213, Honolulu, HI 96813
Email: ibaek@dcca.hawaii.gov
(808) 586-8151
ID

Expansion: NAIC Biographical Affidavit and Independent Third-Party Verification.
Foreign Corporate Amendment: NAIC Biographical Affidavit.

A NAIC Biographical Affidavit and Independent Third-Party Verification report is not required for new Officers or Directors provided the company files annual and quarterly financial statements electronically with the NAIC. Foreign insurers licensed in Idaho are not required to file separate notices of changes in officers and directors.

Biographical Affidavit and Third-Party Verification Reports:
doi.companyactivities@doi.idaho.gov
IL NAIC Biographical Affidavits for all foreign companies Independent Third-Party Verification Reports are required for each Officer and Director of the applicant.  

NAIC Biographical Affidavit is required for new officers or directors. Notification of a change in officers or directors is required within 30 days.  Independent Third-Party Verifications are required for new officers and directors.

Biographical Affidavit: 
Property/Casualty Companies:
Amy Trader
amy.trader@illinois.gov

Life, Accident & Health Companies:
Pearl Stanulis
pearl.stanulis@illinois.gov

Third-Party Verification Reports:
Mail to:
Illinois Department of Insurance             attn: Corporate Regulation Section  
320 West Washington
Springfield, IL 62767

IN

Indiana Biographical Affidavits with electronic signature which complies with the electronic transaction act (IETA)   (IC 26-2-8-108) and Independent Third-Party Verification required for all domestic companies

Note: Electronic signatures from commercially available software, such as Docusign or Esign, are acceptable. “Check the Box” signatures or “Rubber Stamp” signatures Do Not Comply.

Notification of a change in officers or directors is required within 30 days.

Application Submissions
Expansion

Connie Wright
(317) 232-1994
Cowright1@idoi.in.gov

Corporate Amendment
Annette Gunter
(317) 232-2428
agunter@idoi.in.gov

Updates
Heather Brewer
(317) 232-2390
hbrewer@idoi.in.gov

IA NAIC Biographical Affidavit and Independent Third-Party Verification.

NAIC Biographical Affidavit is not required for new Officers or Directors.

Biographical Affidavit and Third-Party Verification Reports:
Dana Sanders
company.licensing@iid.iowa.gov
or
Iowa Insurance Division Attn: Dana Sanders 
1963 Bell Avenue Des Moines, Iowa 50315
KS

Expansion: NAIC Biographical Affidavit and Independent Third- Party Verification.

NAIC  Biographical Affidavit is not required for new Officers and Directors. Notification required via SBS of any change in President or Corporate Secretary.

Biographical Affidavit and Third-Party Verification Reports:
Tish Becker
Kansas Insurance Department
tish.becker@ks.gov
785-296-7816

Third-party background reports should be sent electronically (via e-mail) to the following state contact:
Tish Becker
tish.becker@ks.gov

*KY NAIC Biographical Affidavit and Independent Third-Party Verification.
Group Cover Letter: Not Acceptable

NAIC Biographical Affidavit is required for new President’s only, within 30 days.

Biographical Affidavit and Third-Party Verification Reports:
DOI.FinancialStandardsMail@ky.gov
LA

Expansion Application: Complete Biographical Affidavits (Form 11) on most current form for all Officers and Directors. Independent Third-Party Verifications required for all Officers and Directors.
Corporate Amendment Applications: Complete Biographical Affidavits (Form 11) on any new Officers and Directors added as a result of the transaction.

Completed Biographical Affidavits (Form 11) on the most current form must be submitted for all “Senior Officers” as defined by state law and for all Directors within sixty days of election or appointment. Independent Third-Party Verifications are not required. For information on how to file see http://www.ldi.la.gov/industry/company-licensing/new-officers-and-direc….

Biographical Affidavit and Third-Party Verification Reports:
Tangela Byrd
Insurance Manager
Louisiana Department of Insurance
1702 North 3rd Street (70802)
P.O. Box 94214
Baton Rouge, LA 70804-9214
Tangela.Byrd@ldi.la.gov
ME NAIC Biographical Affidavit and Independent Third-Party Verification.

NAIC Biographical Affidavit is NOT required for new Officers or Directors.  Letter of notification for changes/updates is also NOT required.

Biographical Affidavit and Third-Party Verification Reports:
Lauri Cooper
laurelyn.s.cooper@maine.gov
or
USPS Mailing Address (incl. overnight express)
34 State House Station
Augusta, ME  04333

Physical Delivery Address (such as FedEx and UPS)
76 Northern Ave. 
Gardiner, ME  04345

MD NAIC Biographical Affidavit certified by Independent Third-Party Verification.

NAIC Biographical Affidavit is not required for new Officers or Directors.

Biographical Affidavit and Third-Party Verification Reports:
Erin Nickels
Mailing address:
Maryland Insurance Administration
200 St. Paul Place, Suite 2700
Baltimore, Maryland 21202

Email address: Colicensing.mia@maryland.gov

MA NAIC Biographical Affidavit required for Officers and Directors of all Applicant Companies.

NAIC Biographical Affidavits are not required for new Officers and Directors of foreign companies. In lieu of biographies a letter of notification is required for any changes in Officers or Directors submitted electronically to Companies.Mailbox@Mass.gov

Biographical Affidavit: 
companies.mailbox@mass.gov

Third-Party Verification Reports: 
Not Required

MI

Expansion: NAIC Biographical Affidavit dated within 6 months of filing application and Independent Third-Party Verification Report required.
Corporate Amendments: NAIC Biographical Affidavit and Independent Third-Party Verification Report not required.

NAIC Biographical Affidavit and Independent Third-Party Verification not required.

Biographical Affidavit and Third-Party Verification Reports: Third-party verifications should be sent directly to DIFS by the third-party verifier. 
Linda Martin, Application Coordinator, 517-284-8756 or martinl@michigan.gov
If reports cannot be sent electronically, hard copies should be sent to:
Linda Martin, Application Coordinator
Michigan Department of Insurance  and Financial Services
Office of Insurance Financial and Market Regulation
P. O. Box 30220
Lansing, MI 48909
OR
530 W. Allegan St., 7th Fl.
Lansing, MI 48933
MN Expansion Applications: NAIC Biographical Affidavit and Independent Third-Party Verifications are required for Expansion Applications, signatures must be original and must be dated within 6 months of application. 
Foreign Corporate Amendments: NAIC Biographical Affidavit required for change of control, signatures must be original and must be dated within 6 months of application. 

NAIC Biographical Affidavit and Independent Third-Party Verifications are not required for new officers and directors.

Biographical Affidavit: 
Jenn Gagner, Applications Coordinator or Jennifer Price, Licensing Director, at companylic.commerce@state.mn.us

Third-Party Verification Reports:
Send to Jenn Gagner, Applications Coordinator at companylic.commerce@state.mn.us

MS

Expansion: NAIC Biographical Affidavit
Foreign Corporate Amendment: NAIC Biographical Affidavit

NAIC Biographical Affidavit is not required for new Officers or Directors. A letter of notification is required for any changes in Officers or Directors submitted electronically to filings@mid.ms.gov.

Biographical Affidavit: 
Chad Bridges
Email: Chad.Bridges@mid.ms.gov Phone #: 601-359-2136

Third-Party Verification Reports:
Electronic Method Preferred: Email: filings@mid.ms.gov or Chad.Bridges@mid.ms.gov

MO NAIC Biographical Affidavit and Independent Third-Party Verification.

NAIC Biographical Affidavits are not required for new Officers or Directors.  A letter of notification is required for any changes in Officers and Directors submitted to InsuranceSolvency@insurance.mo.gov

Biographical Affidavit: 
InsuranceSolvency@insurance.mo.gov
(573)526-4877

Third-Party Verification Reports:
Third party verification reports should be sent in a secure fashion.  We prefer to establish box accounts where the vendors can upload the reports.  Each box account is specific to the vendor.  Contact our Division at InsuranceSolvency@insurance.mo.gov to set up an account.    

*MT NAIC Biographical Affidavit
Group Cover Letter: Acceptable

NAIC Biographical Affidavit is not required for new Officers or Directors.

Biographical Affidavit and Third-Party Verification Reports upload to: https://transfer.mt.gov/Home/Login

Contact:
Tavin Mogus
tmogus@mt.gov 
406-444-3469

NE

Expansion: UCAA biographical affidavit and 3rd party verification but no fingerprints
Foreign Corporate Amendment:  UCAA biographical affidavits

Notification of officer and director updates is required but no biographical affidavits need to be submitted.

Biographical Affidavit and Third-Party Verification Reports:
Doi.companylicensing@nebraska.gov
NV

Expansion: Listing of Officers, Directors and Key Managerial Personnel.

Listing required within 90 days, indicating new Officers, Directors and Key Managerial Personnel.

Biographical Affidavit and Third-Party Verification Reports:
finances@doi.nv.gov
NH

NAIC Biographical Affidavit

NAIC Biographical Affidavit is not required for new Officers or Directors.

Biographical Affidavit and Third-Party Verification Reports:
linda.m.zalinskie@ins.nh.gov
NJ

P&C: NAIC Biographical Affidavit
L&H: NAIC Biographical Affidavit and Independent Third-Party Verification.

P&C and L&H: NAIC Biographical Affidavit and a letter of notification is required for any changes in Officers or Directors.

Biographical Affidavit and Third-Party Verification Reports:
UCAANotifications@dobi.nj.gov

NM NAIC Biographical Affidavit and Independent Third-Party Verification

A letter of notification is required for any changes in Officers and Directors.

Biographical Affidavit and Third-Party Verification Reports:
Ursula Almada
Ursula.Almada@osi.nm.gov
Victoria Baca
Victoriaa.Baca@osi.nm.gov

 

*NY

NAIC Biographical Affidavit and Independent Third-Party Verification.

After Licensure:  NAIC Biographical Affidavit and Independent Third-Party Verification are required for changes in Officers, Directors or Key Managerial Personnel. 

Biographical Affidavit and Third-Party Verification Reports: 

Third party verification reports should be sent directly to NY DFS by the third-party vendor using the DFS Portal (an account is not required). A copy of the biographical affidavit is required to be included with the report. 

State Email Contacts:  
Property and Casualty 
Health  
Life 

NC NAIC Biographical Affidavit

NAIC Biographical Affidavit is not required for new Officers or Directors.

Biographical Affidavit and Third-Party Verification Reports:
Scott Wicker
Scott.Wicker@ncdoi.gov
919-807-6142

Third-Party Verification reports are not required by North Carolina, however, in the event the company chooses to send the reports, send to Scott Wicker. 

ND Expansion: NAIC Biographical Affidavit and Independent Third-Party Verification

Group Cover Letter: Not Acceptable

NAIC Biographical Affidavit is not required for new Officers or Directors.

Biographical Affidavit: 
​​​Matt Fischer
mattfischer@nd.gov 
or
Nichole Feldman
nrfeldman@nd.gov

Third-Party Verification Reports:
colicexam@nd.gov

OH NAIC Biographical Affidavit and Independent Third-Party Verification

NAIC Biographical Affidavit is not required for new Officers or Directors.

Biographical Affidavit and Third-Party Verification Reports:
Cam Piatt
clyde.piatt@insurance.ohio.gov 
614 728-1074
*OK

Expansion:  NAIC Biographical Affidavit and Independent Third-Party Verification is required – no fingerprints.
Corporate Amendment:  Oklahoma will rely on the review of Biographical Affidavits by the domiciliary regulator; therefore no NAIC Biographical Affidavit will be required for new Officers or Directors of foreign/alien companies.

Informational filing only written on company letterhead.  Oklahoma will rely on the review of Biographical Affidavits by the domiciliary regulator; therefore no NAIC Biographical Affidavit will be required for new Officers or Directors of foreign/alien companies.  A PDF copy of the letter can be emailed to UCAA@oid.ok.gov to eliminate paper and postage. 

Biographical Affidavit and Third-Party Verification Reports:
Ryan Rowe 
UCAA@oid.ok.gov for Insurers.Jeanette Pearce RIS@oid.ok.gov for Regulated Industries and

 

OR Biographical Affidavit for all Officers and Directors of the company as listed on the jurat page of the filed statement.

NAIC Biographical Affidavit is not required for new Officers or Directors.

Biographical Affidavit and Third-Party Verification Reports:
Email: orinsreg.ins@dcbs.oregon.gov 
Phone number: 503-947-7982
PA NAIC Biographical Affidavit

Neither NAIC Biographical Affidavits nor any other notification is required for new Officers or Directors of admitted foreign insurers.

Biographical Affidavit: 
Diana L. Sherman
Acting Deputy Commissioner
1345 Strawberry Square
Harrisburg, PA 17120
Phone: 717.503.5462
Email: disherman@pa.gov
Third-Party Verification Reports:
Not Required
PR NAIC Biographical Affidavit.

N/A

Biographical Affidavit and Third-Party Verification Reports:
Glorimar Santiago
gsantiago@ocs.pr.gov
RI

Expansion: Rhode Island will no longer require the Independent Third-Party Verifications. Rhode Island will only require the NAIC Biographical Affidavit.
Foreign Corporate Amendment: No

NAIC Biographical Affidavit is not required for new Officers or Directors.

Biographical Affidavit and Third-Party Verification Reports:
Debra Almeida
Debra.almeida@dbr.ri.gov
SC

Expansion: NAIC Biographical Affidavit and Independent Third-Party Verification are required.
Foreign Corporate Amendment: NAIC Biographical Affidavit is not required for new Officers or Directors
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavit is not required for new Officers or Directors

Biographical Affidavit and Third-Party Verification Reports:
Deonna G. Rogers
drogers@doi.sc.gov

SD

Expansion: Do Not submit Biographical Affidavits or employee organizational charts for Foreign Insurance companies. They are not required of Foreign insurance companies at any time.

NAIC Biographical Affidavits are not required for new Officers or Directors

 
TN

Expansion: NAIC Biographical Affidavit
Foreign Corporate Amendment: None to TN (if filed with the domiciliary state)

None to Tennessee (if filed with the domiciliary state)

Biographical Affidavit and Third-Party Verification Reports:
Phil Adams
phil.adams@tn.gov
TX

Initial application must include all Directors and the Chief Executive Officer, President, Executive Director, Secretary, Treasurer, Chief Financial Officer/Controller, Chief Operating Officer, Medical Director (if applicable), and any individuals that own 10% or more, beneficial ownership in the Applicant Company and the Applicant Company’s ultimate controlling person,  pursuant to UCAA instructions and requirements. Fingerprint receipts from Identogo and Third-Party Verifications are needed for President, Secretary, Treasurer, Chief Financial Officer/Controller, or equivalent positions, and any individuals that own 10% or more, beneficial ownership in the Applicant Company and the Applicant Company’s ultimate controlling person.

If the most recent Jurat page  reflects the current Officers and Directors, NAIC Biographical Affidavit and fingerprint receipts do not need to be submitted. If the Jurat page is not up to date, NAIC Biographical Affidavit and fingerprint receipts are required for new key Officers within 30 days.

Biographical Affidavit: 
Laura Weld
laura.weld@tdi.texas.gov

Third-Party Verification Reports:
CLRBioUpdate@tdi.texas.gov

UT NAIC Biographical Affidavit and Independent Third-Party Verification.

A letter is required listing changes for additions and/or removals.
Additions: Name, Position, effective start date.
Removals: Name, Position, effective separation date and state “for cause” or “not for cause.”
Emails preferred over postal mail.

Biographical Affidavit and Third-Party Verification Reports:
Jay Sueoka
jsueoka@utah.gov
or
company-renewals@utah.gov
VT

For Licensure Expansion:  NAIC Biographical Affidavit.  Background reports are not required.
Corporate Amendments: NAIC Biographical Affidavit is not required.

Not Required

Biographical Affidavit: 
(802)-828-2470
or
dfr.complic@vermont.gov

Third-Party Verification Reports:
Contact state if requested

VA Expansion: NAIC Biographical Affidavit and Independent Third-Party Verification are required.
Corporate Amendment: NAIC Biographical Affidavit and Independent Third-Party Verification are NOT required.

NAIC Biographical Affidavit and Independent Third-Party Verification are not required for new Officers or Directors.

Biographical Affidavit and Third-Party Verification Reports:
Kevin McClain
Financial Analyst
Direct Line: (804) 371-9432
Kevin.McClain@scc.virginia.gov
*WA

Expansion:  NAIC Biographical Affidavit and Independent Third-Party Verification are required.
Corporate Amendment:  NAIC Biographical Affidavit and Independent Third-Party Verification are NOT required.

NAIC Biographical Affidavit and Third-Party Verification are not required for new Officers or Directors.

Biographical Affidavit: 
Jason Carr
jason.carr@oic.wa.gov
Third-Party Verification Reports:
clc@oic.wa.gov
WV Expansion: NAIC Biographical Affidavit is required.

After Licensure: NAIC Biographical Affidavit and Notifications are not required for new officers and/or directors OR amendments to officers and/or directors.

WV Offices of the Insurance Commissioner
Financial Conditions Division
(304) 558-2100
oicfinancialconditions@wv.gov

*Do not email Bio's to the above email. They can be viewed in UCAA or sent to:

WV Offices of the Insurance Commissioner
Financial Conditions Division
PO Box 50540
Charleston, WV  25305-0540

Third-Party Verification Reports:
Third-Party Verification Reports are required.

WI

Expansion: NAIC Biographical Affidavit required (but not fingerprints or Independent Third-Party Verifications)
Corporate Amendment: NAIC Biographical Affidavits are required for the office of President and/or Chief Executive Officer (CEO) only, or the changes of those officers. Independent Third-Party Verifications are not required. 

Written notices for any changes in the company president or secretary. (Bios, Fingerprints and Independent Third-Party Verifications are not required.)

Biographical Affidavit: 
Suzanne Vinmans
suzanne.vinmans@wisconsin.gov
or
Mark McNabb
mark.mcnabb@wisconsin.gov
or
Christopher Martin
christopherj.martin@wisconsin.gov

Third-Party Verification Reports:
Contact the state if requested

WY

Expansion: NAIC Biographical Affidavit and Independent Third-Party Verification.
Corporate Amendment: NAIC Biographical Affidavit are required for the office of President and/or Chief Executive Officer (CEO) only, or the changes of those officers. Independent Third-Party Verifications are NOT required. 

NAIC Biographical Affidavit is only required for new President/CEO, within 90 days.

Biographical Affidavit and Third-Party Verification Reports:
Doug Melvin
doug.melvin@wyo.gov