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Addresses and Contacts for Submission of Application - Industry UCAA
Addresses and Contacts for Submission of Application

Submit your application to the address listed in the chart below (left side). State Department contact information provided in the chart below (right side).

Last update: 05/19/2023
Updates to the information will be noted with a “*” next to the state name and edits will be italicized and bolded.

State Mailing Address Contact Information

*AL

Alabama Department of Insurance
P.O. Box 303351
Montgomery, AL 36130

Or overnight delivery to:
201 Monroe Street, Suite 1700
Montgomery, AL 36104

Hamp Russell
(334) 240-4420
Richard.Russell@insurance.alabama.gov

Carla Donney
(334) 241-4180
Carla.Donney@insurance.alabama.gov 

Company Licensing
admissions@insurance.alabama.gov

AK

Primary & Expansion Apps:
Alaska Division of Insurance
Insurance Financial Examiner
550 West 7th Avenue, Suite 1560
Anchorage, AK 99501-3567

Standard or Overnight Delivery
Use the above address for Anchorage

Corporate Amendments App:
Alaska Division of Insurance
Financial Reports and Audits Section
P.O. Box 110805
Juneau, AK 99811-0805
or
Overnight Delivery (Juneau-Only)
9th Floor, State Office Building
333 Willoughby
Juneau, AK 99801

Primary & Expansion Apps:
Jeffery Bethel
(907) 269-7919
jeffery.bethel@alaska.gov

Corporate Amendments Apps:
Kevin Richard
(907) 269-7900
kevin.richard@alaska.gov

*AZ

Arizona Department of Insurance and Financial Institutions
Financial Affairs Division
100 N. 15th Ave., Suite 261
Phoenix, AZ  85007-2630

Primary, Expansion, Adding and Deleting Lines of Business Applications
Cary W. Cook
Assistant Financial Compliance Officer
(602) 364-3986
 cary.cook@difi.az.gov

Corporate Amendments Applications
Tony McCormack
Insurance Analyst
(602) 364-3245
tony.mccormack@difi.az.gov

AR

Arkansas Department of Commerce
Arkansas Insurance Department - Finance Division
1 Commerce Way, Suite 505
Little Rock, AR 72202-2087

Primary Apps and For Adding and Deleting Lines of Business (Domestics) only:
Kimberly S. Johnson, Finance Division
(501) 371-2680
kimberly.johnson@arkansas.gov

Expansion Apps and For Adding and Deleting Lines of Business (Foreign) only:
Kimberly S. Johnson, Finance Division
(501) 371-2680
kimberly.johnson@arkansas.gov

Corporate Amendment Apps:
Legal Division
(501) 371-2820
insurance.legal@arkansas.gov

CA

California Department of Insurance
Corporate Affairs Bureau
1901 Harrison Street, 6th Floor
Oakland, CA 94612

CAB-SF-Intake
CAB-SF-Intake@insurance.ca.gov
(415) 538-4035

CO

Colorado Division of Insurance
1560 Broadway, Suite 850
Denver, CO 80202

Primary & Expansion Apps:
Cindy Hathaway
Director, Corporate Affairs
(303) 894-7836
cindy.hathaway@state.co.us

Corporate Amendments Apps:
Jacline Nguyen
Financial Examiner II
(303) 894-7475
Jacline.Nguyen@state.co.us

Service of Process:
Christine Gonzales-Ferrer
Compliace Specialist
christine.gonzales-ferrer@state.co.us

CT

State of Connecticut
Insurance Department
Financial Regulations Division
P.O. Box 816
Hartford, CT 06142-0816

Or overnight delivery to:
153 Market Street
Hartford, CT 06103

Company Licensing Section
(860) 297-3814
cid.financial@ct.gov

DE

Delaware Department of Insurance
1351 West North St., Suite 101
Dover, DE 19904

Primary & Expansion and Corp. Amendments Apps:
Attn: BERG
(302) 674-7330
berg@delaware.gov

DC

Department of Insurance and
Securities Regulation
Attn:  Kathy Alexander
1050 First Street, NE, Suite 801
Washington, DC 20002

Kathy Alexander, Insurance Licensing Specialist
(202) 442-7819
kathy.alexander@dc.gov

Nathaniel Brown, Supervisory Ins. Examiner
(202) 442-7785
nathaniel.brown@dc.gov

*FL

For all Life & Health Applications:
Primary, Expansion & Corporate Amendment Apps:
Office of Insurance Regulation
Applications Coordination Section
200 East Gaines Street
Tallahassee, Florida 32399-0326
lhappcoord@floir.com

For all Property & Casualty Applications:
Primary, Expansion & Corporate Amendment Apps:
Office of Insurance Regulation
Applications Coordination Section
200 East Gaines Street
Tallahassee, Florida 32399-0326
pcappcoord@floir.com

Contact:
Joe Erhart
Applications Coordinator – L&H
(850) 413-5066
joe.erhart@floir.com

 

Contact:
Katherine Schwalb
Management Review Specialist – P&C
(850) 413-2405
katherine.schwalb@floir.com

FL *Applications are required to be submitted electronically; either by utilizing the UCAA Electronic Application or by submitting directly through the Office’s Industry Portal select iApply-Online Company Admissions.
GA

Georgia Department of Insurance
Division of Insurance and Financial Oversight
2 Martin Luther King, Jr. Drive
Suite 904, West Tower
Atlanta, Georgia 30334

Primary Property & Casualty Applications contact:
Scott Sanders, Division Director
SSanders@oci.ga.gov

Primary Life & Health Applications contact:
Scott Sanders, Division Director
SSanders@oci.ga.gov

Expansion Applications/Adding and Deleting LOB contact:
Patricia Coppel, Assistant Director
pcoppel@oci.ga.gov

Corporate Amendment Applications:
RegServices@oci.ga.gov

HI

Primary, Expansion, and Corporate Amendment Applications:
State of Hawaii, Insurance Division
Department of Commerce and Consumer Affairs
Certification and Agency Examination Section
P. O. Box 3614
Honolulu, Hawaii 96811-3614

Or overnight delivery to:
State of Hawaii, Insurance Division
Department of Commerce & Consumer Affairs
Attn:  Certification & Agency Examination Section
335 Merchant Street, Room 213
Honolulu, Hawaii 96813

Expansion & Primary Apps:
Irene Baek
Phone: (808) 586-3870
Email: ibaek@dcca.hawaii.gov

Andrew Chow, Insurance Examiner
Phone: (808) 586-3874
Fax: (808) 586-3873
Email: achow@dcca.hawaii.gov

Corporate Amendment Apps:
Gale E. Miyazaki, Insurance Examiner
Phone: (808) 587-6741
Fax: (808) 586-3873
Email: gmiyazak@dcca.hawaii.gov

ID

Idaho Department of Insurance
Company Admission
Technical Records Specialist
700 W. State Street, 3rd Floor
Boise, Idaho 83720-0043

Primary & Expansion Apps and For Adding and Deleting Lines of Business:
Company Admission
Technical Records Specialist
(208) 334-4250
DOI.CompanyActivities@doi.idaho.gov

Corporate Amendments App:
Michele Munoz
Technical Records Specialist
(208) 334-4311
michele.munoz@doi.idaho.gov

IL

Illinois Department of Insurance
320 West Washington
Springfield, IL 62767

Amy Stuart (Life & Health)
(217) 782-9694
Amy.stuart@illinois.gov

Marcy Savage (P&C)
(217) 524-0016
Marcy.Savage@illinois.gov

IN

Indiana Department of Insurance
Financial Services Division
311 West Washington Street, Suite 300
Indianapolis, IN 46204-2787

Primary
Connie Wright (317) 232-1994
cowright1@idoi.in.gov

Expansion Apps:
Connie Wright (317) 232-1994
cowright1@idoi.in.gov

Corporate Amendment Apps:
Annette Gunter 317-232-2428
agunter@idoi.in.gov

Deposits
Britney Tate (317) 232-2383
btate@idoi.in.gov

*IA

Iowa Insurance Division
1963 Bell Avenue, Suite 100
Des Moines, IA 50315

Dana Sanders
Company Licensing Coordinator
company.licensing@iid.iowa.gov

KS

Kansas Insurance Department
1300 SW Arrowhead Road
Topeka, KS 66604

Primary & Expansion Apps:
Pat Mulvihill
Admissions Coordinator
(785) 296-5350
patrick.mulvihill@ks.gov

Deposit Administration:
Sarah K. Smith
Financial Analyst
(785) 296-7819
sarah.smith@ks.gov

Pat Mulvihill
Admissions Coordinator
(785) 296-5350
patrick.mulvihill@ks.gov

Corporate Amendments App:
Toni Garrard
Senior Administrative Assistant - Legal Division
785-296-7811
Toni.garrard@ks.gov

KY

Kentucky Department of Insurance
Financial Standards & Examination Division
PO Box 517
Frankfort, KY 40602-0517

Primary and Expansion App’s.
Rodney Hugle, Asst. Director
(502) 564-6082 ext. 25256 
Rodney.hugle@ky.gov

Corporate Amendments App:
Gina Metts
Financial Standards and Examination Division 
(502) 782-5298
gina.metts@ky.gov

LA

Louisiana Department of Insurance
P.O. Box 94214
Baton Rouge, LA 70804-9214

Or overnight delivery to:
1702 3rd Street
Baton Rouge, LA 70802

Primary & Expansion Apps:
Tangela Byrd, Director
Office of Licensing
Company Licensing Division
(225) 342-5972
Fax: (225) 219-9322
tbyrd@ldi.la.gov

Expansion & Corporate Amendments Apps:
Tangela Byrd, Director
Office of Licensing
Company Licensing Division
(225) 342-5972
Fax: (225) 219-9322
tbyrd@ldi.la.gov

ME

Maine Bureau of Insurance
34 State House Station
Augusta, ME 04333-0034

Overnight/Physical delivery to:
Bureau of Insurance
76 Northern Avenue
Gardiner, ME 04345

Primary Applications:
Vanessa J. Sullivan, Director of Financial Regulation
(207) 624-8452
Vanessa.j.sullivan@maine.gov

Expansion Applications:
Lauri Cooper, Senior Examiner
(207) 624-8464
laurelyn.s.cooper@maine.gov

Corporate Amendment Applications:
Lauri Cooper, Senior Examiner
(207) 624-8464
laurelyn.s.cooper@maine.gov

*MD

Maryland Insurance Administration
Company Licensing Unit
200 St. Paul Place, Suite 2700
Baltimore, Maryland 21202

Erin Nickles
Director of Company Licensing and Premium Tax Auditing
(410) 468-2451 (Office)
erin.nickles@maryland.gov

MA

Commonwealth of Massachusetts Division of Insurance
Financial Surveillance and Insurance Licensing
1000 Washington Street, Suite 810
Boston, MA 02118-6200

Primary/Expansion/Corp. Amendment Apps:
Jack Baglio
Financial Surveillance & Company Licensing
(617) 521-7394
john.baglio@state.ma.us 

*MI

Department of Insurance and Financial Services
Office of Insurance Financial and Market Regulation
Mason Building, 7th Floor
530 W. Allegan Street
Lansing, MI 48933
            or
P.O. Box 30220
Lansing, MI  48909-7720

Linda L. Martin
(517) 284-8756
martinl@michigan.gov

MN

Minnesota Department of Commerce
Insurance Division
85 7th Place East, Suite 280
St. Paul, MN 55101-2198

Company Licensing
companylic.commerce@state.mn.us

*MS

Mississippi Insurance Department
P.O. Box 79
Jackson, MS  39205-0079

Or overnight delivery to:
1001 Woolfolk State Office Building
501 N. West Street
Jackson, MS 39201

Primary & Expansion Apps:
Chad T. Bridges, CFE
Chief Examiner
(601) 359-2136
Chad.Bridges@mid.ms.gov

Corp. Amendments Apps:
Compliance@mid.ms.gov

MO

Department of Commerce and Insurance
Rm 530, HST Bldg.
301 W. High Street
Jefferson City, MO 65101

Primary, Domestic Corp. Amend. and Form A
Debbie Doggett
(573) 751-4362
Debbie.Doggett@insurance.mo.gov

Expansion and Foreign Corp. Amend.
Kelly Hopper
Kelly.Hopper@insurance.mo.gov
(573)751-2711

MT

State of Montana
Insurance Department
840 Helena Avenue
Helena, MT 59601

Steve Matthews
(406) 444-4372
smatthews@mt.gov

Deleting Lines of Business and Foreign Withdrawal
Kari Leonard
(406) 444-2895
kleonard2@mt.gov

*NE

Nebraska Department of Insurance
Financial Examination Division
1526 K Street, Suite 200
Lincoln, NE 68508
OR
PO Box 95087
Lincoln, NE 68509-5087

Primary Apps:
Lindsay Crawford
Deputy Chief Examiner
(402) 471-4152
Lindsay.crawford@nebraska.gov

Expansion Apps:
Kristy Hadden
Company Administrator
(402) 471-0373
Kristy.hadden@nebraska.gov

Corporate Amendments Apps:
Lori Bruss
Staff Assistant II
(402) 471-4045
doi.companylicensing@nebraska.gov

Statutory Deposits:
doi.statutorydeposits@nebraska.gov

NV

Department of Business and Industry
Nevada Division of Insurance
Corporate & Financial Affairs
1818 East College Pkwy, Suite 103
Carson City, NV 89706

Company Licensing:
finances@doi.nv.gov
(775) 687-0700

NH

Financial Regulation Division
New Hampshire Insurance Department
21 S. Fruit St., Suite 14
Concord, NH 03301

Primary & Expansion & Corporate Amendment Applications
Linda Zalinskie, Financial Records Auditor
603-271-2528
Linda.m.zalinskie@ins.nh.gov         

*NJ

Non Life/Health
New Jersey Department of
Banking and Insurance
Attn: Kwame Asare
P.O. Box 325
Trenton, NJ 08625-0325

Life/Health
New Jersey Department of
Banking and Insurance
Attn: June Duggan
P.O. Box 325
Trenton, NJ 08625-0325

Or overnight delivery to:
20 West State Street, 10th Floor
Trenton, NJ 08608

Non Life/Health
Attn: Nakia Reid
(609) 940-7613
Nakia.Reid@dobi.nj.gov

Life/Health
June Duggan
(609) 940-7410
June.duggan@dobi.nj.gov

Attn: Nakia Reid
(609) 940-7613
Nakia.Reid@dobi.nj.gov

All Corporate Amendments Applications
Nakia Reid
(609) 940-7613
Nakia.Reid@dobi.nj.gov

*NM

Office of Superintendent of Insurance
Company Licensing Bureau
P.O. Box 1689
Santa Fe, NM 87504-1689

Or overnight delivery to:
1120 Paseo de Peralta, Room 439
Santa Fe, NM  87501

Victoria A. Baca
Company Licensing Bureau
(505) 827-4554
Victoriaa.baca@state.nm.us

Ursula Almada
Company Licensing Bureau
(505) 827-4524
Ursula.almada@state.nm.us

NY

Property Primary & Expansion Apps
State of New York Department of Financial Services
Property Bureau, 20th Floor
One Commerce Plaza
Albany, NY 12257

State of New York Department of Financial Services
Attn:  (Life, Health) Bureau*
One State Street
New York, NY 10004

Submit an additional original to:
Office of General Counsel
State of New York Department of Financial Services
One Commerce Plaza
Albany, NY 12257

*Submit to attention of proper bureau for the application business type.

Property Primary & Expansion Apps:
PropertyInsuranceCompanyLicensingUnit@dfs.ny.gov

Property Corporate Amendments, Mergers & Acquisitions Apps:
PropertyFinancial@dfs.ny.gov

Life
Victor Agbu
(212) 480-5040
Victor.agbu@dfs.ny.gov

Health
Warren Youngs
(212) 480-3883
Warren.youngs@dfs.ny.gov

Tom Dudek
(212) 480-5037
Thomas.dudek@dfs.ny.gov

NC

Primary/ Expansion/ Corporate Amendments Apps:
North Carolina Department of Insurance
Financial Analysis & Receivership Division
1203 Mail Service Center
Raleigh, NC 27699-1203

Or overnight delivery to:
325 N. Salisbury Street
Raleigh, NC  27603

Primary & Expansion Apps:
Attn: Scott Wicker
(919) 807-6142
Scott.Wicker@ncdoi.gov

Corporate Amendments:
Attn: Tamla Dunson
(919) 807-6164
tamla.dunson@ncdoi.gov

ND

North Dakota Insurance Department
Company Licensing
600 E. Boulevard Ave, Dept. 401
Bismarck, ND 58505

Company Licensing and Examinations Division
North Dakota Insurance Department
600 East Boulevard Ave., Dept. 401
Bismarck, ND 58505-0320
(701) 328-2440
colicexam@nd.gov

OH

Ohio Department of Insurance
Office of Risk Assessment
50 W. Town Street, Suite 300
Columbus, OH 43215

Primary & Expansion Apps:
Cameron Piatt
Assistant Chief-Taxes, Admissions and Foreign Analysis
Office of Risk Assessment
(614) 728-1074
Cameron.Piatt@insurance.ohio.gov

Corporate Amendment Apps:
Office of Risk Assessment
(614) 644-2647
risk.assessment@insurance.ohio.gov

OK

Primary and Expansion Applications – Fee $1,160
Oklahoma Insurance Department
Attn: Financial Division
400 NE 50th Street

Oklahoma City, OK 73105
Division Phone: 405-521-6648
Division Fax: 405-522-2640 or 405-522-4160
Contact Updates – No fee
UCAA Form 14 – Please file electronically through the amendment application portal.

Kayla Lowe-Whitlow
Financial Specialist
(405)521-6607
Kayla.Lowe-Whitlow@oid.ok.gov

 

*OR

Oregon Department of Consumer & Business Services
Division of Financial Regulation
350 Winter Street NE
Salem, Oregon 97301-3883

Insurance Institutions
503-947-7982
Web.Inscomp@dcbs.oregon.gov

PA

Pennsylvania Insurance Department
Company Licensing Division
1345 Strawberry Square
Harrisburg, PA 17120

Karen Feather, Special Assistant
Company Licensing Division
(717) 214-4113
kfeather@pa.gov
or
ra-in-companylicense@pa.gov

PR

Mailing Address:
361 Calle Calaf
PO Box 195415
San Juan, PR 00919

Street Address:
Edificio World Plaza
268 Muñoz Rivera Avenue
San Juan, PR 00918

Primary, Expansion and Corporate Amendments Apps:

Mrs. Glorimar Santiago
Interim Director
Admissions and Financial Analysis Division
(787) 304-8686 Ext. 4401
gsantiago@ocs.gobierno.pr

*RI

RI Insurance Division
1511 Pontiac Avenue, Bldg. 69-2
Cranston, RI 02920

Primary Apps:
Ted Hurley
(401) 497-4541
ted.hurley@dbr.ri.gov

Expansion Apps:
Debra Almeida
(401) 462-9452
Debra.almeida@dbr.ri.gov

Corporate Amendment Apps:
Debra Almeida
(401) 462-9452
Debra.almeida@dbr.ri.gov

SC

South Carolina Department of Insurance
Michael Shull, Chief Financial Analyst
1201 Main St., Suite 1000
Columbia, SC 29201
Or:
P.O. Box 100105
Columbia, SC 29202-3105

Primary Apps:
Michael Shull
Chief Financial Analyst
(803) 737-6188
mshull@doi.sc.gov

Expansion Apps:
Ryan Basnett
(803) 737-6114
rbasnett@doi.sc.gov

Corporate Amendment Apps:
Stacy Johnson
(803) 737-6221
sjohnson@doi.sc.gov

SD

South Dakota Division of Insurance
124 S. Euclid Ave, 2nd FL
Pierre, SD 57501

Patsy Madsen
Company Licensing Specialist
(605) 773-3563
Patsy.madsen@state.sd.us

TN

Tennessee Department of Commerce and Insurance
Attn:  Phil Adams
500 James Robertson Parkway
10th Floor, Analytical Section
Nashville, TN 37243-0576

Phil Adams
(615) 741-6152
Phil.adams@tn.gov

TX

Company Licensing and Registration, MC: FRD
Texas Department of Insurance
1601 Congress Ave, Ste 6.900
Austin, TX 78701

Company Licensing and Registration Office
(512) 676-6365
General Inquiries: CompanyLicense@tdi.texas.gov
Submit Filings to: CLRFilings@tdi.texas.gov or via UCAA electronic application process

*UT

Utah Insurance Department
Examination Division
4315 South 2700 West
Taylorsville, UT 84129

Jay Sueoka
Company Licensing
(801) 957-9252
company-renewals@utah.gov

Dava Neal
(801) 957-9252
dneal@utah.gov

VT

Department of Financial Regulation, Insurance Division
Company Licensing Section
89 Main Street
Montpelier, VT 05620

Company Licensing Section
(802)828-2470
Dfr.complic@vermont.gov

VA

Virginia State Corporation Commission
Bureau of Insurance
P.O. Box 1157
Richmond, VA 23218

Or Overnight Delivery to:
Tyler Building
1300 E. Main Street
Richmond, VA 23219

Primary & Expansion Apps:
Kevin McClain
Insurance Financial Analyst
Company Licensing& Regulatory Compliance
kevin.mcclain@scc.virginia.gov 
(804) 371-9432

Corporate Amendments Apps:
Gayle Henderson
Office Supervisor
(804) 371-9869
Gayle.Henderson@scc.virginia.gov

*WA

Washington State Office of the Insurance Commissioner
P.O. Box 40255
Olympia, WA 98504-0255

Or Overnight delivery to:
5000 Capitol Blvd. SE
Tumwater, WA 98501

Primary & Expansion Apps:
Ron Pastuch
(360) 725-7211
ron.pastuch@oic.wa.gov

Corporate Amendments Apps:
Ron Pastuch
(360) 725-7211
ron.pastuch@oic.wa.gov

WV

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

Financial Conditions Division
(304) 558-2100
oicfinancialconditions@wv.gov

WI

Office of the Commissioner Of Insurance
P.O. Box 7873
Madison, WI 53707-7873

Or Overnight delivery to:
Office of the Commissioner of Insurance
125 South Webster Street
Madison, WI  53703

Primary Applications:
Mark McNabb
(608) 266-8854
mark.mcnabb@wisconsin.gov

Expansion Applications:
Mark McNabb
(608) 266-8854
mark.mcnabb@wisconsin.gov

Corporate Amendments Applications:
Suzanne Vinmans
(608) 266-9891
suzanne.vinmans@wisconsin.gov

WY

Wyoming Dept. of Insurance
106 East 6th Avenue
Cheyenne, WY 82002

Primary & Expansion Apps:
G. Douglas Melvin
Chief Examiner
(307) 777-5619
doug.melvin@wyo.gov

Corporate Amendments Apps:
Tammy Rathburn
(307) 777-7401
tammy.rathburn@wyo.gov 

G. Douglas Melvin
Chief Examiner
(307) 777-5619
doug.melvin@wyo.gov