| AL |
Alabama Department of Insurance
P.O. Box 303351
Montgomery, AL 36130
Or overnight delivery to:
201 Monroe Street, Suite 1700
Montgomery, AL 36104
|
Primary & Expansion Apps:
Sean Duke
(334) 241-4165
Sean.Duke@insurance.alabama.gov
Richard L. Ford
(334) 241-4151
Richard.Ford@insurance.alabama.gov
Corporate Amendments Apps:
Sean Duke
(334) 241-4165
Sean.Duke@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:
Douglas Hartman
(907) 269-7906
douglas.hartman@alaska.gov
Corporate Amendments Apps:
Jeff Bodine
(907) 465-4609
jeff.bodine@alaska.gov
|
| *AZ |
Arizona Department of Insurance
Financial Affairs Division
100 N. 15th Ave., Suite 261
Phoenix, AZ 85007-2630
|
Cary W. Cook
Chief Financial Compliance Officer
(602) 364-3986
ccook@azinsurance.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
|
Pacita Ganzon
(415) 538-4442
Pacita.ganzon@insurance.ca.gov
Imelda Siruno
(415) 538-4451
Imelda.siruno@insurance.ca.gov
|
| *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: Denise Parker
1050 First Street, NE, Suite 801
Washington, DC 20002
|
Denise Parker, Insurance Licensing Specialist
(202) 442-7815
denise.parker@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:
Patty Spudeck
Applications Coordinator – P&C
(850) 413-2578
patty.spudeck@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 604, West Tower
Atlanta, Georgia 30334
|
Primary Property & Casualty Applications contact:
Chris Taylor, Assistant Division Director
CTaylor@oci.ga.gov
Primary Life & Health Applications contact:
Scott Sanders, Assistant Division Director
SSanders@oci.ga.gov
Expansion Applications/Adding and Deleting LOB contact:
Kimnese Abdul-Salaam, Senior Financial Analyst
Kabdul-salaam@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:
Glenn Yamashita, Insurance Examiner II
Phone: (808) 586-8150
Email: gyamshi@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
Attn: Carol Anderson
700 W. State Street, 3rd Floor
Boise, Idaho 83720-0043
|
Primary & Expansion Apps and For Adding and Deleting Lines of Business:
Carol Anderson
Technical Records Specialist
(208) 334-4309
carol.anderson@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
Attn: Chris Chepsoi, Examiner
1963 Bell Avenue, Suite 100
Des Moines, IA 50315
|
Chris Chepsoi, Insurance Company Examiner Senior
(515) 281-4423
chris.chepsoi@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:
Licia Haverkamp
Compliance Analyst
(785) 296-7062
licia.haverkamp@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
|
Victoria Claros
Director of Company Licensing
(410) 468-2134
Victoria.claros@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.gov
|
| MI |
Department of Insurance and Financial Services
Office of Insurance Evaluation
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
|
Judy Johnson
Application Coordinator
(651) 539-1760
Fax: (651) 539-1550
judith.johnson@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:
Nancy Cross
(601) 359-3571
Nancy.Cross@mid.ms.gov
|
| *MO |
DIFP
Rm 530, HST Bldg.
301 W. High Street
Jefferson City, MO 65101
|
Sherry Mann
(573) 751-4362
Sherry.Mann@insurance.mo.gov
|
| *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
Michelle Scaccia
(406) 444-4515
mscaccia@mt.gov
Montana Insurance Department
840 Helena, MT 59601
|
| *NE |
Nebraska Department of Insurance
Financial Examination Division
Attn: Kristy Hadden
1135 M St., Suite 300
Lincoln, NE 68508
OR
PO Box 82089
Lincoln, NE 68501-2089
|
Primary & Expansion Apps:
Kristy Hadden
Company Administrator
(402) 471-0373
Kristy.hadden@nebraska.gov
Corporate Amendments Apps:
Lori Bruss
Staff Assistant II
(402) 471-4045
lori.bruss@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
|
Primary & Expansion Applications
Laura O’Connor
(775) 687-0745
loconnor@doi.nv.gov
Corporate Amendment Applications
Kathy Kelley
(775) 687-0753
kkelley@doi.nv.gov
Special Deposits:
Denise Costello
(775) 687-0741
dcostello@doi.nv.gov
|
| *NH |
Financial Regulation Division
New Hampshire Insurance Department
21 S. Fruit St., Suite 14
Concord, NH 03301
|
Primary & Expansion & Corporate Amendment Applications
Lisa Cotter, Financial Records Auditor
603-271-2528
Lisa.Cotter@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: Kwame Asare
(609) 940-7408
Kwame.Asare@dobi.nj.gov
Life/Health
Matthew Lakatos
(609) 940-7454
Matthew.Lakatos@dobi.nj.gov
June Duggan
(609) 940-7410
June.duggan@dobi.nj.gov
All Corporate Amendments Applications
Kwame Asare
(609) 940-7408
Kwame.Asare@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) 827-4438
Victoriaa.baca@state.nm.us
Ursula Almada
Company Licensing Bureau
(505) 827-4524
Ursula.almada@state.nm.us
|
| *NY |
State of New York Department of Financial Services
Attn: Property Bureau
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
Brian Glaab
(518) 474-6628
Brian.glaab@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@nfs.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: Joseph Greene
(919) 807-6182
joseph.greene@ncdoi.gov
Corporate Amendments:
Attn: Sue Ann Webster
Corporate Records Administrator
(919) 807-6164
sueann.webster@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.
|
Primary/Expansion Applications
Jacob Kennedy
Financial Analyst
(405) 521-6607
jacob.kennedy@oid.ok.gov
Corporate Amendments/Statutory Deposits
Michael Parrott
Financial Analyst
(918) 295-3711
Michael.parrott@oid.ok.gov
|
| OR |
Oregon Department of Consumer & Business Services
Division of Financial Regulation
350 Winter Street NE
Salem, Oregon 97301-3883
|
Lauren Bodine
(503) 947-7225
Lauren.N.Bodine@oregon.gov
|
| PA |
Pennsylvania Insurance Department
Company Licensing Division
1345 Strawberry Square
Harrisburg, PA 17120
|
Cressinda Bybee, Chief
Company Licensing Division
(717) 783-2144
cbybee@pa.gov
or
ra-in-companylicense@pa.gov
|
| PR |
Mailing Address:
B5 Tabonuco Street Suite 216 PMB 356
Guaynabo, PR 00968-3029
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) 304-4400
gsantiago@ocs.gobierno.pr
|
| RI |
RI Insurance Division
1511 Pontiac Avenue, Bldg. 69-2
Cranston, RI 02920
|
Primary Apps:
Jack Broccoli
Associate Director
Rhode Island Insurance Division
(401) 462-9606
Jack.broccoli@dbr.ri.gov
Expansion Apps:
Petr Petrik
(401) 462-9634
petr.petrik@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 |
Texas Department of Insurance
Company Licensing and Registration
MC 103-CL
333 Guadalupe
Austin, TX 78701
|
Company Licensing and Registration Office
(512) 676-6385
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
3110 State Office Building
Salt Lake City, UT 84114
|
Jay Sueoka
Company Licensing Manager
(801) 538-3814
jsueoka@utah.gov
Dava Neal
(801) 538-3812
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:
Jim Ware
Principal Insurance Financial Analyst
Company Licensing & Regulatory Compliance
(804) 371-9801
Jim.Ware@scc.virginia.gov
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
RonP@oic.wa.gov
Corporate Amendments Apps:
Mark Durphy
(360) 725-7193
markd@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:
Samantha Sullivant
Accountant
(307) 777-7318
samantha.sullivant@wyo.gov
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
|
