|
*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
|
