Licensure: NAIC Biographical Affidavit AND Independent Third-Party Verification
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

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

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification
After Licensure: NAIC Biographical Affidavits are not required.
Disclaimer of Control: Allowed

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.

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

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

Licensure: NAIC Biographical Affidavit AND Independent Third-Party Verification
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

NAIC Biographical Affidavit AND Independent Third-Party Verification.

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

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

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification.
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Not Allowed

NAIC Biographical Affidavit and Independent Third-Party Verifications.

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
Insurance.Finance@arkansas.gov 

Licensure (Primary): Fingerprints and NAIC Biographical Affidavits.  Please contact California's Department of Insurance directly at (415) 538-4035 to request the necessary fingerprint live scan
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

NAIC Biographical Affidavit and Finger print live scan is required for new officers, directors within a reasonable time.

Third-Party Verification Reports:
Not Applicable - State Completes

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

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

Licensure: NAIC Biographical Affidavits and Independent Third-Party Verification.
After Licensure: NAIC Biographical Affidavits are required when there is a change in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Not Allowed

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.

Third-Party Verification Reports:

Licensure: NAIC Biographical Affidavit and Third-Party Verification.
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Not Allowed

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. 

Third-Party Verification Reports:

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

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

Licensure: 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.
Disclaimer of Control: Allowed

A NAIC biographical affidavit is required for new key officers.
 

Property & Casualty Companies:
Patty Spudeck
Applications Coordinator
Phone 850-413-2578 
Email patty.spudeck@floir.com 

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

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification
After Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification report are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Not Allowed

Contact state for requirements.

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

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification
After Licensure: A NAIC Biographical Affidavit and Independent Third-Party Verification report is required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

NAIC Biographical Affidavit and Independent Third-Party Verification

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

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification
After Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification report is required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Not Allowed

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.

Licensure: NAIC Biographical Affidavits with original signatures required for all domestic companies’ Officers and Directors.  Independent Third-Party Verification Reports are required for all Officers and Directors. 
After Licensure: NAIC Biographical Affidavits with original signatures are required for changes in Officers or Directors; Independent Third-Party Verification are required for new Officers or Directors. Notification of a change in officers or directors is required within 30 days.
Disclaimer of Control: Not Allowed

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:
320 West Washington
Springfield, IL 62767

Licensure: 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
After Licensure: Electronically signed Indiana Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

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.

An Indiana Biographical Affidavits and Independent Third-Party Verification upon request for new officers or directors.

Third-Party Verification Reports:

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

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

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification.
After Licensure: NAIC Biographical Affidavit for changes in Officers and Directors as listed on page one of the annual statement within 30 days after the changes or actions become effective or are otherwise finalized.
Disclaimer of Control: Allowed

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

NAIC  Biographical Affidavit is not required for new Officers and Directors. Notification required via the Kansas Insurance Department Company Desktop system of any change in President or Corporate Secretary.

Third-party background reports should be sent electronically (via e-mail) to the following state contact:
Patrick J. Mulvihill, FLMI
patrick.mulvihill@ks.gov

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification
After Licensure: Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed
Group Cover Letter: Not Acceptable

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

Licensure: Complete Biographical Affidavits (Form 11) on most current form for all Officers and Directors. Independent Third-Party Verifications required for all Officers and Directors. Domestic applicants must submit fingerprints in compliance with the state requirements. More information on fingerprint requirements at http://www.ldi.la.gov/industry/company-licensing/application-forms/ucaa/primary-application.
Disclaimer of Control: Allowed

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-directors-for-foreign-and-alien-insurers.

Licensure: NAIC Biographical Affidavits and Independent Third-Party Verification.
After Licensure: NAIC Biographical Affidavits are required for new Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Not Allowed

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

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

Licensure: NAIC Biographical Affidavits and Independent Third-Party Verification.
After Licensure: NAIC Biographical Affidavits with original signatures are required for changes in Officers, Directors. Independent Third-Party Verifications are required for new Officers or Directors. Notification of a change in Officers or Directors is required within 3-days.
Disclaimer of Control: Not Allowed

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

Email address: Colicensing.mia@maryland.gov

Licensure:  NAIC Biographical Affidavit and Independent Third-Party Verifications
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
All questions should be directed to companies.mailbox@mass.gov.
Disclaimer of Control: Allowed, pending consideration

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. 

Third-Party Verification Reports: 
Not Required

Licensure: 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.
Disclaimer of Control: Allowed

Expansion: NAIC Biographical Affidavits and Independent Third-Party Verifications are required.
Corporate Amendments: NAIC Biographical Affidavits and Independent Third-Party Verifications are NOT required.

NAIC Biographical Affidavits and Independent Third-Party Verifications are NOT required.

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., 7^th Fl.
Lansing, MI 48933

Licensure:  NAIC Biographical Affidavit and Independent Third-Party Verifications are required for Primary Applications. Signatures must be original.
After Licensure: Only the Biographical Affidavit is required.
Disclaimer of Control: Not Allowed

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

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

Licensure:  NAIC Biographical Affidavit and Independent Third-Party Verifications are required for Primary Applications. Signatures must be original.
After Licensure: Only the Biographical Affidavit is required.
Disclaimer of Control: Not Allowed

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.

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

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification.
Disclaimer of Control: Allowed, but must be submitted as a separate filing for consideration

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 the Admissions Specialist. 

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.    

Licensure: NAIC Biographical Affidavit
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

Group Cover Letter: Not Acceptable

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

Biographical Affidavit and Third-Party Verification Reports:
Kari Leonard 
kleonard2@mt.gov 
406-444-2895

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification.
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Not Allowed

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

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification
After Licensure: NAIC Biographical Affidavits and Independent Third-Party Verifications are required for changes in Officers, Directors and Key Managerial Personnel.
Disclaimer of Control: Allowed

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

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

Licensure: NAIC Biographical Affidavit
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

NAIC Biographical Affidavit

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

Primary and After Licensure P&C:  NAIC Biographical Affidavit and criminal history record check by the New Jersey State Police. Contact the Department to request the necessary forms (Solvency Regulation 609-292-5350).
Primary and After Licensure L&H: NAIC Biographical Affidavit and Independent Third-Party Verification.
Disclaimer of Control: Not Allowed

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:
June Duggan
june.duggan@dobi.nj.gov

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification.
After Licensure: NAIC Biographical Affidavits submitted in hard copy for changes in Officers/Directors.
Disclaimer of Control: Not Allowed

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

Victoria Baca
Victoriaa.Baca@state.nm.us

Licensure: NAIC Biographical Affidavit and fingerprints, fingerprinting Instructions: https://www.dfs.ny.gov/apps_and_licensing/
fingerprinting_procedure
Disclaimer of Control: Not Allowed

NAIC Biographical Affidavit and Fingerprint Cards

Fingerprinting Instructions:
https://www.dfs.ny.gov/apps_and_licensing/
fingerprinting_procedure

Contact State for Requirements.

Fingerprinting Instructions: https://www.dfs.ny.gov/apps_and_licensing/
fingerprinting_procedure

Property and Casualty Insurers  
PropertyInsuranceCompanyLicensingUnit@dfs.ny.gov
Life Insurers – Agbu, Victor (DFS)
Victor.Agbu@dfs.ny.gov
Health Insurers
HealthBureauRegulatory@dfs.ny.gov

Third-Party Verification Reports:
Not Applicable

Licensure: NAIC Biographical Affidavit and Fingerprint Cards
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

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

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. 

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Not Allowed

Group Cover Letter: Not Acceptable

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

Third-Party Verification Reports:
colicexam@nd.gov

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

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

Cam Piatt
clyde.piatt@insurance.ohio.gov 
614 728-1074

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification – no fingerprints.
After Licensure: NAIC Biographical Affidavits and Independent Third-Party Verifications are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Not Allowed, would have to be submitted as a separate filing

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. 

Licensure:  Biographical Affidavit
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Not Allowed

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

Licensure:  NAIC Biographical Affidavit
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

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

Third-Party Verification Reports:
Not Required

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

N/A

Licensure:  NAIC Biographical Affidavit.
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

NAIC Biographical Affidavit is required for new Officers and Directors within a reasonable time frame.

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

Expansion: NAIC Biographical Affidavit and Independent Third-Party Verification
Corporate Amendment: NAIC Biographical Affidavit is not required for new Officers or Directors

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

Licensure:  NAIC Biographical Affidavit
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

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

Third-Party Verification Reports:
Johanna Nickelson
Assistant Director Company Solvency and Licensing
SD DLR/Division of Insurance
124 S. Euclid Ave., 2nd Floor
Pierre, SD 57501
 

Licensure: NAIC Biographical Affidavit
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

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

None to Tennessee (if filed with the domiciliary state)

Foreign expansions and foreign insurers: 
Phil Adams
phil.adams@tn.gov

Licensure: Submit biographical information pursuant to UCAA instructions and requirements. For fingerprint card information, please see Domestic requirements.  
Fingerprints are needed for TX domestic companies- top executive officers and directors; Texas strongly recommends submitting digital fingerprint cards, as the cards are accurate and processing time is much faster. Ink print cards require longer processing times and are very susceptible to inaccuracies that may require multiple submissions.
Disclaimer of Control: Not Allowed

Submit biographical information pursuant to UCAA instructions and requirements. For fingerprint card information, please see Foreign requirements. Fingerprints are needed for; TX foreign companies- top three executive officers (i.e. Pres/CEO, Treasurer/CFO, Secretary/General Counsel). Texas strongly recommends submitting digital fingerprint cards, as the cards are accurate and processing time is much faster. Ink print cards require longer processing times and are very susceptible to inaccuracies that may require multiple submissions.

NAIC Biographical Affidavit and fingerprint card are required for new key Officers within 30 days.

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

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification.
After Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification are required for changes in Directors, Officers and Key Managerial Personnel of domestic company or ultimate controlling person.
Disclaimer of Control: Allowed

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.

Licensure: NAIC Biographical Affidavit; Third-Party Verification may be required.
After Licensure Updates: NAIC Biographical Affidavit; Independent Third-Party Verification may be required.
Disclaimer of Control: Not Allowed

For Licensure Expansion:  NAIC Biographical Affidavit.
Corporate Amendments: NAIC Biographical Affidavit is not required for new Officers or Directors.

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

Third-Party Verification Reports:
Contact state if requested

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

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.

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification.
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel. Domestic insurers must file a biographical affidavit every thirty-six months after the last biographical affidavit filed.
Disclaimer of Control: Allowed

NAIC Biographical Affidavit and Independent Third-Party Verification.

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

Third-Party Verification Reports:
clc@oic.wa.gov

Licensure:  NAIC Biographical Affidavit is required.
After Licensure: NAIC Biographical Affidavit is required for new officers and/or directors AND amendments to officers and/or directors.
Disclaimer of Control: Not Allowed

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

*Please 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 Unit
PO Box 50540
Charleston, WV  25304

Third-Party Verification Reports:
Third-Party Verification Reports are not required.

Licensure: NAIC Biographical Affidavit required (but not fingerprints or Independent Third-Party Verifications)
After Licensure: NAIC Biographical Affidavit required for any changes in Directors, Officers or Key Managers (but not fingerprint or Independent Third-Party Verifications). 
Disclaimer of Control: Allowed

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

Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification.
After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Not Allowed

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.