State Department address and contact information for domestic applications (Primary, Redomestication, Form A, Domestic Corporate Amendments).
Last update: 03/17/2025
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 Or overnight delivery to: |
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 & Redomestication Apps: Standard or Overnight Delivery |
Primary & Redomestication Apps: Jeffery Bethel (907) 269-7919 jeffery.bethel@alaska.gov |
| AZ | Arizona Department of Insurance and Financial Institutions Financial Affairs Division 100 N. 15th Ave., Suite 261 Phoenix, AZ 85007-2630 |
Primary, Redomestication, Domestic Adding and Deleting Lines of Business Applications: Domestic Corporate Amendment Applications: |
| *AR | Arkansas Department of Commerce Arkansas Insurance Department - Finance Division 1 Commerce Way, Suite 505 Little Rock, AR 72202-2087 |
Clara D. Mezza, Administrative Analyst (501) 683-3497 clara.mezza@arkansas.gov |
| CA | California Department of Insurance Corporate Affairs Bureau 1901 Harrison Street, 6th Floor Oakland, CA 94612 |
Primary Apps, Redomestication, Adding and Deleting Lines of Business; applications submitted electronically to email listed below. Filing fees mailed: 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 & Redomestication Apps: Form A: Domestic Corporate Amendment: Service of Process: |
| CT |
State of Connecticut Or overnight delivery to: |
Company Licensing Section (860) 297-3800 cid.financial@ct.gov |
| DE | Delaware Department of Insurance Attn: BERG 1351 West North St., Suite 101 Dover, DE 19904 |
Primary & Redomestication & Domestic Corp. Amendments Apps: Attn: BERG berg@delaware.gov |
| DC | Department of Insurance, Securities and Banking Attn: Kathy Alexander 1050 First Street, NE, Suite 801 Washington, DC 20002 |
Kathy Alexander, Insurance Licensing Specialist Nathaniel Brown, Supervisory Ins. Examiner |
| *FL |
For all Life & Health Applications: For all Property & Casualty Applications: |
Contact:
Contact: |
| 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: Primary Life & Health Applications contact: Redomestication Applications: Domestic Corporate Amendment Applications: |
| HI |
Primary, Redomestication and Domestic Corporate Amendment Applications: Or overnight delivery to: |
Primary & Redomestication Apps: Andrew Chow, Insurance Examiner Domestic Corporate Amendment Applications: |
| ID | Idaho Department of Insurance Company Admission Technical Records Specialist 700 W. State Street, 3rd Floor Boise, Idaho 83720-0043 |
Primary & Redomestication Apps and Domestic Adding and Deleting Lines of Business: Company Admission Technical Records Specialist (208) 334-4250 DOI.CompanyActivities@doi.idaho.gov |
| IL | Illinois Department of Insurance Corporate Regulation Section 320 West Washington - 4th Floor Springfield, IL 62767-0001 |
Primary and Redomestication Apps; Domestic Corporate Amendment Applications: Marcy Savage (P&C) (217) 524-0016 Marcy.Savage@illinois.gov Amy Stuart (Life & Health) (217) 782-9694 Amy.stuart@illinois.gov |
| IN | Indiana Department of Insurance Financial Services Division 311 West Washington Street, Suite 103 Indianapolis, IN 46204 |
Primary Apps & Redomestications to Indiana: Domestic Corporate Amendment Applications: Deposits: |
| 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 & Redomestication Apps: Deposit Administration: Domestic Corporate Amendment Apps: |
| *KY | Kentucky Department of Insurance Financial Standards & Examination Division PO Box 517 Frankfort, KY 40602-0517 |
Primary and Redomestication Apps: Domestic Corporate Amendments App: |
| LA |
Louisiana Department of Insurance Or overnight delivery to: |
Tangela Byrd, Director Office of Licensing Company Licensing Division (225) 342-5972 Fax: (225) 219-9322 tangela.byrd@ldi.la.gov |
| ME |
Maine Bureau of Insurance Overnight/Physical delivery to: |
Primary & Redomestication Applications: Domestic Corporate Amendment Applications: |
| 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/Redomestication/Domestic 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 |
Kathy Moua Application Coordinator (517)284-8762 Mouak@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 Or overnight delivery to: |
Primary & Redomestication Apps: Domestic Corp. Amendments Apps: |
| *MO | Department of Commerce and Insurance Rm 530, HST Bldg. 301 W. High Street Jefferson City, MO 65101 |
Primary, Redomestication, Domestic Corp. Amend. and Form A: |
| MT | Montana State Auditor's Office Commissioner of Securities and Insurance 840 Helena Avenue Helena, MT 59601 |
Kari Leonard, Chief Examiner (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 & Redomestication Apps: Lindsay Crawford Deputy Chief Examiner (402) 471-4152 Lindsay.crawford@nebraska.gov Statutory Deposits: doi.statutorydeposits@nebraska.gov Domestic Corporate Amendment Applications: |
| 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 & Redomestication & Domestic Corporate Amendment Applications: companylicensing@ins.nh.gov |
| *NJ |
Primary, Redomestication & Domestic Corporate Amendment Apps: Life/Health Or overnight delivery to: |
Primary, Redomestication & Domestic Corporate Amendment Apps: Life/Health |
| NM |
Office of Superintendent of Insurance Or overnight delivery to: |
Victoria A. Baca Ursula Almada |
| NY |
Property Primary Apps State of New York Department of Financial Services Submit an additional original to: *Additional original to OGC only applies to Life & Health Bureaus |
Property Primary Apps: Property Corporate Amendments, Mergers & Acquisitions Apps: Life Health |
| *NC |
Primary/ Redomestication/ Domestic Corporate Amendments Apps: Or overnight delivery to: |
Primary & Redomestication Apps: Domestic Corporate Amendments: |
| 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 & Redomestication Apps: Domestic Corporate Amendment Apps: |
| *OK | Primary 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. |
Luis Fuentes, APIR
|
| 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 |
Steve Yerger, Senior Insurance Company Licensing Specialist (717) 783-2660 syerger@pa.gov or ra-in-companylicense@pa.gov |
| PR |
Mailing Address: Street Address: |
Primary, Redomestication and Domestic Corporate Amendments Apps: Mrs. Maria Morcelo |
| RI | State of RI, Dept of Business Regulation, Insurance Division 1511 Pontiac Avenue, Bldg. 69-2 Cranston, RI 02920 |
Ted Hurley Chief Insurance Examiner (401) 497-4541 ted.hurley@dbr.ri.gov |
| SC | South Carolina Department of Insurance Ryan Basnett, Chief Financial Analyst 1201 Main St., Suite 1000 Columbia, SC 29201 Or: P.O. Box 100105 Columbia, SC 29202-3105 |
Primary Apps: Ryan Basnett Chief Financial Analyst (803) 737-6114 rbasnett@doi.sc.gov |
| SD | South Dakota Division of Insurance 124 S. Euclid Ave, 2nd FL Pierre, SD 57501 |
Johanna Nickelson johanna.nickelson@state.sd.us |
| TN | Tennessee Department of Commerce and Insurance 500 James Robertson Parkway 10th Floor, Analytical Section Nashville, TN 37243-0576 |
Trey Hancock Trey.Hancock@tn.gov Hui Wattanaskolpant Hui.Wattanaskolpant@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 Karen Gholston |
| 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 Or Overnight Delivery to: |
Primary & Redomestication Apps: Kevin McClain Insurance Financial Analyst Company Licensing & Regulatory Compliance kevin.mcclain@scc.virginia.gov (804) 371-9432 |
| WA |
Washington State Office of the Insurance Commissioner Or Overnight delivery to: |
Primary & Redomestication Apps: Domestic Corporate Amendments Apps:
|
| 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 Or Overnight delivery to: |
Primary & Redomestication Applications: Mark McNabb (608) 266-8854 mark.mcnabb@wisconsin.gov Domestic 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 & Redomestication Apps: Domestic Corporate Amendments Apps:
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