| Financial Affairs Division Form |
| Annual Statement Forms and Instructions |
| Tax Forms and Instructions |
| Certificate of Authority Application Information |
| Acquisitions and Holding Company Registration, Deposit Forms, Senior Residential Entrance Fee Contract Provider and Other Forms |
| UCAA Retaliatory Info |
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| Rate and Form Filing |
| Life and Health Filing Instructions, Exemptions, Forms and Checklists |
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| General Instructions |
| HCSO Filing Instructions |
| Rate Filing Instructions |
| Checklist Instructions |
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| Exempt Notice to Insurers |
| 2003 Docket No. 03A-143-INS: Life and Disability Form Filing Exemptions; Group Long Term Care Form Filing Exemptions |
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| Advertising Transmittal Form |
| HCSO and Other Managed Care Transmittal Form |
| HIV Testing Consent Form |
| Life and Health Transmittal Form |
| Readability Certification (Form P-123) |
| Certification of Qualified Actuary (Form P-124) |
| Long Term Care Partnership Program Insurer Certification Form |
| Long Term Care Partnership Program Pre-Purchase Notice Form |
| Long Term Care Partnership Program Post-Purchase Notice Form |
| Accountable Health Plan - HIPAA Checklist |
| Annuities Checklist |
| Credit Life & Disability Checklist |
| Health Care Service Organizations Checklists |
| Health Insurance Rate Filings Checklist |
| HIV Testing Consent Form Checklist |
| Hospital, Medical, Dental, and Optometric Service Corporation Checklist |
| Individual Health Indemnity Checklist |
| Life Insurance Checklist |
| Long Term Care Insurance Checklist |
| Medicare Supplement Insurance Checklist |
| Prepaid Dental Checklist |
| Long Term Care Insurance Pre-Rate Stabilization Rate Checklist |
| Long Term Care Insurance Post-Rate Stabilization Rate Checklist |
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Property and Casualty Checklists, Filing Forms and Filing Instructions |
| 2005 Docket No. 05A-108-INS: Property and Casualty Rate and Form Filing Exemptions; Commercial Non-Cancellation Restriction Exemptions; Recognized Surplus Lines |
| 2007 Docket No. 05A-108-INS: Order Amending Exhibit C, Surplus Lines Export List |
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| P&C General Instructions (12/03/09) |
| P&C Transmittal Forms (PDF version) |
| P&C Transmittal Forms Instructions |
| Uniform P&C Product Coding Matrix |
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| Combination Private Passenger Auto and Homeowners Checklist (12/03/09) |
| Commercial Automobile Checklist Line 19.4 and 21.2 (12/03/09) |
| Credit Property Checklist (12/03/09) |
| Credit Unemployment Checklist (12/03/09) |
| 2013 Docket 13A 007 INS Loss Ratio Standards and Prima Facie rates for Credit Property and Credit Unemployment insurance. |
| Consumer Credit Certification CU 1621 (11/20/09) |
| Homeowners Checklist (HO); Line 4 (12/03/09) |
| Financial Guaranty-Fildelity-Surety Checklists (12/03/09) |
| Medical Malpractice Checklist(MM), Line 11 (03/18/10) |
| Mortgage Guaranty Checklist Line 6 (02/18/10) |
| P&C Article 4.1 Checklist (12/03/09) |
| Private Passenger Auto Checklist (12/03/09) |
| Title Checklist (12/03/09) |
| Workers' Compensation, Line 16 (9/13/2012) |
| Industrial Insured Certification Form |
| Consent to rate instructions 4.1 12-09 |
| Consent to Rate CTRF AZ 385-1 4.1 10-07 |
| Consent to Rate CTRF AZ 385-2 4.1 10-07 |
| Consent to rate instructions WC 4 12-09 |
| Consent to Rate CTRF AZ 357-1 WC 10-07 |
| Consent to Rate CTRF AZ 357-2 WC 10-07 |
| Reference Filling Adoption Form 1024A (PDF version) (Word 2003 version) |
| Calculation of Company Loss Cost Multiplier 1024B(PDF version - fillable) (Word 2003 version) |
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| ADOI Survey and Other Reporting Forms |
| Life and Health Division Reporting Forms |
| Annual Market Analysis Survey Forms |
| Health Care Appeals Form |
Life and Health Division Reporting Forms
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| HIPAA data report and instructions
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| HIPAA report on products offered in the individual marketplace |
| HIPAA report on earned premium volumes and covered individuals |
| HIPAA report on products/marketing materials avalable to eligible individuals |
| Credit Life, Disability and Unemployment Report - Form A |
| Credit Property Report - B |
| Annual Market Analysis Survey Forms |
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(The Market Analysis forms are in Excel 2003 format.)
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| MVNR Cover Letter |
| MVNR (Motor Vehicles Non-Renewal Report) |
| AZ Annual Health Plans Survey Cover Letter |
| AZ Annual Health Plans Survey |
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| Health Care Appeals Forms |
| Health Care Appeals Transmittal Form |
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