UCAA PRIMARY APPLICATION

HEADLINES:

Florida Office of Insurance Regulation Releases Annual Workers' Compensation Report
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Florida Office of Insurance Regulation Resolves Military Sales Litigation - Insurers to Pay $250,000 and Give Refunds to Policyholders
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Florida Insurance Commissioner Orders Four Companies to Cease and Desist Selling Motor Vehicle Service Agreement Products
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Florida Insurance Commissioner Orders American Assurance Underwriters Group and Its Affiliates to Cease and Desist Selling Health Insurance Products
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Office Reaches Agreement with State Farm Florida; State Farm Florida Withdraws its Plan to Leave the State and Agrees to Non-Renew no More than 125,000 Residential Property Policies
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FOR PRIMARY APPLICATION ONLY
FLORIDA SPECIFIC INFORMATION

1. Insurers are required to provide a copy of the Articles of Incorporation of any firm involved in the financing or formation of the insurer certified by the public official with whom the originals are on file in the state of domicile.

2. Florida requires a statement of the method to be used in the financing of the insurer and verification of funds. To print or download the items to be included (click here). There are additional financial requirements for mutual insurers. To print or download a copy of Section 628.161, Florida Statutes (click here).

3. For mutual insurers only, provide a copy of a fidelity bond or insurance policy per Section 628.171, Florida Statutes. To print or download a copy of Section 628.171, Florida Statutes (click here).

4. Florida requires fingerprinting of all individuals for which biographical affidavits or business character reports are being submitted. To print or download a copy of the fingerprint card instructions (click here). To print or download a copy of the fingerprint charges invoice form (click here). The fingerprint cards can be obtained from the Applications Coordinator by calling (850) 413-2575 or at their email address appcoord@floir.com.

OIR-C1-1522
5/2002