Welcome to the
Office of Insurance Regulation
Company Admissions
Discount Medical Plan Organization
NOTICE: FormOIR-C1-905 "Instructions for Furnishing Background Investigative Reports", has been revised. Applications submitted after January 1, 2005 that do not follow the revised instructions may be returned as incomplete.
ALL FORMS |
APPLICATION FOR LICENSE DISCOUNT MEDICAL PLAN ORGANIZATION (DMPO) |
OIR-C1-1606 |
APPLICATION FOR LICENSE DISCOUNT MEDICAL PLAN ORGANIZATION (DMPO) |
OIR-C1-144 |
SERVICE OF PROCESS CONSENT & AGREEMENT |
OIR-C1-903 |
INVOICE - REQUEST FOR PAYMENT OF FINGERPRINT CHARGES |
OIR-C1-938 |
FINGERPRINT CARD INSTRUCTIONS |
OIR-C1-905 |
INSTRUCTIONS FOR FURNISHING BACKGROUND INVESTIGATIVE REPORTS |
OIR-C1-1423 |
BIOGRAPHICAL AFFIDAVIT |
OIR-C1-1298 |
MANAGEMENT INFORMATION FORM - COMPLETE LIST OF OFFICERS, DIRECTORS, AND SHAREHOLDERS (10% OR MORE) |