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Office of Insurance Regulation

Company Admissions

Certificate of Authority Foreign and Alien Life, Accident and Health Insurers

NOTICE: This package also requires a Pro Forma Statement, Florida Secretary of State's Application for foreign corporation for authorization to transact business in the state of Florida CR2E007, and an NAIC Company Code Application

ALL FORMS

APPLICATION FOR CERTIFICATE OF AUTHORITY FOREIGN AND ALIEN LIFE AND HEALTH INSURERS PACKAGE

OIR-C1-884

APPLICATION FOR CERTIFICATE OF AUTHORITY FOREIGN AND ALIEN LIFE AND HEALTH INSURERS

OIR-C1-881

PAYMENT OF APPLICATION FEES AND TAXES APPLICATION FOR CERTIFICATE OF AUTHORITY INVOICE

OIR-C1-903

REQUEST FOR PAYMENT OF FINGERPRINT CHARGES

OIR-C1-887

APPLICATION FOR LICENSE TO CONDUCT BUSINESS IN THE STATE OF FLORIDA (Foreign or Alien Property and Casualty Insurer)

OIR-C1-901

LIFE, ACCIDENT AND HEALTH INSURERS LINES OF BUSINESS BY COMPANY CODE

OIR-C1-877

PROPERTY AND CASUALTY INSURERS LINES OF BUSINESS BY COMPANY CODE

DI4-144

SERVICE OF PROCESS CONSENT & AGREEMENT

OIR-C1-896

PROFORMA

OIR-C1-888

DISCLOSURE FORM

OIR-C1-889

CERTIFICATION

OIR-C1-1298

MANAGEMENT INFORMATION FORM

OIR-C1-422

BIOGRAPHICAL STATEMENT AND AFFIDAVIT

OIR-C1-450

AUTHORITY FOR RELEASE OF INFORMATION

OIR-C1-1467

INDIVIDUAL DISCLAIMER OF CONTROL AFFIDAVIT

OIR-C1-1468

DISCLAIMER OF CONTROL AFFIDAVIT

OIR-C1-905

INSTRUCTIONS FOR FURNISHING BACKGROUND INVESTIGATIVE REPORTS

OIR-C1-938

FINGERPRINT CARD INSTRUCTIONS


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