Welcome to the
Office of Insurance
Regulation
Specialty Product
Administration
Annual Statement Forms
The Forms provided here are
for informational purposes
only. All licensed companies
must file electronically via
the Industry Portal and the
Regulatory Electronic Filing
System (REFS). A User
Guide and a Tutorial for
filing electronically is
available and can be
accessed at
/OIR_Required_Filing_Reporting.htm,
with additional information
provided in the
Informational Memorandum
shown on the same webpage.
Licensed companies
must
report electronically via
the Industry Portal.
* Forms marked with an
Asterisk (*) should be
printed, completed and
mailed to the address
provided thereon. When
filing in REFS, companies
should scan and upload a
copy of the completed Form
with their electronic filing
Continuing Care Reporting
|
OIR-A3-470
|
Continuing Care -
Annual Report
|
|
OIR-A3-477
|
Continuing Care
Minimum Liquid
Reserve Calculation
|
Donor Annuity Reporting
|
OIR-A3-1209
|
Sworn Statement
in Lieu of Annual
Statements for
Issuers of Donor
Annuity Agreements
|
Home Warranty Reporting
Legal Expense Insurance
Reporting
Motor Vehicle Service
Agreement Reporting
Premium Finance Reporting
Service Warranty Reporting
Insurance Administrator
Reporting
Viatical Settlement Provider
Reporting
|
OIR-A3-1288
|
Viatical
Settlement Provider
Annual Report (form
is currently subject
to litigation)
|