Company Admissions

The Company Admissions sections are responsible for the receipt of all company applications and the coordination of the Office’s review of such applications prior to granting approval to a company to sell insurance in the state of Florida. If you have any questions, please check the answers to our Frequently Asked Questions; otherwise, you may send an email to LHAppcoord@floir.com for Life & Health applications or to PCAppcoord@floir.com for Property & Casualty applications.

iApply is an online system that is designed specifically for Company Admissions to handle the receipt of all company applications. The filing requirements for the various application packages have not changed, just the means by which you apply. To access go to the Industry Portal and select iApply -- Online Company Admissions.

To view and/or download an application package, select from the following dropdown menus:

Company Applications Life and Health Company Applications Property and Casualty Company Applications Specialty Insurer Applications Managed Care Applications Health Flex Application Discount Plan Organization (DPO) Pharmacy Benefit Manager (PBM)   Can't find the application you're looking for?

Uniform Certificate of Authority Application (UCAA) UCAA Primary Application UCAA Primary Application Florida State Specific Requirements -- UCAA Expansion Application UCAA Expansion Application Florida State Specific Requirements -- UCAA Corporate Amendments Application UCAA Corporate Amendments Application Florida State Specific Requirements  

To view and/or download additional information and/or forms, select from the following:

Officer or Director NAIC Biographical Affidavit Background Investigation Report Instructions Fingerprinting Instructions

Disclaimer of Control Individual Investment Companies All Others  

IRS Employer Identification Number Instructions for Form SS-4 Online EIN Application SS-4, Application for Employer Identification Number  

Captive Insurers Captive Insurers Application Form Captive Insurers Information Page

NAIC Company Code Application Form

Fingerprint Payment and Livescan Fingerprinting Instructions
To request blank fingerprint cards email FPRequest@floir.com.

Fingerprint Payment and Appointments for Livescan Fingerprinting

Notice of Applicant Rights

Life & Health Applications: (850) 413-2512

Property & Casualty Applications: (850) 413-2575