Information for Companies

This webpage contains information necessary for a company to become licensed or registered under Title 38.2 of the Code of Virginia, and to operate in accordance with the insurance laws and regulations of this Commonwealth. Various applications, procedures, forms, reports and tax information are available, as well as guidelines and checklists.

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Financial

Licensing and Registration Procedures

Information for Annual License Renewal and Financial Filings due in 2008 UPDATED!

Financial Examination Reports

Financial Data on Licensed Companies

Life and Health Rules, Rates and Forms

Long Term Care Forms (14 VAC 5-200-210)

Medicare Supplement Forms (14 VAC 5-170)

Mandated Benefits Reporting (Form MB1, Codes and Instructions)

2008 Medicare Supplement Insurance Premium Comparison Guide Survey

Product Information

NAIC Product Review Standard State Filing Checklists for Life and Health

Property and Casualty Rules, Rates and Forms

Rules Governing Claims-Made Liability Insurance Policies

Instructions for the Application and Reporting of Revised Workers' Compensation Loss Cost and Assigned Risk Rates effective April 1, 2003, April 1, 2004, and April 1, 2005

Product Information

NAIC Product Review Standard State Filing Checklists for Property and Casualty

NAIC Product Locator Modules for Property and Casualty

Property and Casualty Filing Forms

Certification of Compliance with Chapter 340 of Title 14 of the Virginia Administrative Code
(DR/COF (05/05) Rate Certification Form for Prior Approval Filings
Excess Rate Application
Excess Rate Application WC
Loss Cost PC IRF
TRIA Expedited Filing Form
(VA COF-1) Rate/Loss Cost Certification Form for File and Use Filings
(VA CP 2002) Terrorism Exclusion Endorsements: Commercial Lines Property and Casualty Insurance Policies
(WCLC-VA) Workers Compensation Insurance Expense Filing Form

Virginia Assigned Risk Workers' Compensation Rates

Virginia Contracting Classification Premium Adjustment Program Workers’ Compensation Premium Application Form

Virginia Property and Casualty Filing Guidelines Handbook

Workers' Compensation Loss Cost Multipliers

Reviewing Company Rates & Forms

Tax

Premium License Tax/Assessments, Tax Codes, Tax Rates & Filing Information

Managed Care Health Insurance Plans (MCHIPs)

MCHIP Complaint System Filing Checklist

Miscellaneous

New Standard Form Memorandum
Commercial Auto Forms
Personal Auto Forms

Common Problems Found During Market Conduct Examinations

Miscellaneous Forms/Reports for Insurers
Service of Process (SOP 19.1)
Call for Exempted Commercial Insurance Policyholder Information
Medical Malpractice Closed Claim Filing Requirements
Administrative Actions

Medicare Supplement Forms (14 VAC 5-170)

Medicare Supplement Refund Calculation Forms, Appendix A

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Form for Reporting Medicare Supplement Policies, Appendix B

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Disclosure Statements, Appendix C

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Notice About Attained Age Rated Medicare Supplement Policies,  Appendix D

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