To obtain information on licensing local
government group self-insurance pools and group self-insurance associations,
please call 804- 371-9063. To obtain information on licensing rate
service organizations, please call 804- 371- 9195 with the Forms
and Rates Section of the Property and Casualty Division of the Bureau
of Insurance.
Life and Health, Property and Casualty,
Fraternal Benefit Societies, or Title
insurers seeking licensure in Virginia
should use the Uniform Certificate of
Authority Application (UCAA). The UCAA
can be obtained by clicking UCAA.
Newly formed Virginia Life and Health,
Property and Casualty, Fraternal Benefit
Societies, or Title insurers seeking a
license in Virginia should use the UCAA
Primary Application. The UCAA Expansion
Application should be submitted by all
other Life and Health, Property and Casualty,
Fraternal Benefit Societies, or Title
insurers already licensed in another state.
UCAA Primary applicants should not file an application in duplicate.
Only one copy is required.
Below listed are the Licensing
Applications available for download.
Our financial and license renewal forms are available
in portable document format (PDF). Acrobat Reader is needed to view
PDF files. You can download the program by clicking on the Get Acrobat
Reader button.
Note: If you only see a blank
form, you will need to download Acrobat Reader to get Version 6.0.
| Accredited Reinsurers |
|
| Automobile Club |
|
| Captive |
|
| CCRC |
|
| Dental Services Plan |
|
| Dental Plan Organization |
|
| GSIA |
|
| Health Service Plan |
|
| HMO |
|
| Home Protection |
|
Home Service Contract Providers - Frequently
Asked Questions |
|
| Legal Services Plan |
|
| Limited HMO |
|
| Managing General Agent |
|
| Managed Care Health Insurance Plans Application |
|
| MEWA Registration Packet |
|
| Optometric Services Plan |
|
| Premium Finance Application including Annual
Statement form |
|
| Purchasing Group Registration Packet |
|
| Reinsurance Intermediary |
|
| Risk Retention Registration Packet |
|
| Surplus Lines Approval Packet - Alien |
|
| Surplus Lines Approval Packet - Foreign |
|
| Viatical Settlement Provider |
|
Regarding NAIC
Biographical Affidavit forms
Most of the applications require the officers and directors of the
applicant to complete the NAIC biographical affidavit. To obtain the
most current version of the NAIC biographical affidavit form, click
here: http://www.naic.org/industry_ucaa.htm.
To obtain information on licensing and
approving other company types or to
obtain an application packet, please call 804- 371-9546.
When the Bureau of Insurance receives an application, the Supervisor
of the section or a designated person will briefly review the application
to ensure all of the required documents have been submitted. If
the application is deemed complete, the application will be accepted.
If additional information is required
during the application review process, a letter will be written
to the applicant. Once all information has been filed, and the appropriate
levels of review are complete, a decision is made to approve or
disapprove the application, and the applicant will be notified in
writing.
c
Types
of Companies that the Bureau Regulatesntact tex
Email: 
Phone: 804- 371-9546