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Information for Annual License Renewal and Financial Filings due in 2008, including Instructional Letters and NAIC Checklists


Annual Renewal Letters

An annual renewal letter was mailed to most companies in December 2007. A web version of your company's letter is available. The letter includes links to appropriate forms.
Click here to get to the renewal letter entry screen.

NAIC Financial Standard State Filing Checklists for filings due in 2008

Our checklists are available in HTML format. The checklists include links to appropriate forms. The hyperlinks in the NAIC checklist pages use popups. If you would like to read the detailed information on the checklist items please enable popups in your browser.

Click on the company type to get the appropriate checklist.

If you wish to print the checklist(s), we recommend setting left and right margins to 0.35 inches or selecting landscape orientation.

Fraternal Societies
Health Organizations
Life, Accident and Health
Property and Casualty
Title

Virginia Specific Financial and License Renewal Forms

Our 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. Please note you must have Acrobat Reader Version 7.0 in order to open and complete the forms.

Completed forms should be sent with annual statement filing to: P.O. Box 1157, Richmond, VA 23218 or by messenger, 1300 East Main Street, 1st Floor Mail Room, Richmond, VA 23219. Electronic filing of forms will not be accepted. PLEASE DO NOT SEND RENEWAL FORMS TO THE ADMINISTRATIVE TAX UNIT OF THE BUREAU OF INSURANCE.


All Forms in Alphabetical Order:

Analysis of Excess Capital and Surplus Investments Report [Form R01]
Application for Renewal of License [Form R02]
Audited Financial Statements Exemption Affidavit [Form R03]
Certificate of Advertising Compliance [Form R04]
Certificate of Assuming Insurer [Form R05] This certificate is required only from Accredited and Trusteed Reinsurers.
Costs of HMO's Indemnification and Nonpartcipating Referral Provider Arrangements [Form R06]
Producer-Controlled Insurer Report [Form R08]
Reinsurance Intermediary License Renewal Application
Report of Assessable Ocean & Inland Marine Premium [Form R09]
Report of Assets Pledged, Hypothecated or Encumbered [Form R10] and Exhibit for Report of Assets Pledged, Hypothecated or Encumbered [Form R11]
Request for Information Regarding Reinsurance Intermediaries (RIs) [Form R12]
Statement of Material Changes [Form R13]
Supplementary Statement of Covered and Uncovered Expenses [Form R14]
Surplus Lines Annual Filing Information [Form R16]

 

 

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