New york department of insurance biographical affidavit

The chart below identifies the Fingerprint and Biographical Affidavit requirements for each Domestic Uniform State.

Group cover letters can be submitted with Biographical affidavits that are used for officer/director changes and for expansion and corporate amendment applications (The affiant and notary signatures on the biographical affidavit must be within 6 months of the date of submission) for companies listed on the group cover letter and are under the same group code. Only the NAIC cover letter can be submitted with a UCAA. Unless otherwise noted below all uniform states accept the group cover letter when a biographical affidavit is required.

Last Updated: 07/19/2024
Updates to the information will be noted with a “ * ” next to the state name and edits will be italicized and bolded.

Domiciliary Requirements for initial Licensure (Primary) or Other Application Types (Redomestication, Form A, Domestic Corporate Amendment)

Domestic Requirements (Updates Only, e.g. Annual, new officer, etc.)

Primary Application: NAIC Biographical Affidavit AND Independent Third-Party Verification
Redomestication Application: Contact state
Form A: Contact state
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification
Redomestication Application: Not required
Form A: NAIC Biographical Affidavit and Independent Third-Party Verification
Domestic Corporate Amendment: Not required
Disclaimer of Control: Allowed

NAIC Biographical Affidavits are not required.

Biographical Affidavit:
Primary/Redomestications:
Jeffery Bethel
P: (907) 269-7919
F: (907) 269-7898
jeffery.bethel@alaska.gov

Corporate Amendments Applications:
Kevin Richard
P: (907) 269-7903
F: (907) 269-7910
kevin.richard@alaska.gov

Third-Party Verification Reports:
Secure email to:
jeffery.bethel@alaska.gov
kevin.richard@alaska.gov
OR
Mail to:
Alaska Division of Insurance
550 W 7th Avenue, Suite 1560
Anchorage, AK 99501-3567

Primary Application: NAIC Biographical Affidavit AND Independent Third-Party Verification
Redomestication Application: NAIC Biographical Affidavit AND Independent Third-Party Verification
Form A: NAIC Biographical Affidavit AND Independent Third-Party Verification
Domestic Corporate Amendment: Not Applicable
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification.
Redomestication Application: NAIC Biographical Affidavit and Independent Third-Party Verification - Ark. Code Ann. § 23-63-218
Form A: NAIC Biographical Affidavit and Independent Third-Party Verification - Ark. Code Ann. §§ 23-63-506 – 513
Domestic Corporate Amendment: NAIC Biographical Affidavit and Independent Third-Party Verification - Ark. Code Ann. § 23-69-107
Disclaimer of Control: Not Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Biographical Affidavit and Third-Party Verification Reports:
Kimberly Johnson
501-371-2680
Insurance.Finance@arkansas.gov
Insurance.Legal@arkansas.gov

Primary Application: Yes, Fingerprints and NAIC Biographical Affidavits. Please contact California's Department of Insurance directly at (415) 538-4035 to request the necessary fingerprint live scan
Redomestication Application: Contact State
Form A: Yes
Domestic Corporate Amendment: Contact State

After Licensure: NAIC Biographical Affidavits and fingerprint are required for changes in Officers, Directors or Key Managerial Personnel.

Disclaimer of Control: Allowed

Primary Application: NAIC Biographical Affidavit, Fingerprints and Independent Third-Party Verification.
Redomestication Application: NAIC Biographical Affidavit, Fingerprints and Independent Third-Party Verification.
Form A: NAIC Biographical Affidavit, Fingerprints and Independent Third-Party Verification.
Domestic Corporate Amendment: n/a
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Primary Application: NAIC Biographical Affidavits and Independent Third-Party Verification.
Redomestication Application: NAIC Biographical Affidavits and Independent Third-Party Verification.
Form A: NAIC Biographical Affidavits and Independent Third-Party Verification.
Domestic Corporate Amendment: Yes
Disclaimer of Control: Not Allowed

NAIC Biographical Affidavits are required when there is a change in or new officers, directors, and key managerial as soon as possible.

Biographical Affidavit:
cid.finregfilings@ct.gov
860-297-3800

Third-Party Verification Reports:
Contact state

Primary Application: NAIC Biographical Affidavit and Third-Party Verification.
Redomestication Application: NAIC Biographical Affidavit and Third-Party Verification.
Form A: NAIC Biographical Affidavit and Third-Party Verification.
Domestic Corporate Amendment: if applicable
Disclaimer of Control: Not Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Primary Application: NAIC Biographical Affidavits and Independent Third-Party Verification.
Redomestication Application: Contact Jurisdiction
Form A: Contact Jurisdiction
Domestic Corporate Amendment: Contact Jurisdiction
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Primary Application: Licensure: NAIC Biographical Affidavit, Independent Third-Party Verification and Fingerprint Cards (Fingerprint LiveScan available for Florida Residents Only). Refer to State Specific Requirements for Fingerprint Procedures. Please contact the Office of Insurance Regulation at (850) 413-2575 to request the necessary fingerprint cards or FPRequest@floir.com.

Redomestication Application: Same as Primary

Form A: Same as Primary

Domestic Corporate Amendment: Not required
Disclaimer of Control: Allowed at the Office's discretion

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification
Redomestication Application: NAIC Biographical Affidavit and Independent Third-Party Verification
Form A: NAIC Biographical Affidavit and Independent Third-Party Verification
Domestic Corporate Amendment: NAIC Biographical Affidavit
Disclaimer of Control: Not Allowed

Contact state for requirements.

Contact state for requirements.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification
Redomestication Application: NAIC Biographical Affidavit and Independent Third-Party Verification
Form A: Contact State
Domestic Corporate Amendment: Contact State
Disclaimer of Control: Not Allowed

After Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification report is required for changes in Officers, Directors or Key Managerial Personnel.

Primary Application: Current Version of the NAIC Biographical Affidavits with original signatures and the bios shall be notarized required for all domestic companies’ Officers and Directors. Independent Third-Party Verification Reports are required for all Officers and Directors.
Redomestication Application: Current Version of the NAIC Biographical Affidavits with original signatures and the bios shall be notarized required for all domestic companies’ Officers and Directors. Independent Third-Party Verification Reports are required for all Officers and Directors.
Form A: Contact state
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Not Allowed

After Licensure: Current Version of the NAIC Biographical Affidavits with original signatures and being notarized are required for changes in Officers or Directors; Independent Third-Party Verification Reports are required for new Officers or Directors. Notification of a change in officers or directors is required within 30 days.

Biographical Affidavit:
Property/Casualty Companies:
Tammy Jones
tammy.jones@illinois.gov

Life, Accident & Health Companies:
Pearl Stanulis
pearl.stanulis@illinois.gov

Third-Party Verification Reports:
Mail to:
Illinois Department of Insurance Attn: Corporate Regulation Section
320 West Washington Street– 4 th Floor
Springfield, IL 62767

Indiana Biographical Affidavits with electronic signature which complies with the electronic transaction act (IETA)(IC 26-2-8-108) and Independent Third-Party Verification required for all domestic companies

Note: Electronic signatures from commercially available software, such as Docusign or Esign, are acceptable. “Check the Box” signatures or “Rubber Stamp” signatures Do Not Comply.

Disclaimer of Control: Allowed

Electronically signed Indiana Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

Note: Electronic signatures from commercially available software, such as Docusign or Esign, are acceptable. “Check the Box” signatures or “Rubber Stamp” signatures Do Not Comply.

Application Submissions
Primary, Redomestication
Connie Wright
(317) 232-1994
Cowright1@idoi.in.gov

Form A, Corporate Amendment
Annette Gunter
(317) 232-2428
agunter@idoi.in.gov

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification
Redomestication Application: Contact Iowa Insurance Division regarding Biographical Affidavits
Form A: NAIC Biographical Affidavit and Independent Third-Party Verification
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Allowed

After Licensure: Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Biographical Affidavit and Third-Party Verification Reports:
Tish Becker
Kansas Insurance Department
tish.becker@ks.gov
785-296-7816

Third-party background reports should be sent electronically (via e-mail) to the following state contact:
Tish Becker
tish.becker@ks.gov

Contact state for requirements.

Primary Application: Complete Biographical Affidavits (Form 11) on most current form for all Officers and Directors. Independent Third-Party Verifications required for all Officers and Directors. Domestic applicants must submit fingerprints in compliance with the state requirements. More information on fingerprint requirements at http://www.ldi.la.gov/industry/company-licensing/application-forms/ucaa….
Redomestication Application: Same as Primary Application
Form A: Same as Primary Application
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Allowed

After Licensure: Complete Biographical Affidavits (Form 11) on most current form for all new Officers and Directors. Independent Third-Party verifications required for all new Officers and Directors. All new Officers and Directors must submit fingerprints in compliance with state requirements. More information on fingerprint requirements at http://www.ldi.la.gov/industry/company-licensing/application-forms/ucaa….

Primary Application: NAIC Biographical Affidavits and Independent Third-Party Verification.
Redomestication Application: NAIC Biographical Affidavits and Independent Third-Party Verification.
Form A: NAIC Biographical Affidavits and Independent Third-Party Verification.
Domestic Corporate Amendment: NAIC Biographical Affidavits and Independent Third-Party Verification.
Disclaimer of Control: Not Allowed

After Licensure: NAIC Biographical Affidavits with original signatures are required for changes in Officers, Directors. Independent Third-Party Verifications are required for new Officers or Directors. Notification of a change in Officers or Directors is required within 3-days.

Biographical Affidavit and Third-Party Verification Reports:
Erin Nickels
Mailing address:
Maryland Insurance Administration
200 St. Paul Place, Suite 2700
Baltimore, Maryland 21202

Contact state for requirements.

Primary Application: NAIC Biographical Affidavit dated within 6 months of filing application and Independent Third-Party Verification Report required
Redomestication Application: NAIC Biographical Affidavit dated within 6 months of filing application and Independent Third-Party Verification Report required
Form A: NAIC Biographical Affidavit dated within 6 months of filing and Independent Third-Party Verification Report required for the new UCP (those with a greater than 10% ownership) and any proposed officer or director of the domestic insurer.
Domestic Corporate Amendment: not required
Disclaimer of Control: not required

After Licensure: NAIC Biographical Affidavit dated within 6 months of change and Independent Third-Party Verification are required for changes in Officers, Directors or Key Managerial Personnel.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verifications are required for Primary Applications. Signatures must be original, and dated within 6 months of application.
Redomestication Application: NAIC Biographical Affidavit and Independent Third-Party Verifications are required. Signatures must be original, and dated within 6 months of application.
Form A: NAIC Biographical Affidavit and Independent Third-Party Verifications are required. Signatures must be original, and dated within 6 months of application.
Domestic Corporate Amendment: Articles/Bylaws - not needed.
Disclaimer of Control: Not Allowed

After Licensure: Any new individual on the Jurat page must submit an NAIC Biographical Affidavit dated within 6 months, original or digital signatures are accepted.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verifications are required for Primary Applications. Signatures must be original.
Redomestication Application: NAIC Biographical Affidavit
Form A: NAIC Biographical Affidavit and Independent Third-Party Verifications are required for Primary Applications. Signatures must be original.
Domestic Corporate Amendment: NAIC Biographical Affidavit
Disclaimer of Control: Not Allowed

Notification and a NAIC Biographical Affidavit are required for all new officers and directors

Biographical Affidavit:
Chad Bridges
Email: Chad.Bridges@mid.ms.gov Phone #: 601-359-2136

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification.
Redomestication Application: NAIC Biographical Affidavit and Independent Third-Party Verification.
Form A: NAIC Biographical Affidavit and Independent Third-Party Verification.
Domestic Corporate Amendment: Depends on the corporate amendment type
Disclaimer of Control: Allowed, but must be submitted as a separate filing for consideration

Primary Application: NAIC Biographical Affidavit
Redomestication Application: Contact state
Form A: Contact state
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Biographical Affidavit and Third-Party Verification Reports:
Tavin Mogus
tmogus@mt.gov
406-444-3496

Primary Application: UCAA biographical affidavit and 3 rd party verifications, no fingerprints
Redomestication Application: NAIC biographical affidavit and 3 rd party verifications, no fingerprints
Form A: NAIC biographical affidavit and 3 rd party verifications, no fingerprints
Domestic Corporate Amendment: It will vary depending on amendment, check with the DOI
Disclaimer of Control: Contact state

All officer, director, or key personnel changes require biographical affidavit

Primary Application, Redomestication, Corporate Amendments: Lindsay.Crawford@nebraska.gov

Contact state for requirements.

Primary Application: NAIC Biographical Affidavit
Redomestication Application: Contact state
Form A: Contact state
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Primary Application: Primary P&C - NAIC Biographical Affidavit and criminal history record check by the New Jersey State Police. Link: https://www.njportal.com/NJSP/CriminalRecords/Default.aspx. Once at the website enter Originating Agency Identifier (ORI) #: NJDINS11X. Primary L&H: NAIC Biographical Affidavit and Independent Third-Party Verification. Contact the Department for state specific information (Solvency Regulation 609-292-7272).
Redomestication Application: NAIC Biographical Affidavit and criminal history record check by the New Jersey State Police. See link above.
Form A: NAIC Biographical Affidavit, Independent Third Party Verification (with NAIC approved vendor), and criminal history record check by the New Jersey State Police. Submit inquiries pertaining to the filing of a Form A to: NJFormAfilings@dobi.nj.gov
Domestic Corporate Amendment: Same as Primary App. Required for new officers/directors or individuals holding a controlling interest in insurer.
Disclaimer of Control: Separate filing required

After Licensure P&C: NAIC Biographical Affidavit and criminal history record check by the New Jersey State Police.

After Licensure L&H: NAIC Biographical Affidavit, and Independent Third-Party Verification.

Biographical Affidavit and Third-Party Verification Reports:
UCAANotifications@dobi.nj.gov

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification.
Redomestication Application: NAIC Biographical Affidavit and Independent Third-Party Verification
Form A: NAIC Biographical Affidavit and Independent Third-Party Verification.
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Not Allowed

After Licensure: NAIC Biographical Affidavits submitted in hard copy for changes in Officers/Directors.

Biographical Affidavit and Third-Party Verification Reports:
Ursula Almada
Ursula.Almada@osi.nm.gov
Victoria Baca
Victoriaa.Baca@osi.nm.gov

Primary Application: NAIC Biographical Affidavit AND Independent Third-Party Verification
Redomestication Application: NAIC Biographical Affidavit AND Independent Third-Party Verification
Form A: NAIC Biographical Affidavit AND Independent Third-Party Verification
Domestic Corporate Amendment: not required

Disclaimer of Control: Contact state

After Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification are required for changes in Officers, Directors or Key Managerial Personnel.

Biographical Affidavit and Third-Party Verification Reports:

Third party verification reports should be sent directly to NY DFS by the third-party vendor using the DFS Portal (an account is not required). A copy of the biographical affidavit is required to be included with the report.

Contact state for requirements.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification
Redomestication Application: NAIC Biographical Affidavit and Independent Third-Party Verification
Form A: NAIC Biographical Affidavit and Independent Third-Party Verification
Domestic Corporate Amendment: N/A
Disclaimer of Control: Not Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification
Redomestication Application: Contact state
Form A: Contact state
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Allowed

Contact state for requirements.

Contact state for requirements.

Primary Application: NAIC Biographical Affidavit
Redomestication Application: Contact state
Form A: Contact state
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification
Redomestication Application: Contact state
Form A: Contact State
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Biographical Affidavit and Third-Party Verification Reports:
Glorimar Santiago
gsantiago@ocs.pr.gov

Contact State
Disclaimer of Control: Allowed

NAIC Biographical Affidavit is required for new Officers and Directors within a reasonable time frame.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification are required.
Redomestication Application: NAIC Biographical Affidavit and Independent Third-Party Verification are required.
Form A: NAIC Biographical Affidavit and Independent Third-Party Verification are required.
Domestic Corporate Amendment: NAIC Biographical Affidavit and Independent Third-Party Verification are required.
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.
Disclaimer of Control: Allowed

Biographical Affidavit and Third-Party Verification Reports:
Deonna G. Rogers
drogers@doi.sc.gov

Primary Application: NAIC Biographical Affidavit
Redomestication Application: Contact state
Form A: Contact state
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Contact state

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors, or Key Managerial Personnel

Biographical Affidavit:
Domestics should contact their individual financial analyst or Johanna.Nickelson@state.sd.us

Third Party Verification Reports:
Johanna Nickelson
Assistant Director Company Solvency and Licensing
SD Division of Insurance
124 S. Euclid Ave., 2 nd Floor
Pierre, SD 57501

Primary Application: Biographical affidavits and third-party background checks of board members and officers.
Redomestication Application: Biographical affidavits and third-party background checks of board members and officers.
Form A: Biographical affidavits and third-party background checks of board members and officers.
Domestic Corporate Amendment: Biographical affidavits and third-party background checks of new board members and officers.
Disclaimer of Control: Contact state

Biographical affidavits and third-party background checks of new board members and officers.

Biographical Affidavit and Third-Party Verification Reports:
Hui Wattanaskolpant
hui.wattanaskolpant@tn.gov

Primary Application: NAIC Biographical Affidavit, Identogo Fingerprint receipts, and Independent Third-Party Verifications for all directors and only the following officers: CEO, President, Executive Director, Secretary, Treasurer, CFO/Controller, COO and Medical Director (if applicable) and any individuals that own 10% or more, beneficial ownership in the Applicant Company and the Applicant
Company’s ultimate controlling person. We DO NOT require biographical affidavits, Identogo Fingerprint receipts, and Third-Party verifications for Vice Presidents or Assistant-officers.
Redomestication Application: Same requirements as the Primary application
Form A: Fingerprint Requirements and Instructions found at https://www.tdi.texas.gov/agent/fingerprint-instructions.html
Domestic Corporate Amendment: Only if officer/director changes have been made
Disclaimer of Control: Not Allowed

After Licensure: NAIC Biographical Affidavits and Fingerprint receipts are required for changes to Domestic insurers directors and only the following officers: CEO, President, Executive Director, Secretary, Treasurer, CFO/Controller, COO and Medical Director (if applicable). We DO NOT require biographical affidavits for Vice Presidents or Assistant-officers.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification.
Redomestication Application: NAIC Biographical Affidavit and Independent Third-Party Verification.
Form A: Contact state
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavit and Independent Third-Party Verification are required for changes in Directors, Officers and Key Managerial Personnel of domestic company or ultimate controlling person.

Primary Application: NAIC Biographical Affidavit & Third-Party Verification is required.
Redomestication Application: NAIC Biographical Affidavit & Third-Party Verification is required.
Form A: NAIC Biographical Affidavit & Third-Party Verification is required.
Domestic Corporate Amendment: NAIC Biographical Affidavit maybe required
Disclaimer of Control: Not Allowed

After Licensure Updates: NAIC Biographical Affidavit; Independent Third-Party Verification may be required.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification.
Redomestication Application: Contact state
Form A: Contact state
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification.
Redomestication Application: NAIC Biographical Affidavit and Independent Third-Party Verification as required by UCAA requirements
Form A: NAIC Biographical Affidavit and Independent Third-Party Verification of acquiring persons
Domestic Corporate Amendment: NAIC Biographical Affidavit and Independent Third-Party Verification.
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel. Domestic insurers must file a biographical affidavit every thirty-six months after the last biographical affidavit filed.

Primary Application: NAIC Biographical Affidavit is required.
Redomestication Application: NAIC Biographical Affidavit is required if there are changes.
Form A: NAIC Biographical Affidavit is required if there are changes.
Domestic Corporate Amendment: NAIC Biographical Affidavit is required if there are changes.
Disclaimer of Control: Not Allowed

After Licensure: NAIC Biographical Affidavit is required for new officers and/or directors AND amendments to officers and/or directors.

WV Offices of the Insurance Commissioner
Financial Conditions Division
(304) 558-2100
oicfinancialconditions@wv.gov

*Do not email Bio's to the above email. They can be viewed in UCAA or sent to:

WV Offices of the Insurance Commissioner
Financial Conditions Division
PO Box 50540
Charleston, WV 25305-0540

Third-Party Verification Reports:
Third-Party Verification Reports are required.

Primary Application: NAIC Biographical Affidavit required (but not fingerprints or Independent Third-Party Verifications)
Redomestication Application: NAIC Biographical Affidavit required (but not fingerprints or Independent Third-Party Verifications)
Form A: NAIC Biographical Affidavit required (but not fingerprints or Independent Third-Party Verifications)
Domestic Corporate Amendment: Contact state
Disclaimer of Control: Allowed

After Licensure: NAIC Biographical Affidavit required for any changes in Directors, Officers or Key Managers (but not fingerprint or Independent Third-Party Verifications).

Third-Party Verification Reports:
Contact the state if requested

Primary Application: NAIC Biographical Affidavit and Independent Third-Party Verification.
Redomestication Application: NAIC Biographical Affidavit and Independent Third-Party Verification.
Form A: NAIC Biographical Affidavit and Independent Third-Party Verification.
Domestic Corporate Amendment: NAIC Biographical Affidavit and Independent Third-Party Verification.
Disclaimer of Control: Not Allowed

After Licensure: NAIC Biographical Affidavits are required for changes in Officers, Directors or Key Managerial Personnel.