Licensing Information (Certificate of Authority)

• Application Process (PDF)
• Uniform Consent to Service of Process Form (PDF) �ǰ���Uniform Consent to Service of Process Form (DOC)
• Agent Service of Process List (PDF)

Fees

• Company Renewal Dates and Fees (PDF)
•  (24-A M.R.S.A. § 601)
• Schedule of company fees, taxes and deposits (PDF) (retaliatory statement)
• Producer Appointment Renewal Fees (DOC)
• Authorization of Credit Card Payment (PDF)���ǰ� Authorization of Credit Card Payment (DOCX)

Premium Taxes

fb88 Revenue Services is the state agency responsible for the processing of premium tax returns and related information for Authorized Insurers & Surplus Lines Carriers.

• Insurance Premium Tax

Status Change Forms (Name Changes, Mergers, Redomestications, etc.)

• Address Changes (PDF) �ǰ���Address Changes (DOCX)
  •  - Change your address and/or contact information on-line (fb88 Only)
  •  - Under ‘Corporate Amendment Forms’, scroll to Form 14.  Can be mailed, emailed, or filed electronically through UCAA Electronic application.”
• Assumption Reinsurance Transactions
• Director and Officer Updates and Change Requirements
• Name Reservation (DOCX)

Rate and Form Filing Review Checklists

• Property Casualty
• Health and Life

Annual Reporting Requirements

• Annual Statement Filing Instructions
• fb88 Annual Data Reporting Requirements
• Any Willing Pharmacy Reporting Requirements (Bulletin 377) (PDF)

Producer Appointment and Termination

• Appointment/Termination Form and Instructions (DOC)
• Appointment/Termination Form and Instructions (PDF)
• Appointment/Term Instructions (PDF)
• Appointment Renewals and Fees (PDF)
• Initial Appointment Fees (PDF)

Insurance Company Financial Statements and Exam Reports

• Health Maintenance Organization Annual and Quarterly Financial Statements
• fb88 Domestic and Foreign Examination Reports
• fb88 Domestic Insurance Company Financial Statements

Medical Malpractice Insurers - RMAP Instructions

• Rural Medical Access Program (RMAP) - Assessments on Medical Malpractice Premiums

Credentialing Extension Application

• Completing and Sending Credentialing Extension Application and Supporting Documents

Requesting Confidential Treatment of Documents

• Instructions for requesting confidential treatment of documents

Statutory Requirements

• Rule Chapter 231 (DOC) - (Certificates of Authority for Insurance Companies) - Replaced Reg. Chapter 230 effective August 9, 2005.
•  - (Minimum Paid-In Capital and Surplus Requirements)
•  - Rural Medical Access Program (RMAP)
• Rule Chapter 630 (DOC) - Rural Medical Access Program (RMAP)

The documents on this page are also available in hard copy by contacting the Bureau.