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Company admissions application packets and instructions

All files open as Microsoft Word documents unless
otherwise noted.

 

• Service of Process form for all the companies (47.5 KB)
  

• Charitable Gift Annuity Application Packet (171 KB)
• Charitable Gift Annuity Application Instructions (173 KB)


• Service Contract Provider Application Packet (113 KB)
  • Service Contract Provider Application Instructions (43.5 KB)
  • Bond Form - only for use with Non-Vehicle Service Contract Provider applications (26 KB)


• Reinsurance Intermediary Application Packet (93 KB)
  • Reinsurance Intermediary Application Instructions (170 KB)


• Home Heating Fuel Application Packet (114 KB)
  • Home Heating Fuel Notice (24.5 KB)


• Protection Product Guarantee Provider Application Packet (110 KB)
  • Protection Product Guarantee Provider Application Instructions (169 KB)


• Risk Purchasing Group Application Packet (222 KB)
  • Risk Purchasing Group Application Instructions (169 KB)


• Life Settlement Provider Application (120 KB)
  • Life Settlement Provider Application Instructions (172 KB)
  • Life Settlement Provider AntiFraud Plan Requirements (57.5 KB)
  • Biographical Affidavit (www.naic.org)


• Discount Plan Organization Application (126 KB)
  • Discount Plan Organization Application Instructions (171 KB)
  • Discount Plan Organization's Bond (28 KB)
  • Licensed DPO Renewal Application (42.5 KB)


• GAP Waiver Application (172 KB)

Updated 04/09/2012