50-State Insurance Licensing Compliance Guide

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Guide Contents

Overview

Arizona Insurance License

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Licensing requirements for Arizona insurance professionals and companies.

This page provides an overview of insurance licensing in Arizona for individuals and companies. You will find state requirements, application fees, filing instructions, and more. For assistance with licensing, please contact us to learn about our software and managed license services.

Companies that provide insurance producer services in Arizona must apply for a license prior to doing business. Depending on the lines of authority offered by the entity and the types of services offered, multiple firm licenses may be required.

Before applying, firms should ensure that the licensed individual to be appointed agent in charge has the necessary licenses. Firms should also gather proof of incorporation, or foreign qualification for out-of-state firms, in anticipation of application requirements.

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Arizona Insurance Company Licenses
Arizona Individual Insurance Licenses

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Company Licenses

Insurance Adjuster Business

(2)

Insurance Agency

(1)

Insurance Producer Business

(2)

Life/Viatical Settlement Agency

(2)

Other Insurance Agency

(6)

Portable Electronics Insurance Agency

(2)

Surplus Lines Agency

(2)

Third Party Administrator Business

(1)

Title Insurance Agency

(2)

Utilization Review

(1)

Vehicle Service Contract Provider Business

(1)

Individual Licenses

Insurance Adjuster

(3)

Insurance Agent

(1)

Insurance Consultant

(1)

Insurance Producer Individual

(3)

Life/Viatical Settlement Producer/Broker

(2)

Other Insurance Individual

(7)

Portable Electronics Insurance Producer

(2)

Surplus Lines Producer/Broker

(2)

Company Licenses

Arizona Insurance Company Licenses

Arizona Adjuster License - Non-Resident

Agency:

Arizona Department of Insurance and Financial Institutions - Insurance Division

Filing Method:	Online
Agency Fee:	$220
Due:	Every four years by the end of the registration anniversary month.

Agency:	Arizona Department of Insurance and Financial Institutions - Insurance Division
Form:	https://insurance.az.gov/producers/types-licenses
Agency Fee:	Varies by insurance type. Baseline of $120

Agency:	Arizona Department of Insurance and Financial Institutions - Insurance Division
Foreign Qualification is Prerequisite:	No
Bond Requirements:	A deposit in favor of the state in the amount of $5000 (the greater of $5,000 or 10% of the amount in Section C, Item 6) to be held in trust for the benefit and protection of insureds and insurers whose monies the administrator handles (ARS 20-485.10) by ONE of the following methods: a. Surety bond: Must be issued by an insurer authorized in Arizona to offer surety bonds; may include individual bonds, schedule or blanket bonds. You cannot use an existing fidelity or liability policy to satisfy this requirement. ENCLOSE Form E-157 and an Attorney-in-Fact. OR b. Certificate of deposit (CD): ENCLOSE one E-125-CD form, two E-150 forms, and the original of the CD. OR c. Marketable security: ENCLOSE one Custody Agreement (Form E-003) and one Form E-125.
Registered Agent (Special Agency) Required?	No

Form:	Form E-800: Application for Service Company Permit
Filing Method:	Mail
Agency Fee:	$300 + $15 transaction fee (if payment is made online)
Required Attachments:	ACC Certificate of Good Standing Biographical Affidavits Financial Statements Trust Deposit Surety Bond OR Marketable Securities OR MR/CL Insurance Policy

Form:	Form E-811: Renewal of Service Company Permit
Filing Method:	Mail
Agency Fee:	$300 + $15 transaction fee (if payment is made online)
Due:	Annually by the last day of the month, three months after the company's fiscal year-end date
Required Attachments:	Trust Deposit Surety Bond OR Marketable Securities OR Mechanical Reimbursement insurance policy Copy of the most recent income statement and balance sheet at the end of the service company's most recent fiscal year Form E-800-B: Service Company Biographical List Biographical Affidavits

Type of Review:	Medical Utilization Review
Agency:	Arizona Department of Insurance and Financial Institutions - Insurance Division
Law:	AZ Stat. § 20-2501 et seq.
Foreign Qualification is Prerequisite:	Yes
Notes:	Registration is required for agents that perform utilization review for fully insured commercial business. Agents that only conduct reviews for government coverage (Medicare or Medicaid) are not required to register. Additionally, URAC accredited agents and other agents described in AZ Stat. § 20-2502 are exempt from registration requirements.

Agency Fee:	$0
Notarization Required?:	Required
Notes:	Contact the Life and Health Division at 602-364-2393 for application forms.
Required Attachments:	A certificate of good standing from the Arizona Corporation Commission. A copy of a national UR accreditation certificate (URAC, NCQA or AAGC) if applicable. A utilization review plan that includes a summary description of review guidelines, protocols and procedures, standards and criteria to be used in evaluating inpatient hospital care, inpatient medical care, outpatient surgical care and any medical, surgical and health care services that may be covered by a health care insurer and the provisions by which patients, providers or hospitals may seek reconsideration or appeal of decisions made by the utilization review agent. A list of all contracts (if any) the entity has with a health care insurer or third party administrator to conduct utilization review for fully insured commercial plans in Arizona. A copy of the materials or a description of the procedure designed to inform patients and providers, as appropriate, of the requirements of the utilization review plan.

Agency Fee:	$0
Due:	Triennially by the anniversary of certification.

Filing Method:	Email to UtilizationReview@azinsurance.gov.
Agency Fee:	$0
Due:	Annually by March 1. Attestations may be filed as early as January 1.
Notarization Required?:	Required
Notes:	Contact the department for an attestation form.
Required Attachments:	If there have been material changes to the UR Plan or appeals process, submit the updated information in redline format. If there have been no changes provide a statement to that effect. Provide the name, phone number and email address of three company contacts including the Medical Director and the UR or QI Director/Manager Attach a copy of your current URAC, NCQA and/or AAAHC Certificate(s) of Accreditation.

Agency:	Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?	No

Filing Method:	Online
Agency Fee:	$195
Required Attachments:	Biographical affidavits for each partner, officer, and director, and each other entity owning 25% or more of a Service Company applicant Financial statements for the preceding two years Surety bond, certificate of deposit, or marketable security Articles of incorporation, articles of association, partnership agreement, trade name certificate Bylaws, rules, regulations or similar documents Written notice that the TPA will provide to insured individuals providing the TPA's identity and the relationship between the TPA and the insurer

Form:	Application
Filing Method:	Online
Agency Fee:	$120
Due:	4 years

Compliance Software

Compliance Services

Arizona Insurance License

Company Licenses

Arizona Insurance Company Licenses

Arizona Adjuster License - Non-Resident

Initial Registration

Registration Renewal

Arizona Adjuster License - Resident

Initial Registration

Registration Renewal

Arizona Bail Bond Agent License - Resident

Initial Registration

Registration Renewal

Arizona Insurance Agency License

Initial Registration

Registration Renewal

Arizona Insurance Producer License - Non-Resident

Initial Registration

Registration Renewal

Arizona Insurance Producer License - Resident

Initial Registration

Registration Renewal

Arizona Life and Health Administrator Registration

Initial Registration

Registration Renewal

Arizona Life Settlement Broker License - Non-Resident

Initial Registration

Registration Renewal

Arizona Life Settlement Broker License - Resident

Initial Registration

Registration Renewal

Arizona Navigator License - Non-Resident

Initial Registration

Registration Renewal

Arizona Navigator License - Resident

Initial Registration

Registration Renewal

Arizona Portable Electronics Vendor License - Non-Resident

Initial Registration

Registration Renewal

Arizona Portable Electronics Vendor License - Resident

Initial Registration

Registration Renewal

Arizona Self Service Storage Agent License - Non-Resident

Initial Registration

Registration Renewal

Arizona Self Service Storage Agent License - Resident

Initial Registration

Registration Renewal

Arizona Service Company Permit

Initial Registration

Registration Renewal

Arizona Surplus Lines Broker License - Non-Resident

Initial Registration

Registration Renewal

Arizona Surplus Lines Broker License - Resident

Initial Registration

Registration Renewal

Arizona Title Agent License - Non-Resident

Initial Registration

Registration Renewal

Arizona Title Agent License - Resident

Initial Registration

Registration Renewal

Arizona Utilization Review Agent Registration

Initial Registration

Registration Renewal

Supplemental ReportingAnnual Attestation

Individual Licenses

Arizona Individual Insurance Licenses

Arizona Adjuster License - Non-Resident

Initial Registration

Registration Renewal

Arizona Adjuster License - Non-Resident (No Home State)

Initial Registration

Registration Renewal

Arizona Adjuster License - Resident

Initial Registration

Registration Renewal

Supplemental Reporting
Annual Attestation