Division of Insurance
Uniform Certificate of Authority Application (UCAA) Corporate Amendment Requirements
Add Lines to a Certificate of Authority
Merger of Companies
Name Change of Company
Redomicile of a Company
Click here for a printable version of the UCAA Corporate Amendments Application Requirements. (in Adobe PDF format)
Add Lines to a Certificate of Authority
Submit the following:
- UCAA Corporate Amendments Application, Form 2C.
- $25.00 - issuance of new Certificate of Authority (or retaliatory fee).
- UCAA add lines of authority, Form 3C.
- Certificate of Compliance from home state.
- Return original Certificate of Authority. A new one will be issued.
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Merger of Companies
Submit the following:
- UCAA Corporate Amendments Application, Form 2C.
- No fee is required but is retaliatory.
- Copy of the merger between the named companies.
- Return the original Certificate of Authority of the non-surviving company.
- If premium was received by non-surviving company prior to merger, then a 'FINAL' premium tax return must be submitted and tax paid accordingly.
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Name Change of Company
Submit the following:
- UCAA Corporate Amendments Application, Form 2C.
- $25.00 - Issuance of new Certificate of Authority (or retaliatory fee).
- $10.00 - Copy of amended articles, if applies (or retaliatory fee).
- $5.00 - Copy of amended bylaws, if applies (or retaliatory fee).
- Certificate of Compliance or copy of COA from home state DOI reflecting new name.
- Return the original Certificate of Authority. A new one will be issued.
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Redomicile of a Company
Submit the following:
- UCAA Corporate Amendments Application, Form 2C.
- Certificate of Compliance or copy of COA from new state of domicile.
- $25.00 - Issuance of new Certificate of Authority (or retaliatory fee).
- $10.00 - Copy of amended articles, if applies (or retaliatory fee).
- $5.00 - Copy of amended bylaws, if applies (or retaliatory fee).
- Return the original Certificate of Authority. A new one will be issued.
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