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Annual Filing Requirements

Click on the type of company filing you are needing for the filing instructions.

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Captive Insurance Companies (Group)
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Group Captive Insurers Checklist pdf file
Captive Home Office Certification Fillable Form pdf file
Premium Tax Return
For assistance email Raymond Akers or call 303-894-7836

 
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Captive Insurance Companies (Pure)
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Pure Captive Insurers, Filing Checklist pdf file
Captive Home Office Certification Fillable Form pdf file
Premium Tax Return
For assistance email Raymond Akers or call 303-894-7836

 
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County Mutual Insurance Companies
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Requirements for Summary of Anti-Fraud pdf file
Managing General Agent Questionnaire pdf file
Synopsis of Annual Statement Publications pdf file
Uniform Consent to Service of Process
For assistance email Raymond Akers or call 303-894-7836

 
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Fraternal Benefits Societies
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General Instructions pdf file
Filing Checklist pdf file
Requirements for Summary of Anti-Fraud pdf file
Fraternal Benefits Societies Annual Fee Form pdf file
Managing General Agent Questionnaire pdf file
Uniform Consent to Service of Process
For assistance email Scott Lloyd or call 303-894-7537

 
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Health Maintenance Organizations
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General Instructions pdf file
Health Checklist pdf file
Health Maintenance Organizations (HMO) Annual Fee Form pdf file
Quarterly Variance Report
For assistance email Scott Lloyd or call 303-894-7537

 
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Hospital, Medical, Dental and Indemnity Corp (HMDI) and Non Profit Hospital, Medical-Surgical and Health Service Corp
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General Instructions pdf file
Health Checklist pdf file
Nonprofit Hospital, Medical-Surgical, and Health Service Corporations (HMDI) Annual Fee Form pdf file
Uniform Consent to Service of Process
Quarterly Variance Report
For assistance email Scott Lloyd or call 303-894-7537

 
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Life, Accident and Health Insurers
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General Instructions pdf file
Life Checklist pdf file
Requirements for Summary of Anti-Fraud pdf file
Managing General Agent Questionnaire pdf file
Premium Tax Return
Synopsis of Annual Statement Publications pdf file
Uniform Consent to Service of Process
Quarterly Variance Report  (Health Only)
For assistance email Scott Lloyd or call 303-894-7537

 
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Limited Service Licensed Provider Network
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Limited Service Licensed Provider Filing Instructions pdf file
Limited Service Licensed Provider Fee Form pdf file
For assistance email Cindy Hathaway or call 303-894-7475

 
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Non Admitted Reinsurers
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Non Admitted Reinsurers Foreign Instructions pdf file
Non Admitted Foreign Application pdf file
Non Admitted Alien Filing Instructions pdf file
Non Admitted Alien Application pdf file
Certificate of Assuming Insurer (Form AR 1) pdf file
2013 Non Admitted Fee Form pdf file
Power of Attorney pdf file
Resolution Authorizing Appointment of Attorney pdf file
For assistance email Raymond Akers or call 303-894-7836

 
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Preneed Funeral Contract Sellers
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Instructions Application for Discontinued Sales pdf file
Annual Report Trust Funded pdf file
Annual Report Insurance Funded pdf file
Annual Report Aggregate Merchandise Sales and Disposition pdf file
Preneed Renewal License Application Filing Instructions pdf file
Instructions Name Change for Preneed Funeral/Burial Contract Sellers pdf file
Instructions for Application for Preneed Funeral/Burial Contract Sellers pdf file
Application For License - Preneed Funeral Contract Seller pdf file
Preneed Fee Form pdf file
Preneed Bond Form pdf file
For assistance email Valerie Este or call 303-894-7424

 
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Prepaid Dental Plans
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Prepaid Dental Checklist pdf file
Prepaid Dental Fee Form pdf file
Prepaid Dental Worksheet pdf file
For assistance email Raymond Akers or call 303-894-7836

 
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Property and Casualty Insurance Companies
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General Instructions pdf file
Property and Casualty Checklist pdf file
Requirements for Summary of Anti-Fraud pdf file
Managing General Agent Questionnaire pdf file
Premium Tax Return
Synopsis of Annual Statement Publications pdf file
Uniform Consent to Service of Process
Quarterly Variance Report
For assistance email Scott Lloyd or call 303-894-7537

 
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Regional Home Office
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Regional Home Office Instructions pdf file
Regional Home Office Long Form pdf file
Regional Home Office Short Form pdf file
Regional Home Office Signiicant Direct Insurance Operations Form pdf file
Uniform Consent to Service of Process
For assistance email Cindy Hathaway or call 303-894-7475

 
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Risk Retention Groups
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Risk Rentention General Instructions pdf file
Application for Registration as a Risk Retention Group pdf file
For assistance e-mail inquires to: Corporate Affairs

 
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Self Insurance Pools
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Self Insurance Pools General Instructions pdf file
Self Insurance Pools Appendix A pdf file
Self Insurance Pools Fee Form pdf file
For assistance email Raymond Akers or call 303-894-7836

 
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Surplus Lines
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Surplus Lines General Instructions pdf file
Surplus Lines Application and Fee Form pdf file
For assistance email Raymond Akers or call 303-894-7836

 
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Title Insurance Companies
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General Instructions pdf file
Title Filing Checklist pdf file
Requirements for Summary of Anti-Fraud pdf file
Premium Tax Return
Synopsis of Annual Statement Publications pdf file
Uniform Consent to Service of Process
For assistance email Scott Lloyd or call 303-894-7537

 
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Viatical Settlement Providers
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Viatical Settlement Provider Instructions pdf file
Viatical Settlement Provider pdf file
Viatical Settlement Provider Application pdf file
Viatical Settlement Provider Bond pdf file
Viatical Service of Process pdf file

 

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Contact

1560 Broadway, Suite 850, Denver, CO 80202 Email
(303) 894-7499 - Phone (800) 930-3745 - Toll Free (303) 894-7455 - Fax