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Get the free FORM A: OKLAHOMA INSURANCE HOLDING COMPANY SYSTEM ACQUISITION STATEMENT

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This document serves as a statement regarding the acquisition of control of or merger with a domestic insurer, including information about the insurer, the acquiring person, financial considerations,
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How to fill out FORM A: OKLAHOMA INSURANCE HOLDING COMPANY SYSTEM ACQUISITION STATEMENT

01
Obtain FORM A from the Oklahoma Insurance Department's website or request it directly from the department.
02
Provide the name, address, and contact information of the acquiring party.
03
Identify the insurance company that is being acquired and provide its details.
04
Describe the nature of the acquisition and its purpose.
05
Disclose the source of funds used for the acquisition.
06
Include a statement regarding the proposed structure of the holding company system.
07
Attach financial statements of the acquiring party for the last three years.
08
Submit any additional documentation required by the Oklahoma Insurance Department.
09
Sign and date the form to certify that the information provided is complete and accurate.
10
Submit the completed form along with any required fees to the Oklahoma Insurance Department.

Who needs FORM A: OKLAHOMA INSURANCE HOLDING COMPANY SYSTEM ACQUISITION STATEMENT?

01
Any individual or entity intending to acquire control of an insurance company within Oklahoma needs FORM A.
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Glen Mulready serves as Oklahoma's 13th insurance commissioner.
Directors and officers liability insurance: Directors and officers liability insurance is often important for holding companies. Without it, members of your executive committee or board of directors could be held individually liable for their actions (such as a breach of fiduciary duty or duty of care).
(c) An "insurance holding company system" consists of two or more affiliated persons, one or more of which is an insurer. (d) "Insurer" shall have the same meaning as set forth in Section 826 of this code, excluding subdivisions (e) and (f) of that section.
The Oklahoma Insurance Department (OID) serves as the primary regulatory agency for the insurance industry. Founded in 1907, this agency now encompasses the following divisions: Financial Regulation (Financial Analysts, Captive Insurance, Financial Examinations, Market Regulation).
To file a complaint against an HMO contact the Oklahoma Insurance Department. To access the Insurance Department's Request for Assistance form, call (405) 521-2991 or (800) 522-0071.
“Insurance Holding Company System.” An “insurance holding company system” consists of two (2) or more affiliated persons, one or more of which is an insurer.

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FORM A: OKLAHOMA INSURANCE HOLDING COMPANY SYSTEM ACQUISITION STATEMENT is a regulatory document that must be submitted to the Oklahoma Department of Insurance when there is a proposed acquisition of control of an insurance company or a holding company of an insurance company.
Entities or individuals who intend to acquire control of an insurance company or a holding company of an insurance company in Oklahoma are required to file FORM A.
To fill out FORM A, the filer must provide details about the proposed acquisition including the identities of the acquiring person(s), the target insurance company, the terms of the acquisition, and any relevant financial information or documentation that supports the acquisition.
The purpose of FORM A is to ensure that the Oklahoma Department of Insurance can review and assess any changes in control of insurance companies to protect policyholders and maintain the stability of the insurance market.
FORM A requires the reporting of information including the identities of the acquiring parties, the nature of the acquisition, financial statements, descriptions of any agreements related to the acquisition, and any other information deemed necessary by the Oklahoma Department of Insurance.
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