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Captive Insurance Division Telephone: (602) 3644490 Web: https://difi.az.govARIZONA CAPTIVE INSURER REFERENCE GUIDE For All Captives (Except Risk Retention Groups) January 2021This document is a guide
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01
Gather all the necessary information and documentation needed for filling out the captive insurance division form in Arizona.
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Visit the official website of the Arizona Department of Insurance to access the captive insurance division form.
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Fill in all the required fields in the form accurately and completely.
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Provide details about the captive insurance company, including its name, address, type of business, and any affiliated entities.
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Include information about the captive insurance company's financials, such as its assets, liabilities, and capital.
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Attach any necessary supporting documents, such as financial statements or disclosure statements, as required by the form.
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Review the filled-out form and all the attached documents for accuracy and completeness.
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Submit the completed captive insurance division form along with the required fees to the Arizona Department of Insurance either in person or by mail.
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Wait for the department to review the application and provide any further instructions or request additional documentation if needed.
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Once approved, comply with any ongoing reporting or regulatory requirements as specified by the captive insurance division in Arizona.

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Captive insurance division arizona is a division within the Arizona Department of Insurance that regulates captive insurance companies.
Captive insurance companies operating in Arizona are required to file with the captive insurance division.
To fill out captive insurance division arizona, companies must submit the required forms and information as outlined by the division.
The purpose of captive insurance division arizona is to regulate and oversee captive insurance companies to ensure compliance with state laws and regulations.
Captive insurance companies must report financial information, a list of assets and liabilities, and other relevant data.
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