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235709

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This form is used for health insurance coverage provided by a domestic health insuring corporation in the state of Ohio.

This form is used for domestic insurance companies in Ohio to provide a tax summary. It is required for reporting tax information related to insurance activities in the state.

This form is used for Foreign Health Insuring Corporations to report their fees, premium taxes, and other obligations in the state of Ohio.

This form is used for electronic filing and serves as an authenticity affidavit for individuals in the state of Ohio.

This Form is used for the certification of compliance with external review programs in Ohio.

This form is used for life insurance companies to certify their compliance with Ohio Revised Code 3916.05(B) and Ohio Administrative Code Rule 3901-9-04. It is a document required by the state of Ohio.

This document is a form used for filing life insurance with a domestic insurance company in Ohio.

This form is used for foreign life insurance companies to report their fees, premium taxes, and other obligations in the state of Ohio.

This Form is used for reporting and exhibiting Fire Marshal premiums in the state of Ohio.

This form is used for paying franchise tax on domestic property and casualty insurance companies in the state of Ohio.

This document is used for obtaining an agent bond in the state of Ohio.

This document is used for providing a summary of supporting information for the adoption of prospective loss costs in Ohio's insurer rate filing. It outlines the details and justification for the proposed changes in insurance rates.

This form is used for foreign property and casualty insurance companies to report fees, premium taxes, and other obligations in the state of Ohio.

This Form is used for notifying and registering purchasing groups in the state of Ohio.

This Form is used for applying for a Certificate of Authority for a Small Employer Health Care Alliance in Ohio.

This application form is used to renew a Small Employer Health Care Alliance Certificate of Authority in the state of Ohio.

This Form is used for individuals who are applying to renew or continue their Viatical Settlement Broker License in the state of Ohio.

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