Louisiana Department of Insurance Forms

45
total templates

Documents

45

Form COR-1 "Change of Record Form (Change of Name/Trade Name)" - Louisiana

Rate (4.4 / 5) 55 votes
Size: 2 MB
1 page

Form CR-1 "Certificate of Certified Reinsurer" - Louisiana

Rate (4.3 / 5) 73 votes
Size: 83 KB
2 pages

Form PEO1 "Registration to Act as a Professional Employer Organization in the State of Louisiana" - Louisiana

Rate (4.8 / 5) 41 votes
Size: 1 MB
7 pages

Form 1071 "Quarterly Tax Statement" - Louisiana, 2020

Rate (4.8 / 5) 17 votes
Size: 130 KB
1 page

Form 203P "Acceptance of Access to Records Request" - Louisiana

Rate (4.4 / 5) 72 votes
Size: 73 KB
1 page

Form 1623 "Application for Resident or Non-resident Managing General Agent" - Louisiana

Rate (4.4 / 5) 13 votes
Size: 88 KB
4 pages

Form 1068E "Capco Credit Notification of Sale or Transfer" - Louisiana, 2018

Rate (4.5 / 5) 67 votes
Size: 285 KB
2 pages

Form 1265 B "Surplus Line Producer's Quarterly Tax Statement Self-procurement" - Louisiana

Rate (4.5 / 5) 53 votes
Size: 1 MB
3 pages

Form 1566 ENTITY "Application for Entity Navigator License" - Louisiana

Rate (4.7 / 5) 42 votes
Size: 59 KB
3 pages

"Application to Act as a Discount Medical Plan" - Louisiana

Rate (4.6 / 5) 28 votes
Size: 338 KB
13 pages

"Application for Dissolution of a Louisiana Domiciled Insurer" - Louisiana

Rate (4.5 / 5) 22 votes
Size: 121 KB
7 pages

"Application to Act as a Third Party Administrator in the State of Louisiana" - Louisiana

Rate (4.7 / 5) 30 votes
Size: 320 KB
14 pages

"Director's Acceptance of Trust" - Louisiana

Rate (4.4 / 5) 94 votes
Size: 88 KB
1 page

"Application for Change of Control of a Louisiana Domiciled Insurer" - Louisiana

Rate (4.5 / 5) 21 votes
Size: 325 KB
17 pages

"Application for Registration to Actas a Professional Employer Organization in the State of Louisiana" - Louisiana

Rate (4.8 / 5) 25 votes
Size: 1 MB
5 pages

"Application for Health Maintenance Organization License in Louisiana" - Louisiana

Rate (4.6 / 5) 66 votes
Size: 486 KB
18 pages

"Application for a Certificate of Authority as a Louisiana Domiciled Insurer" - Louisiana

Rate (4.8 / 5) 14 votes
Size: 265 KB
20 pages

"Application to Act as a Independent Review Organization in the State of Louisiana" - Louisiana

Rate (4.7 / 5) 22 votes
Size: 330 KB
12 pages

"Acknowledgement of Applicant for Personal Lines and Health and Accident Insurance Coverage in the Surplus Lines Market" - Louisiana

Rate (4.3 / 5) 10 votes
Size: 48 KB
1 page

"Self-storage Limited License Application Addendum Insurer Certification Form" - Louisiana

Rate (4.4 / 5) 52 votes
Size: 2 MB
1 page

"State to State Transfer Form" - Louisiana

Rate (4.6 / 5) 65 votes
Size: 101 KB
1 page

"License Surrender and Letter of Clearance" - Louisiana

Rate (4.6 / 5) 5 votes
Size: 2 MB
1 page

"Application for a Certificate of Authority as a Louisiana Domiciled Insurer Form" - Louisiana

Rate (4.5 / 5) 50 votes
Size: 506 KB
20 pages

Exhibit E "Rating Examples - Homeowners" - Louisiana

Rate (4.6 / 5) 8 votes
Size: 133 KB
5 pages

"Application to Register as a Non-navigator" - Louisiana

Rate (4.6 / 5) 104 votes
Size: 25 KB
1 page

"Application to Act as a Certified Reinsurer for Louisiana Domiciled Insurers" - Louisiana

Rate (4.3 / 5) 23 votes
Size: 124 KB
4 pages

"Louisiana Standardized Credentialing Application Form" - Louisiana

Rate (4.5 / 5) 79 votes
Size: 389 KB
10 pages

"Agreement to Comply With Rates, Rules and Regulations" - Louisiana

Rate (4.6 / 5) 63 votes
Size: 58 KB
1 page

"Ucaa Statement of Withdrawal Louisiana Specific Addendum Form" - Louisiana

Rate (4.8 / 5) 41 votes
Size: 51 KB
1 page

"Oath of Officer" - Louisiana

Rate (4.5 / 5) 103 votes
Size: 58 KB
1 page

"Affidavit of Publication of Public Notice" - Louisiana

Rate (4.7 / 5) 68 votes
Size: 52 KB
1 page

"Application Verifying Eligibility as Surplus Lines Insurer in the State of Louisiana" - Louisiana

Rate (4.5 / 5) 14 votes
Size: 183 KB
7 pages

Exhibit I "Louisiana Rate Revision Questionnaire by Territory" - Louisiana

Rate (4.3 / 5) 97 votes
Size: 57 KB
1 page

"Surety Bond" - Louisiana

Rate (4.8 / 5) 6 votes
Size: 137 KB
1 page

Exhibit D "Private Passenger Automobile Rating Examples" - Louisiana

Rate (4.7 / 5) 59 votes
Size: 17 KB
3 pages

Exhibit A.1 "Experience Underlying Rate Revision Filing" - Louisiana

Rate (4.6 / 5) 34 votes
Size: 15 KB
1 page

"Application to Act as a Captive Insurer in the State of Louisiana" - Louisiana

Rate (4.8 / 5) 19 votes
Size: 247 KB
16 pages

Exhibit F "Louisiana Operating Results" - Louisiana

Rate (4.8 / 5) 95 votes
Size: 13 KB
1 page