Arizona Department of Insurance and Financial Institutions - Insurance Division


Please Note

We are a service company that can help you file with the Arizona Department of Insurance and Financial Institutions - Insurance Division. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Physical address:
100 North 15th Avenue, Suite 261
Phoenix, AZ 85007

Phone: (602) 364-3100

Web: Home Name search Forms
Email: licensing@azinsurance.gov

Licenses

We track the following licenses with the Arizona Department of Insurance and Financial Institutions - Insurance Division in order to provide compliance services to our clients. As a client, you see this and other Compliance Core™ data in License Manager in-line with your licenses.

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Arizona Adjuster License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the registration anniversary month.

Arizona Adjuster License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$120

Due:

Every four years by the end of the licensee's birth month.

Arizona Adjuster License - Non-Resident (No Home State)

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the licensee's birth month.

Arizona Adjuster License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?Yes

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$120

Due:

Every four years by the end of the licensee's birth month.

Arizona Adjuster License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the registration anniversary month.

Arizona Bail Bond Agent License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?Yes

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the licensee's birth month.

Arizona Bail Bond Agent License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the registration anniversary month.

Arizona Certified Application Counselor License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$0

Registration Renewal

Filing Method:

Online

Agency Fee:

$0

Due:

Every four years by the end of the licensee's birth month.

Arizona Certified Application Counselor License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$0

Registration Renewal

Filing Method:

Online

Agency Fee:

$0

Due:

Every four years by the end of the licensee's birth month.

Arizona Insurance Agency License

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

This section applies to insurance firms that are applying for a license in Arizona for the first time.

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Form:

https://insurance.az.gov/producers/types-licenses

Agency Fee:

Varies by insurance type. Baseline of $120

Registration Renewal

This section applies to insurance firms that are already licensed in Arizona and need to renew their license.

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Form:

https://insurance.az.gov/producers/types-licenses

Agency Fee:

Varies by insurance type. Baseline of $120

Due:

Every four years by the last day of the registration month.

Arizona Insurance Agent License

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

This section applies to insurance agents that are applying for a license in Arizona for the first time.

Agency Fee:

From $0 to $1,000 depending on license type.

Registration Renewal

Form:

Application

Filing Method:

Online

Agency Fee:

$120

Due:

4 years

Arizona Insurance Producer License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$120

Due:

Every four years by the end of the licensee's birth month.

Arizona Insurance Producer License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the registration anniversary month.

Arizona Insurance Producer License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$120

Due:

Every four years by the end of the licensee's birth month.

Arizona Insurance Producer License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the registration anniversary month.

A life and health administrator, also know as a third-party administrator ("TPA") collects money or processes claims for residents of Arizona in connection with life or health insurance coverage.  Arizona Revised Statutes ("ARS") § 20-485 provides a full definition, including the types of entities that are not considered TPAs.

Arizona Life and Health Administrator Registration

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Foreign Qualification is Prerequisite:No
Bond Requirements:

A deposit in favor of the state in the amount of $5000 (the greater of $5,000 or 10% of the amount in Section C, Item 6) to be held in trust for the benefit and protection of insureds and insurers whose monies the administrator handles (ARS 20-485.10) by ONE of the following methods:

a. Surety bond: Must be issued by an insurer authorized in Arizona to offer surety bonds; may include individual bonds, schedule or blanket bonds. You cannot use an existing fidelity or liability policy to satisfy this requirement. ENCLOSE Form E-157 and an Attorney-in-Fact. OR

b. Certificate of deposit (CD): ENCLOSE one E-125-CD form, two E-150 forms, and the original of the CD. OR

c. Marketable security: ENCLOSE one Custody Agreement (Form E-003) and one Form E-125.

Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$195

Required Attachments:
  • Biographical affidavits for each partner, officer, and director, and each other entity owning 25% or more of a Service Company applicant
  • Financial statements for the preceding two years
  • Surety bond, certificate of deposit, or marketable security
  • Articles of incorporation, articles of association, partnership agreement, trade name certificate
  • Bylaws, rules, regulations or similar documents
  • Written notice that the TPA will provide to insured individuals providing the TPA's identity and the relationship between the TPA and the insurer

Registration Renewal

Filing Method:

Online

Agency Fee:

$195

Due:

Annually by March 1. Renewals may be submitted as early as January 1.

Required Attachments:
  • Biographical affidavits for each partner, officer, and director, and each other entity owning 25% or more of a Service Company applicant (if not previously submitted)
  • Financial statements for the preceding two years
  • Surety bond, certificate of deposit, or marketable security

Arizona Life Settlement Broker License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$500

Registration Renewal

Filing Method:

Online

Agency Fee:

$600

Due:

Every four years by the end of the registration anniversary month.

Arizona Life Settlement Broker License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$500

Registration Renewal

Filing Method:

Online

Agency Fee:

$600

Due:

Every four years by the end of the licensee's birth month.

Arizona Life Settlement Broker License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$500

Registration Renewal

Filing Method:

Online

Agency Fee:

$600

Due:

Every four years by the end of the licensee's birth month.

Arizona Life Settlement Broker License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$500

Registration Renewal

Filing Method:

Online

Agency Fee:

$600

Due:

Every four years by the end of the registration anniversary month.

Arizona Navigator License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$0

Registration Renewal

Filing Method:

Online

Agency Fee:

$0

Due:

Every four years by the end of the registration anniversary month.

Arizona Navigator License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$0

Registration Renewal

Filing Method:

Online

Agency Fee:

$0

Due:

Every four years by the end of the licensee's birth month.

Arizona Navigator License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$0

Registration Renewal

Filing Method:

Online

Agency Fee:

$0

Due:

Every four years by the end of the licensee's birth month.

Arizona Navigator License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$0

Registration Renewal

Filing Method:

Online

Agency Fee:

$0

Due:

Every four years by the end of the registration anniversary month.

Arizona Portable Electronics Vendor License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the licensee's birth month.

Arizona Portable Electronics Vendor License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the registration anniversary month.

Arizona Portable Electronics Vendor License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the registration anniversary month.

Arizona Portable Electronics Vendor License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the licensee's birth month.

Arizona Risk Management Consultant License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the licensee's birth month.

Arizona Self Service Storage Agent License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the licensee's birth month.

Arizona Self Service Storage Agent License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the registration anniversary month.

Arizona Self Service Storage Agent License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the registration anniversary month.

Arizona Self Service Storage Agent License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the licensee's birth month.

Arizona Service Company Permit

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Foreign Qualification is Prerequisite:No
Registered Agent (Special Agency) Required?No

Initial Registration

Form:

Form E-800: Application for Service Company Permit

Filing Method:

Mail

Agency Fee:

$300 + $15 transaction fee (if payment is made online)

Required Attachments:
  • ACC Certificate of Good Standing
  • Biographical Affidavits
  • Financial Statements
  • Trust Deposit
    • Surety Bond OR
    • Marketable Securities OR
    • MR/CL Insurance Policy

Registration Renewal

Form:

Form E-811: Renewal of Service Company Permit

Filing Method:

Mail

Agency Fee:

$300 + $15 transaction fee (if payment is made online)

Due:

Annually by the last day of the month, three months after the company's fiscal year-end date

Required Attachments:
  • Trust Deposit
    • Surety Bond OR
    • Marketable Securities OR
    • Mechanical Reimbursement insurance policy
  • Copy of the most recent income statement and balance sheet at the end of the service company's most recent fiscal year
  • Form E-800-B: Service Company Biographical List
  • Biographical Affidavits

Arizona Surplus Lines Broker License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$1,000

Registration Renewal

Filing Method:

Online

Agency Fee:

$1,100

Due:

Every four years by the end of the licensee's birth month.

Arizona Surplus Lines Broker License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$1,000

Registration Renewal

Filing Method:

Online

Agency Fee:

$1,100

Due:

Every four years by the end of the registration anniversary month.

Arizona Surplus Lines Broker License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Exam Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$1,000

Registration Renewal

Filing Method:

Online

Agency Fee:

$1,100

Due:

Every four years by the end of the licensee's birth month.

Arizona Surplus Lines Broker License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$1,000

Registration Renewal

Filing Method:

Online

Agency Fee:

$1,100

Due:

Every four years by the end of the registration anniversary month.

Arizona Temporary Producer License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Renewal Not Required

Not required



A temporary license expires and cannot be renewed after its 180-day term.

Arizona Title Agent License - Non-Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the registration anniversary month.

Arizona Title Agent License - Resident

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division

Initial Registration

Filing Method:

Online

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$220

Due:

Every four years by the end of the registration anniversary month.

Arizona Utilization Review Agent Registration

Type of Review:

Medical Utilization Review

Agency:Arizona Department of Insurance and Financial Institutions - Insurance Division
Law:

AZ Stat. § 20-2501 et seq.

Foreign Qualification is Prerequisite:Yes
Notes:

Registration is required for agents that perform utilization review for fully insured commercial business. Agents that only conduct reviews for government coverage (Medicare or Medicaid) are not required to register. Additionally, URAC accredited agents and other agents described in AZ Stat. § 20-2502 are exempt from registration requirements.

Initial Registration

Agency Fee:

$0

Notarization Required?:Required
Notes:

Contact the Life and Health Division at 602-364-2393 for application forms.

Required Attachments:
  • A certificate of good standing from the Arizona Corporation Commission.
  • A copy of a national UR accreditation certificate (URAC, NCQA or AAGC) if applicable.
  • A utilization review plan that includes a summary description of review guidelines, protocols and procedures, standards and criteria to be used in evaluating inpatient hospital care, inpatient medical care, outpatient surgical care and any medical, surgical and health care services that may be covered by a health care insurer and the provisions by which patients, providers or hospitals may seek reconsideration or appeal of decisions made by the utilization review agent.
  • A list of all contracts (if any) the entity has with a health care insurer or third party administrator to conduct utilization review for fully insured commercial plans in Arizona.
  • A copy of the materials or a description of the procedure designed to inform patients and providers, as appropriate, of the requirements of the utilization review plan.

Registration Renewal

Agency Fee:

$0

Due:

Triennially by the anniversary of certification.

Supplemental Reporting
Annual Attestation

Filing Method:

Email to UtilizationReview@azinsurance.gov.

Agency Fee:

$0

Due:

Annually by March 1. Attestations may be filed as early as January 1.

Notarization Required?:Required
Notes:

Contact the department for an attestation form.

Required Attachments:
  • If there have been material changes to the UR Plan or appeals process, submit the updated information in redline format. If there have been no changes provide a statement to that effect.
  • Provide the name, phone number and email address of three company contacts including the Medical Director and the UR or QI Director/Manager
  • Attach a copy of your current URAC, NCQA and/or AAAHC Certificate(s) of Accreditation.

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