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Foreign Insurer
Name Change

Idaho is a Uniform State, which accepts the Uniform Certificate of Authority Application (UCAA). Please complete the Corporate Amendments Application found at the National Association of Insurance Commissioners (NAIC) Web site.

UCAA Section III - Name Change

Table of Contents

  1. Application Form and Attachments (UCAA Form 1C & 2C)
  2. Filing Fee (none)
  3. Articles of Incorporation (a certified copy reflecting the new name)
  4. Bylaws (a certified copy reflecting the new name)
  5. Service of Process (UCAA Form 12)
  6. State of Domicile Approval (a copy)
  7. State Specific Information
    1. A certified copy of Certificate of Compliance reflecting the new name and lines of business authorized in the state of domicile)
    2. Information Statement
    3. Original Idaho Certificate of Authority
  8. Name Approval (n/a)

Please indicate the Effective Date of the Name Change in the state of domicile in your cover letter and submit all the documents to:

Naoko Weigelt, Technical Records Specialist
Examinations Section
Idaho Department of Insurance
700 West State Street, 3rd Floor
P.O. Box 83720
Boise, ID 83720-0043
(208) 334-4311

Rates and Forms Filings:

Please contact the following person in this Department regarding name changes with respect to policy form filings:
Donna Daniel, Senior Insurance Analyst
Rates and Forms Section
Idaho Department of Insurance
700 West State Street, 3rd Floor
P.O. Box 83720
Boise, ID 83720-0043
(208) 334-4362