Surplus Lines Insurer
Filing Requirements for Status Changes

The following documents are required to submit to process a surplus lines insurer status changes:

Name Change:

1. A certified copy of Certificate of Compliance reflecting the new company name issued by the state of domicile.
2. Complete the Information Statement form.

Redomestication:

1. A certified copy of Certificate of Compliance issued by the new state of domicile.
2. Complete the Information Statement form.

All Other status changes:

1. Surplus line insurers are not required to file changes in officers or directors.
2. Submit a written notification with a brief explanation.
3. Submit  the Information Statement form online.

Fees:   There is no fee for these filings.

Please submit the above documents to:

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