Get Ucaa Primary Application Form 2p - National Association Of ... - Naic

Filling out the UCAA Primary Application Form 2P is an essential step for insurers seeking to apply for authority in various states. This guide provides a clear and detailed overview of how to complete the form online, ensuring that all necessary information is accurately captured and submitted.

Follow the steps to fill out the UCAA Primary Application Form 2P online

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin by entering the applicant name in the designated field at the top of the form.
3. Fill in the NAIC number, which is a unique identifier assigned to insurance companies.
4. Provide the FEIN, or Federal Employer Identification Number, ensuring it is accurate.
5. Indicate the state for which you are applying by checking the appropriate box in the 'To the Insurance Commissioner/Director/Superintendent of the State of:' section.
6. Next, complete the sections regarding the name of the insurer, group code, home office address, and other related addresses, ensuring all information is current and detailed.
7. Confirm if the provided addresses are the same as those on your Annual Statement; if not, indicate the reason.
8. Fill out the additional details including the date incorporated, form of organization, mailing addresses, and contact information, making sure to provide accurate email and phone numbers.
9. Provide information related to the domicile state, organization date, and any amendments to the charter or bylaws.
10. Complete the financial details such as the par value of issued stock and surplus as regards policyholders.
11. Designate individuals responsible for appointments in the state and include their names.
12. Include the information of a representative who can act on behalf of the applicant, along with their mailing address and contact details.
13. List any pending applications filed by the applicant or its affiliates to provide complete transparency.
14. Lastly, the application must be certified by designated officers of the applicant. They should read the certification statement carefully, sign, and date it accordingly.
15. Once all sections are completed, review for accuracy, then save changes, download a copy for your records, print it if necessary, or share the document as required.

Complete your UCAA Primary Application Form 2P online to ensure prompt processing of your application.