Get Nv Ndoi-412 2014-2026

The NV NDOI-412 is an important document for notifying the Insurance Department about a proposed merger or acquisition that may impact market competition. This guide provides clear, step-by-step instructions to help users complete the form efficiently and accurately.

Follow the steps to fill out the NV NDOI-412 online.

1. Press the ‘Get Form’ button to obtain the NV NDOI-412 form and open it in the online editor.
2. In the first section designated for the name of the applicant, enter the full legal name of the individual or organization seeking to file the notification.
3. In the next field, provide the name of the other person or entity involved in the merger or acquisition. This should include all relevant parties.
4. Indicate the state of domicile for the insurer being acquired by filling in the appropriate location in the designated space.
5. Complete the date field with the date you are filling out the form.
6. Fill out the contact details of the person completing the form, which includes their name, title, address, and telephone number, ensuring all information is accurate.
7. For Item 1, state the names and addresses of all parties notifying their involvement in the pending acquisition or change in corporate control.
8. In Item 2, specify the names and addresses of affiliated companies, and describe their affiliations to those mentioned in Item 1.
9. Item 3 requires you to describe the nature and purpose of the proposed merger or acquisition clearly and succinctly.
10. In Item 4, state the nature of the business conducted by each entity identified in Items 1 and 2.
11. For Item 5, provide specific details on the current market and market share each party holds in the relevant insurance market within the state, including historical data for the past five years and the source of this data.
12. Also in Item 5, assess whether the proposed merger or acquisition would violate competitive standards and justify why it would not substantially lessen competition or create a monopoly if it does.
13. In the final section for signature and certification, have the appropriate officer sign and attest to the truthfulness of the information provided, along with their title.
14. After ensuring all sections are filled accurately, you can save changes, download, print, or share the completed NV NDOI-412 form as needed.

Complete your NV NDOI-412 form online today for a smooth filing process.