Get Mi Fis 0200 2012-2025

The MI FIS 0200 form is essential for disclosing and updating information regarding the affiliates of your insurance business entity. This guide provides a clear, step-by-step approach to successfully complete the form online, ensuring you capture all necessary details.

Follow the steps to accurately complete the MI FIS 0200 online.

1. Press the ‘Get Form’ button to access the MI FIS 0200 form and begin the completion process.
2. In Part 1, provide the business entity identification by entering the Business Entity Name, System ID Number, Tax ID Number (EIN), and National Producer Number (NPN). Indicate if this is a new business entity name by selecting 'Yes' or 'No'. If 'Yes,' attach amended articles.
3. Enter the Business Entity Email Address and Phone Number, making sure both are complete as they are required fields.
4. If applicable, in Part 1a, indicate whether the business entity has a new mailing or business address. If 'Yes,' complete the new address fields, ensuring to provide the full new mailing address and business address.
5. In Part 2, list any additions or changes regarding affiliates, including licensed producers and any owners with a 10% or more interest. Provide names and SSN/FEIN for each affiliate. Indicate if you wish to add or cancel any DRLPs, including their effective dates.
6. In Part 3, address the questions related to the affiliate's criminal history or administrative proceedings. Answer 'Yes' or 'No' for each question and provide the required documentation if 'Yes' is selected.
7. For Part 4, the Designated Responsible Licensed Producer (DRLP) must acknowledge the disclosure by printing their name and title, followed by signing and dating the form.
8. Finally, in Part 5, ensure the form is signed by a DRLP, officer, director, principal, or partner of the business entity. This certification confirms the accuracy of the information provided.
9. Once all sections are complete, save changes to the form. You may choose to download, print, or share it based on your needs.

Complete and submit your MI FIS 0200 form online today.