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Annual Statement Forms And Quarterly Filing Requirements

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Fillable Form Instructions
FOREIGN COMPANY ANNUAL STATEMENT FILING REQUIREMENTS

EFFECTIVE 2007, FOREIGN AND ALIEN COMPANY TYPES LISTED BELOW THAT ELECTRONICALLY FILE THEIR ANNUAL STATEMENT* WITH THE N.A.I.C. ARE NOT REQUIRED TO FILE A HARD COPY WITH ARIZONA UNLESS NOTED OTHERWISE.

(*Including Actuarial Opinion, Management Discussion & Analysis Report, Audited Financial Report, State Pages and all applicable Supplements and Exhibits.)
CLICK ON YOUR COMPANY TYPE ON THE LEFT SIDE MENU FOR ARIZONA FORMS, DUE DATES AND INSTRUCTIONS.  You must file a hard copy of these forms by the due dates stated in the form.  To confirm your Company Type, click on the link below to look up your Company Name.
AZ-DOI Company Lookup Page
Forms Included
Form Type
Form Name

ACCREDITED REINSURER - MUST FILE HARD COPY WITH ARIZONA
E-AFR FILLABLE AUDITED FINANCIAL REPORT TRANSMITTAL FORM
E-AR.AS FILLABLE ANNUAL STATEMENT FILINGS WORKSHEET
E-AR.I ANNUAL STATEMENT FILING INSTRUCTIONS
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
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FRATERNAL BENEFIT SOCIETY
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-NAIC.FRATERNAL FILLABLE ANNUAL FILING CHECKLIST
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HEALTH CARE SERVICES ORGANIZATION
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-HCSO.13 FILLABLE CERTIFICATE OF ADVERTISING COMPLIANCE
E-NAIC.HEALTH FILLABLE ANNUAL FILINGS CHECKLIST
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LIFE CARE PROVIDER
E-176 FILLABLE RECORDS LOCATION INFORMATION
E-LIFECARE FILLABLE ANNUAL REPORT FORM
E-LIFECARE.AMEND FILLABLE AMENDMENT TO ANNUAL REPORT
E-LIFECARE.AS FILLABLE ANNUAL REPORT FILING CHECKLIST
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LIFE/DISABILITY OR PROPERTY/CASUALTY INSURER FILING A HEALTH BLANK
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-478 FILLABLE ARIZONA SPECIAL SCHEDULE P REPORT FOR ARIZONA WORKERS' COMPENSATION DEPOSIT
E-NAIC.HEALTH FILLABLE ANNUAL FILINGS CHECKLIST
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LIFE/DISABILITY INSURER NOT FILING HEALTH BLANK
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-NAIC.LD FILLABLE ANNUAL FILING CHECKLIST
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MORTGAGE GUARANTY INSURER
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-MG.CEDE SUPPLEMENTARY SCHEDULE F-5
E-MG.MPP FILLABLE REPORT OF POLICYHOLDERS POSITION
E-NAIC.PC FILLABLE ANNUAL FILING CHECKLIST
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PREPAID LEGAL INSURER
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-NAIC.PC FILLABLE ANNUAL FILING CHECKLIST
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PROPERTY/CASUALTY INSURER NOT FILING HEALTH BLANK
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-478 FILLABLE ARIZONA SPECIAL SCHEDULE P REPORT FOR ARIZONA WORKERS' COMPENSATION DEPOSIT
E-PC-INDINS FILLABLE POLICIES ISSUED TO INDUSTRIAL INSUREDS
E-NAIC.PC FILLABLE ANNUAL FILING CHECKLIST
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QUALIFIED REINSURER TRUST ARS § 20-261.01(A)(4) ORQUALIFIED REINSURER BASED ON SURPLUS ARS § 20-261.01(A)(3) AND (6) MUST FILE HARD COPY WITH ARIZONA
E-QRT.AS FILLABLE ANNUAL STATEMENT FILING WORKSHEET
E-QRT.I ANNUAL STATEMENT FILING INSTRUCTIONS
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RISK RETENTION GROUP - MUST FILE HARD COPY WITH ARIZONA
E-AFR FILLABLE AUDITED FINANCIAL REPORT TRANSMITTAL FORM
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
E-RRG.AS FILLABLE ANNUAL STATEMENT WORKSHEET
E-RRG.I ANNUAL STATEMENT INSTRUCTIONS
E-NAIC.PC FILLABLE ANNUAL FILING CHECKLIST
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TITLE INSURER
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-NAIC.TITLE FILLABLE ANNUAL FILING CHECKLIST
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DOMESTIC COMPANY ANNUAL STATEMENT FILING REQUIREMENTS

DOMESTIC COMPANIES ARE REQUIRED TO FILE A HARD COPY ANNUAL STATEMENT*, IN DUPLICATE, WITH ARIZONA. 

(*Including Actuarial Opinion, Management Discussion & Analysis Report, Audited Financial Report, Arizona State Page and all applicable Supplements and Exhibits.)
CLICK ON YOUR COMPANY TYPE ON THE LEFT SIDE MENU FOR ARIZONA FORMS, DUE DATES AND INSTRUCTIONS.  You must file a hard copy of these forms by the due dates stated in the form.  To confirm your Company Type, click on the link below to look up your Company Name.
AZ-DOI Company Lookup Page
 
Forms Included
Form Type
Form Name

HEALTH CARE SERVICES ORGANIZATION
E-176 FILLABLE RECORDS LOCATION INFORMATION
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-AFR FILLABLE AUDITED FINANCIAL REPORT TRANSMITTAL FORM
E-HCSO.13 FILLABLE CERTIFICATE OF ADVERTISING COMPLIANCE
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
E-NAIC.HEALTH FILLABLE ANNUAL FILINGS CHECKLIST
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HOSPITAL, MEDICAL, DENTAL AND OPTOMETRIC SERVICE CORPORATION
E-176 FILLABLE RECORDS LOCATION INFORMATION
E-AFR FILLABLE AUDITED FINANCIAL REPORT TRANSMITTAL FORM
E-HMDO.178 FILLABLE SERVICE CORPORATION CERTIFICATE OF DISCLOSURE
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
E-NAIC.HEALTH FILLABLE ANNUAL FILINGS CHECKLIST
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LIFE CARE PROVIDER
E-176 FILLABLE RECORDS LOCATION INFORMATION
E-LIFECARE FILLABLE ANNUAL REPORT FORM
E-LIFECARE.AMEND FILLABLE AMENDMENT TO ANNUAL REPORT
E-LIFECARE.AS FILLABLE ANNUAL REPORT FILING CHECKLIST
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LIFE AND/OR DISABILITY INSURER FILING A HEALTH BLANK
E-176 FILLABLE RECORDS LOCATION INFORMATION     
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-185 OUTLINE FOR COMPLIANCE WITH INSURANCE HOLDING COMPANY SYSTEMS 
E-AFR FILLABLE AUDITED FINANCIAL REPORT TRANSMITTAL FORM
E-AFR.GFE AUDITED FINANCIAL REPORT EXEMPTION GUIDELINES
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
E-NAIC.HEALTH FILLABLE ANNUAL FILINGS CHECKLIST
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LIFE AND/OR DISABILITY INSURER NOT FILING A HEALTH BLANK
E-176 FILLABLE RECORDS LOCATION INFORMATION     
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-185 OUTLINE FOR COMPLIANCE WITH INSURANCE HOLDING COMPANY SYSTEMS 
E-AFR FILLABLE AUDITED FINANCIAL REPORT FILING TRANSMITTAL FORM
E-AFR.GFE AUDITED FINANCIAL REPORT EXEMPTION GUIDELINES
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
E-NAIC.LD FILLABLE ANNUAL FILINGS CHECKLIST
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LIFE / DISABILITY REINSURER 
E-176 FILLABLE RECORDS LOCATION INFORMATION     
E-178   FILLABLE CERTIFICATE OF DISCLOSURE 
E-185 OUTLINE FOR COMPLIANCE WITH INSURANCE HOLDING COMPANY SYSTEMS 
E-AFR FILLABLE AUDITED FINANCIAL REPORT FILING TRANSMITTAL FORM
E-AFR.GFE AUDITED FINANCIAL REPORT EXEMPTION GUIDELINES
E-AFR.OHE STANDARDIZED ORGANIZATIONAL HARDSHIP EXEMPTION GUIDELINES     
E-LR.I ANNUAL STATEMENT FILING INSTRUCTIONS
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS RANSMITTAL FORM
E-LR.AS FILLABLE ANNUAL STATEMENT FILINGS WORKSHEET
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MECHANICAL REIMBURSEMENT REINSURER 
E-176 FILLABLE RECORDS LOCATION INFORMATION
E-AFR FILLABLE AUDITED FINANCIAL REPORT TRANSMITTAL FORM
E-AFR.GFE AUDITED FINANCIAL REPORT EXEMPTION GUIDELINES
E-MRR.I ANNUAL STATEMENT FILING INSTRUCTIONS
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
E-MRR.104 FILLABLE APPLICATION FOR CERTIFICATE OF AUTHORITY RENEWAL
E-MRR.PLR FILLABLE ANNUAL REPORT OF POLICY AND LOSS RESERVES
E-MRR.AS FILLABLE ANNUAL STATEMENT FILINGS WORKSHEET
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MORTGAGE GUARANTY INSURER
E-176 FILLABLE RECORDS LOCATION INFORMATION
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-185 OUTLINE FOR COMPLIANCE WITH INSURANCE HOLDING COMPANY SYSTEMS 
E-ACTOP FILLABLE ACTUARIAL OPINION EXEMPTION GUIDELINES     
E-AFR FILLABLE AUDITED FINANCIAL REPORT TRANSMITTAL FORM
E-AFR.GFE AUDITED FINANCIAL REPORT EXEMPTION GUIDELINES
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
E-MG.CEDE   SUPPLEMENTARY SCHEDULE F-5 REPORT
E-MG.MPP FILLABLE REPORT OF POLICYHOLDERS POSITION
E-NAIC.PC FILLABLE ANNUAL FILINGS CHECKLIST
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PREPAID DENTAL PLAN ORGANIZATION
E-176 FILLABLE RECORDS LOCATION INFORMATION     
E-185 OUTLINE FOR COMPLIANCE WITH INSURANCE HOLDING COMPANY SYSTEMS 
E-AFR FILLABLE AUDITED FINANCIAL REPORT TRANSMITTAL FORM
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
E-NAIC.HEALTH   ANNUAL FILINGS CHECKLIST
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PROPERTY / CASUALTY INSURER FILING A HEALTH BLANK
E-176 FILLABLE RECORDS LOCATION INFORMATION     
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-185 OUTLINE FOR COMPLIANCE WITH INSURANCE HOLDING COMPANY SYSTEMS 
E-478 FILLABLE ARIZONA SPECIAL SCHEDULE P REPORT FOR ARIZONA WORKERS' COMPENSATION DEPOSIT
E-AFR FILLABLE AUDITED FINANCIAL REPORT TRANSMITTAL FORM
E-AFR.GFE FILLABLE AUDITED FINANCIAL REPORT EXEMPTION GUIDELINES
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
E-NAIC.HEALTH   ANNUAL FILINGS CHECKLIST
E-PC.350 FILLABLE PRODUCER CONTROLLED PROPERTY AND CASUALTY INSURANCE REPORT
E-PC.INDINS FILLABLE REPORT OF POLICIES ISSUED TO INDUSTRIAL INSUREDS
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PROPERTY / CASUALTY INSURER NOT FILING A HEALTH BLANK
E-176 FILLABLE RECORDS LOCATION INFORMATION     
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-185 OUTLINE FOR COMPLIANCE WITH INSURANCE HOLDING COMPANY SYSTEMS 
E-478 FILLABLE ARIZONA SPECIAL SCHEDULE P REPORT FOR ARIZONA WORKERS' COMPENSATION DEPOSIT
E-ACTOP ACTUARIAL OPINION EXEMPTION GUIDELINES     
E-AFR FILLABLE AUDITED FINANCIAL REPORT TRANSMITTAL FORM
E-AFR.GFE AUDITED FINANCIAL REPORT EXEMPTION GUIDELINES
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
E-NAIC.PC FILLABLE ANNUAL FILINGS CHECKLIST
E-PC.350 FILLABLE PRODUCER CONTROLLED PROPERTY AND CASUALTY INSURANCE REPORT
E-PC.INDINS FILLABLE REPORT OF POLICIES ISSUED TO INDUSTRIAL INSUREDS
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TITLE INSURER
E-176 FILLABLE RECORDS LOCATION INFORMATION
E-178 FILLABLE CERTIFICATE OF DISCLOSURE
E-185 OUTLINE FOR COMPLIANCE WITH INSURANCE HOLDING COMPANY SYSTEMS 
E-AFR FILLABLE AUDITED FINANCIAL REPORT TRANSMITTAL FORM
E-AFR.GFE AUDITED FINANCIAL REPORT EXEMPTION GUIDELINES
E-MDA FILLABLE MANAGEMENT DISCUSSION AND ANALYSIS TRANSMITTAL FORM
E-NAIC.TITLE FILLABLE ANNUAL FILINGS CHECKLIST
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