Delaware Department of Insurance Forms

This document is for filing the annual licensure and updating the annual filing for Multiple Employer Welfare Arrangements (MEWAs) in Delaware. MEWAs provide welfare benefits to employees of multiple employers.

This Form is used for applying to become an insurance premium finance company in Delaware.

This document is used for renewing the license of an Insurance Premium Finance Company in the state of Delaware.

This document is used to report a lost license in the state of Delaware. It serves as an official statement that the license has been misplaced and provides information for obtaining a replacement.

This type of document is used for applying for a solicitation permit in the state of Delaware. It is the required application to legally conduct door-to-door sales or solicit donations in the state.

This document is used for TPA officers' verification in the state of Delaware.

This document is used to request a waiver for surety in the state of Delaware.

This document is for applying to an Insurance Premium Finance Company in the state of Delaware. It is used to apply for financing options to pay for insurance premiums.

This document is used for Third Party Administrators in Delaware to claim an exemption.

This document is for the verification of an officer of a Third Party Administrator in the state of Delaware.

This Form is used for premium finance companies in Delaware to complete a biographical questionnaire.

This Form is used for obtaining a Certificate of Certified Reinsurer in the state of Delaware. It is a document that certifies a reinsurer as meeting certain requirements and allows them to operate in the state.

This Form is used for applying to change your name in the state of Delaware.

This document is for designating a person or entity to receive Delaware regulations, bulletins, directives, and notices of regulatory proceedings.

This Form is used for updating the information of directors or officers in the state of Delaware.

This document provides a checklist for obtaining a rating organization license in Delaware. It outlines the requirements and steps necessary to apply for and obtain the license.

This Form is used for applying for a license from a rating organization in Delaware. It is required if you want to operate as a rating organization in Delaware.

This Form is used for renewing the rating organization license in the state of Delaware. It is required for rating organizations to continue operating legally.

This Form is used for pre-registering for Medicare Open Enrollment in Delaware.

This document is an affidavit for the Insurance Data Security Act in the state of Delaware. It is used to provide sworn statements related to the security of insurance data.

This form is used for petitioning for health care reimbursement for emergency care arbitration in Delaware for non-network providers of emergency care services.

This form is used for providing proof of service of papers required for non-network providers of emergency care services. It is specifically for health care reimbursement for emergency care arbitration in Delaware.

This Form is used for responding to a petition in Delaware regarding reimbursement for emergency care provided by non-network providers. It pertains to arbitration for health care reimbursement.

This document is for surrendering a Third Party Administrator Certificate of Authority in Delaware.

This document is an application for corporations or partnerships that wish to become reinsurance intermediaries in Delaware.

This form is used for applying to rescind a policy in the state of Delaware. It allows policyholders to request a cancellation or termination of an insurance policy.

This document is used to appeal the cancellation or non-renewal of automobile insurance in Delaware.

This document is for renewing the Pharmacy Benefits Manager (PBM) in Delaware.

This document is for the registration of Pharmacy Benefits Managers in the state of Delaware. It includes a checklist of requirements that must be completed for the registration process.

This document is used for applying for a solicitation permit in Delaware. It includes a checklist of required documents and information needed for the application process.