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Insurers Uniform Application UCAA
The North Dakota Insurance Department requires applications for admission (certificates of authority) to be submitted using the National Association of Insurance Commissioners Uniform Certificate of Authority Application (UCAA) by the following entities:
The details of the application including instructions, forms and application review processes and time lines are found at the National Association of Insurance Commissioners.
- Life and Health
- Property and Casualty
- Fraternal Benefit Society
- Title Company
- Prepaid Legal Services Organization
- Prepaid Limited Health Service Organization
- Health Maintenance Organization
- Nonprofit Health Service Corporation
All the information at the UCAA website location may be downloaded and printed at your location using Adobe Acrobat Reader. If you have difficulty, please contact the Department or the National Association of Insurance Commissioners Help Desk.
In addition to the UCAA requirements, the application for admission as a Prepaid Limited Health Service Organization must include all information required under ND Cent. Code Section 26.1-17.1-03.
In addition to the UCAA requirements, the application for admission as a Health Maintenance Organization must include all information required under ND Cent. Code Section 26.1-18.1-02(3).
Applicants should not file an application in duplicate as only one copy is required.
All application material must be kept current while the application is pending. Annual and quarterly financial statements must be submitted in a timely manner while the application is pending.
The North Dakota Department has no state-specific forms.
Policy forms and rates that require approval prior to use are not to be submitted with the company application.
For any questions you may have regarding the UCAA process, please contact:
ND Insurance Department
State Capitol, fifth floor
600 E. Boulevard Ave.
Bismarck, ND 58505-0320