Printer Friendly Version
North Dakota Insurance Department
Search nd.gov/ndins
Consumer
Producers/agents
Company
Company appointments, terminations, appointment renewals
Company licensing
Accredited reinsurer application
Admitted and authorized reinsurers
Certificate of authority amendments
Gift annuities
Insurer's Uniform Application (UCAA)
Organizations or joint underwriters
Premium finance company
Purchasing group application
Reinsurance intermediary
Risk retention group application
Schedule of company fees, taxes and deposits
Self-insurers
Surplus lines application
Trusteed reinsurer application
Utilization review agent
Voluntary withdrawal
Company reporting forms
Company search look-up
Financial reporting and tax requirements
Information about insurers
Long-Term Care Partnership Program
Policy, form and rate filing
Ratings services
Service of process information
Fraud
Complaints
Forms
SHIC
Prescription Connection
Special Funds
Communications
About Us
Contact Us

Companies
Home : Companies : Company licensing : Insurers Uniform Application UCAA
Insurers Uniform Application UCAA

Company licensing

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:

  • 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
The details of the application including instructions, forms and application review processes and time lines are found at the National Association of Insurance Commissioners.

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.

State-specific information

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:

Yvonne Keniston
ytkeniston@nd.gov
ND Insurance Department
State Capitol, fifth floor
Dept. 401
600 E. Boulevard Ave.
Bismarck, ND 58505-0320
701.328.2440
701.328.4880 fax