Arizona Department of Insurance

Please Note

We are a service company that can help you file with the Arizona Department of Insurance. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.

Contact Information

Physical address:
2910 North 44th Street
2nd Floor
Phoenix, AZ 85018

Phone: (602) 364-3100

Web: Home Name search Forms
Email: licensing@azinsurance.gov

Licenses

We track the following licenses with the Arizona Department of Insurance in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

A laptop placed on a desk with our License Manager software on display

Arizona Adjuster License - Non-Resident

Agency:

Arizona Department of Insurance

Filing Method:	Online
Agency Fee:	$220
Due:	Every four years by the end of the registration anniversary month.

Agency:	Arizona Department of Insurance
Form:	https://insurance.az.gov/producers/types-licenses
Agency Fee:	Varies by insurance type. Baseline of $120

Form:	Application
Filing Method:	Online
Agency Fee:	$120
Due:	4 years

Agency:	Arizona Department of Insurance
Foreign Qualification is Prerequisite:	No
Bond Requirements:	A deposit in favor of the state in the amount of $5000 (the greater of $5,000 or 10% of the amount in Section C, Item 6) to be held in trust for the benefit and protection of insureds and insurers whose monies the administrator handles (ARS 20-485.10) by ONE of the following methods: a. Surety bond: Must be issued by an insurer authorized in Arizona to offer surety bonds; may include individual bonds, schedule or blanket bonds. You cannot use an existing fidelity or liability policy to satisfy this requirement. ENCLOSE Form E-157 and an Attorney-in-Fact. OR b. Certificate of deposit (CD): ENCLOSE one E-125-CD form, two E-150 forms, and the original of the CD. OR c. Marketable security: ENCLOSE one Custody Agreement (Form E-003) and one Form E-125.
Registered Agent (Special Agency) Required?	No

Type of Review:	Medical Utilization Review
Agency:	Arizona Department of Insurance
Law:	AZ Stat. § 20-2501 et seq.
Foreign Qualification is Prerequisite:	Yes
Notes:	Registration is required for agents that perform utilization review for fully insured commercial business. Agents that only conduct reviews for government coverage (Medicare or Medicaid) are not required to register. Additionally, URAC accredited agents and other agents described in AZ Stat. § 20-2502 are exempt from registration requirements.

Agency Fee:	$0
Notarize:	Required
Notes:	Contact the Life and Health Division at 602-364-2393 for application forms.
Required Attachments:	A certificate of good standing from the Arizona Corporation Commission. A copy of a national UR accreditation certificate (URAC, NCQA or AAGC) if applicable. A utilization review plan that includes a summary description of review guidelines, protocols and procedures, standards and criteria to be used in evaluating inpatient hospital care, inpatient medical care, outpatient surgical care and any medical, surgical and health care services that may be covered by a health care insurer and the provisions by which patients, providers or hospitals may seek reconsideration or appeal of decisions made by the utilization review agent. A list of all contracts (if any) the entity has with a health care insurer or third party administrator to conduct utilization review for fully insured commercial plans in Arizona. A copy of the materials or a description of the procedure designed to inform patients and providers, as appropriate, of the requirements of the utilization review plan.

Agency Fee:	$0
Due:	Triennially by the anniversary of certification.

Filing Method:	Email to UtilizationReview@azinsurance.gov.
Agency Fee:	$0
Due:	Annually by March 1. Attestations may be filed as early as January 1.
Notarize:	Required
Notes:	Contact the department for an attestation form.
Required Attachments:	If there have been material changes to the UR Plan or appeals process, submit the updated information in redline format. If there have been no changes provide a statement to that effect. Provide the name, phone number and email address of three company contacts including the Medical Director and the UR or QI Director/Manager Attach a copy of your current URAC, NCQA and/or AAAHC Certificate(s) of Accreditation.

Compliance Software

Compliance Services

Industry Services

Talk with a Real Specialist

Arizona Department of Insurance

Please Note

Contact Information

Licenses

Arizona Adjuster License - Non-Resident

Initial Registration

Registration Renewal

Arizona Adjuster License - Non-Resident

Initial Registration

Registration Renewal

Arizona Adjuster License - Non-Resident (No Home State)

Initial Registration

Registration Renewal

Arizona Adjuster License - Resident

Initial Registration

Registration Renewal

Arizona Adjuster License - Resident

Initial Registration

Registration Renewal

Arizona Bail Bond Agent License - Resident

Initial Registration

Registration Renewal

Arizona Bail Bond Agent License - Resident

Initial Registration

Registration Renewal

Arizona Certified Application Counselor License - Non-Resident

Initial Registration

Registration Renewal

Arizona Certified Application Counselor License - Resident

Initial Registration

Registration Renewal

Arizona Insurance Agency License

Initial Registration

Registration Renewal

Arizona Insurance Agent License

Initial Registration

Registration Renewal

Arizona Insurance Producer License - Non-Resident

Initial Registration

Registration Renewal

Arizona Insurance Producer License - Non-Resident

Initial Registration

Registration Renewal

Arizona Insurance Producer License - Resident

Initial Registration

Registration Renewal

Arizona Insurance Producer License - Resident

Initial Registration

Registration Renewal

Arizona Life and Health Administrator (TPA) License

Initial Registration

Initial Registration

Arizona Life Settlement Broker License - Non-Resident

Initial Registration

Registration Renewal

Arizona Life Settlement Broker License - Non-Resident

Initial Registration

Registration Renewal

Arizona Life Settlement Broker License - Resident

Initial Registration

Registration Renewal

Arizona Life Settlement Broker License - Resident

Initial Registration

Registration Renewal

Arizona Navigator License - Non-Resident

Initial Registration

Registration Renewal

Arizona Navigator License - Non-Resident

Initial Registration

Registration Renewal

Arizona Navigator License - Resident

Initial Registration

Registration Renewal

Arizona Navigator License - Resident

Initial Registration

Registration Renewal

Supplemental Reporting
Annual Attestation