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| Application for Licensure, Insurance Companies | |
Application for A Limited Certificate of Authority |
| Note: The following address is a link to the administrative code in pdf format: To link to chapters in the administrative code, add insxxx.pdf to the end of the address. xxx represents the chapter number in three digits (003 for chapter 3). |
The following are documents which must be completed and returned with the Application for Limited Certificate of Authority for a Warranty Plan. Any questions about the application should be directed to Mr. Karl Albert (608-264-6236) or Mr. Roger Peterson (608-267-4384).
Also included is information detailing the procedures for submitting the warranty contracts for approval. All warranty contracts must be approved before the certificate of authority will be issued. Any questions about the policy form procedures should be directed to Ms. Ellen Schwartz at (608) 267-1234.
Please note that Warranty Plan Administrators as defined in s. Ins 15.01 (4) (f), Wis. Adm. Code, must obtain a limited certificate of authority as a warranty plan.
No application will be considered completed until all items on the application form have been completed and all required forms have been completed, filed, and approved.
The application packet forms are available to be downloaded below. Note, however, that you will need an Adobe Acrobat Reader to view or print the application forms, which you can download at no cost from Adobe .
Wisconsin Insurance Laws and Regulations
A Designation of Registered Agent for Service of Process (OCI 12-014) form is available to be downloaded below. Note, however, that you will need an Adobe Acrobat Reader to view or print the application, which you can download at no cost from Adobe .
Designation of Registered Agent for Service of Process Fill and Print Version
The instructions and forms for filing the warranty contracts for approval are available to be downloaded below, under the first two items under the heading "Policy Form Filing Instructions and Forms." Note, however, that you may need an Adobe Acrobat Reader to view or print the forms, which you can download at no cost from Adobe .
Policy Form Filing Instructions and Forms
Please direct questions to: ocifinancial@wisconsin.gov (please include your name, phone number, and e-mail address).
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