Close Menu

Fraternal Life Property & Casualty Insurance Companies or Risk Retention Groups

The following state specific items 1-4 must be submitted prior to submitting a Uniform Certificate of Authority Application (UCAA). Once item 5 has been issued Company may submit the remaining items with the UCAA Primary Application to obtain a Certificate of Authority.

  1. Proof of Publication of Notice of Intention. ( IC 27-1-6-5 IC 27-1-6-7 )
  2. Triplicate originals of Articles of Incorporation. After approval by the Department of Insurance, must also be approved by Attorney General and Secretary of State. ( IC 27-1-6-4 & IC 27-1-6-6)
  3. Incorporators Bond in the amount of $10,000 (may be waived if fidelity bond purchased). ( I.C. 27-1-6-11 )
  4. An original or certified copy of Fidelity Bond on all officers showing amount of coverage and with endorsement attached specifically naming the insurance company (minimum amount $50,000). Letters or Certificates of Insurance are not acceptable. Coverage may not be written by an affiliate. ( I.C. 27-1-7-14 )
  5. A permit for Completion of Organization (issued by the Department). ( I.C. 27-1-6-11 )
  6. Minutes of all company meetings held to date, all books or records, stock records, subscription records, etc.( IC 27-1-7-16 )
  7. Oath of Office by directors. ( IC 27-1-7-10(i) )
  8. Indiana Biographical Affidavit
  9. The IDOI utilizes the Uniform Certificate of Authority Primary Application


Once the Department completes it review, we will prepare a certificate of authority and send it to the contact person listed on the application.

Once Company has received a Certificate of Authority a NAIC company code may be obtained from the:
National Association of Insurance Commissioners (NAIC)
120 West 12th Street, Suite 1100
Kansas City, MO 64105
(816) 842-3600

The information requested in the preceding should be delivered to the following:
Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787