Application for a Certificate of Authority or Surplus Lines Eligibility

Issued and entered March 3, 2000 by Frank M. Fitzgerald, Commissioner of Insurance

INFORMATIONAL STATEMENT AND FORMS WITH INSTRUCTIONS ISSUED PURSUANT TO ACT 306 OF THE PUBLIC ACTS OF 1969 AS AMENDED

In the interest of promoting efficiency and enhancing availability of insurance in this state, the Michigan Insurance Bureau has adopted the Uniform Certificate of Authority Application (UCAA) developed by the National Association of Insurance Commissioners (NAIC) for use by all insurers applying to do business in Michigan as either authorized insurers or eligible surplus lines insurers. Persons planning to form a Michigan domestic insurer should use the UCAA-Primary Application. All others should use the UCAA-Expansion Application. Both UCAA application forms can be obtained from the NAIC or downloaded from the NAIC's Web site: www.naic.org/ucaa/. State specific components can be obtained from the Insurance Bureau or from the Bureau's web page. The Insurance Bureau will also accept applications prepared on the previous application forms from companies which had requested them prior to the effective date of this bulletin.

Please send all materials as well as questions you may have to the Financial Evaluation and Admissions Division of the Michigan Insurance Bureau. The Division's telephone number is (517) 373-0246; address is 611 W. Ottawa Street, P.O. Box 30220, Lansing, Michigan 48909.

This bulletin supersedes Bulletins 78-32, 83-08 and 84-05, which are hereby withdrawn.