Non-Resident Agent Licensing. With the exception of bail bond or recovery agent licenses and unless denied licensure under Indiana law, a non-resident will receive a non-resident producer's license if the non-resident is from a state that grants non-resident license on a reciprocal basis and the non-resident submits a non-resident producer ...Enforcement. Market Conduct. The Indiana Department of Insurance performs market conduct examinations of insurance companies and other licensed entities … PCF Annual Reports. The PCF Annual Report provides a cumulative overview of the Patient's Compensation Fund. PCF 2022 Annual Report. PCF 2021 Annual Report. PCF 2020 Annual Report. PCF 2019 Annual Report. PCF 2018 Annual Report. PCF 2017 Annual Report. PCF 2016 Annual Report. Feb 12, 2021 · Name/DOB/SSN/FEIN Change or Cancelling a License. Submit the IDOI Service Request Form [fillable pdf link] to report the following: (1) Change of Legal Name; (2) Addition or Removal of Alias/Other/DBA Name; (3) Correction of Social Security Number (SSN), Date of Birth (DOB), or Federal Employer Identification Number (FEIN); or (4) Cancellation ... Each newly written Indiana auto liability policy must include uninsured and underinsured motorist’s coverage unless you reject this in writing. Minimum liability limits are: Uninsured Motorists: Bodily Injury: $25,000/$50,000. Property Damage: $25,000. Under insured Motorists: Bodily Injury: $50,000. An annuity is a contract written by a life insurance company to provide continuing income, typically for retirement. Payments, which are generally made on a monthly basis, are usually arranged to continue for as long as you live or for a stated period of time. Payments may begin at once or at some future date.Step 1 - APPLY: File for Unemployment Insurance. File an initial application for benefits as soon as you become unemployed. A valid email account – your email address will become your Uplink Username. Driver’s license or valid ID, address, Social Security number, date of birth and phone number. Last employer’s name, mailing address, phone ... Indiana Department of Insurance 311 West Washington Street Indianapolis, Indiana 46204-2787. Indiana Department of Insurance. Social Media. Facebook; Twitter; Instagram; Join Us for a Komets Game! The BMV is proud to offer Discount Day on Saturday, April 6th at 7:30pm with the Fort Wayne Komets. Get discount tickets (regularly $22) when you purchase via the link below. Get Discounted Komets Tickets. Open Enrollment for 2023 is November 1, 2022, to January 15, 2023. The carriers offering individual Marketplace coverage in 2023 are Anthem, CareSource, Cigna, MHS/Ambetter, and US Health and Life dba Ascension Personalized Care. Certified Indiana Navigators are available to help you enroll in a plan. Form an insurance company; File financial information for my insurance company; Find a Bail Bond Agent; Contact SHIP for information; Enroll for the Municipality Set-Aside Program; Online Services. Rate Watch; File a Patient's Compensation Fund Certificate of Insurance; File a consumer complaint; File a provider complaint; Compare Medigap ...Resident Business Entity (Agency) Licensing. Resident Business Entity Licensing Guidelines. Business Entity Application through Sircon. Business Entity Application Through NIPR. NAIC Uniform Business Entity Paper Application. Print a License. Service Requests, Forms and Reporting Requirements.Lists by Type or Category. IDOI regulates companies authorized to sell insurance in Indiana. Companies are licensed for a multitude of products to meet the needs of their clients. Companies are authorized in different ways. Provided are brief descriptions of the different authorizations. Licensed companies receive a Certificate of Authority to ...2020 Reporting Form. Fidelity Bond Compliance. Foreign Investments and Other Structured Securities - Life. Foreign Investments and Mortgage & Asset Backed Securities - PC. Form E. Form F. Health Care Exhibit Supplement Waiver Instructions and Form. Indiana Fee and Retaliatory Fee Statement (see below) Premium Tax (see below)Unemployment Insurance. If you are unemployed due to no fault of your own, you may be eligible for unemployment insurance. All claims for unemployment insurance benefits must be filed through Uplink, the online filing system. Before you file a claim for unemployment insurance refer to the Claimant Handbook (in multiple languages). If you have been a victim or have witnessed Insurance Fraud, please contact the NAIC. For information regarding fraudulent insurance activity in Indiana, please contact: Consumer Services Division Indiana Department of Insurance Phone: 1-800-622-4461. or. 317-232-2395. Mail to: Indiana Department of Insurance. 311 W. Washington Street, Suite 103 Resident Public Adjusters Licensing Requirements. IC 27-1-27 - Public Adjusters. A Public Adjuster renders advice or assistance to the insured in the adjustment of a claim or claims for loss or damages under any policy of insurance covering real or personal property and any person or corporation who, or which, advertises, solicits business, or holds itself out …Indiana Program Providers - Current list of program providers and contact information. Marketing Materials. Per IC 27-17-6-1, all advertisements, marketing materials, brochures, etc. must be filed with the IDOI and approved prior for use in the state. ... Indiana Department of Insurance 311 West Washington Street, Ste. 300 Indianapolis, Indiana ... Indiana Department of Insurance 311 West Washington Street Indianapolis, Indiana 46204-2787. Indiana Department of Insurance. Social Media. Facebook; Twitter; Instagram; PCF Annual Reports. The PCF Annual Report provides a cumulative overview of the Patient's Compensation Fund. PCF 2022 Annual Report. PCF 2021 Annual Report. PCF 2020 Annual Report. PCF 2019 Annual Report. PCF 2018 Annual Report. PCF 2017 Annual Report. PCF 2016 Annual Report. In accordance with Indiana Insurance Code, IC 27-1-15.6-5, before becoming licensed by the department each applicant for licensing as an insurance producer, surplus lines producer or insurance consultant must pass an examination for the line(s) of authority for which application is made. Types of Problems. Improper denial or delay in settlement of a claim. Alleged illegal cancellation or termination of an insurance policy. Alleged misrepresentation by an agent broker or solicitor. Alleged theft of premiums paid to an agent, broker, or solicitor. Problems concerning insurance premiums and rates.Consumer Services. Types of Insurance. Auto Insurance. Auto Policy Protection. Setting Rates. Automobile Rates. Cancellation or Non-Renewal Restrictions. Auto …Department of Insurance. Upcoming Events (0) Department of Insurance has no upcoming events. View full calendar. Recent Events. Open … The State Health Insurance Assistance Program (SHIP) is a free counseling service provided by the Indiana State Department of Insurance and the Administration for Community Living. SHIP provides free, impartial information to help consumers make decisions regarding health insurance options related to Medicare. Pharmacy Benefit Manager Compliance (PBM) I Want To. Online Services. IDOI. Licensing. Continuing Education.The Indiana Mine Subsidence Program, created by The Indiana State Legislature, protects home and property owners in 26 affected counties in southwestern Indiana along the Illinois Coal Basin. Due to the nature of the damage, standard policies do not cover mine subsidence claims. For protection, you must purchase mine subsidence insurance as an ...Learn how to renew your insurance producer license in Indiana, including fees, continuing education, and exceptions for title producers and limited lines licenses. …OPTins helps facilitate the processing of quarterly estimated tax, annual premium tax and annual renewal fee filings. Utilizing OPTins allows a company to schedule submission of filings prior to or on the due date. A company will need to allow at least 6-8 weeks for setting up an account in the OPTins system. To obtain detailed information and ...See a list of licensed insurance companies; File a medical malpractice complaint; Learn about Medicare; Compare Medicare Supplement plans; See what enforcement actions IDOI has taken; Learn about COBRA coverage; Know my HIPAA rights; Form an insurance company; File financial information for my insurance company; Find a Bail Bond Agent; …Department of Insurance. Upcoming Events (0) Department of Insurance has no upcoming events. View full calendar. Recent Events. Open …To request a CE extension, a licensee must: file a request with the Department on the form provided above; and. submit with the request a fee of twenty-five dollars ($25) by check or money order made payable to Indiana Department of Insurance or IDOI. * NOTE: The request must be submitted at least thirty (30) days prior to the license ...Annual renewal fees and premium taxes are to be filed filed electronically via the NAIC OPTins system per the mandate under Bulletin 264 . OPTins helps facilitate the processing of quarterly estimated tax, annual premium tax and annual renewal fee filings. Utilizing OPTins allows a company to schedule submission of filings prior to or on the ... SHIP (State health Insurance Assistance Program. 800-452-4800 . Title Division The Indiana Insurance Data Security Law § 27-2-27 et seq. applies to all licensees handling or processing non-public insurance data for policyholders or members. A “licensee” is defined as a person who either is or is required to be licensed, authorized to operate, or registered under Indiana Code Title 27. The term “licensee” does not ... Learn how to file a consumer complaint against an insurance company in Indiana using the Online Consumer Complaint Portal or the Insurance Complaint Form. Find out the complaint process, the jurisdictional authority of the IDOI, and the report fraud option. On Form X, the Indiana Department of Insurance (IDOI) determines that correctly answering 30 questions demonstrates that you have the minimum knowledge necessary to pass your exam and become a licensed agent. On Form Y, however, the same level of understanding is demonstrated by answering 25 questions correctly.Indiana Department of Insurance Leadership Commissioner Amy L. Beard. Amy L. Beard began her service as Indiana Insurance Commissioner in June 2021. Beard has spent much of her career in public service. She previously served as a healthcare consultant and administrative law judge before joining the Indiana Department of Insurance as an …Under Indiana law, if the healthcare provider has purchased malpractice insurance along with a surcharge to participate in the Indiana Patient’s Compensation Fund, the healthcare provider will be responsible for paying the first $250,000 of damages from the provider’s insurance coverage. The Indiana Medical Malpractice Act allows the ...Consent Under 18 U.S.C. 1033 Federal Violent Crime Control and Law Enforcement Act. NAIC Uniform Paper Application for Individual Producer License/Registration (must include $40.00 resident producer application fee by check or money order made payable to Indiana Department of Insurance or IDOI and mail to address at bottom of this page) Indiana Department of Insurance. Consumer Services Division. Phone: 1-800-622-4461 or 317-232-2395. Mail to: Indiana Department of Insurance. 311 W. Washington Street ... An annuity is a contract written by a life insurance company to provide continuing income, typically for retirement. Payments, which are generally made on a monthly basis, are usually arranged to continue for as long as you live or for a stated period of time. Payments may begin at once or at some future date.Examinations Manager. Indiana Department of Insurance. Aug 2015 - Dec 2016 1 year 5 months. Indianapolis, Indiana Area.Examinations Manager. Indiana Department of Insurance. Aug 2015 - Dec 2016 1 year 5 months. Indianapolis, Indiana Area.Step 1 - APPLY: File for Unemployment Insurance. File an initial application for benefits as soon as you become unemployed. A valid email account – your email address will become your Uplink Username. Driver’s license or valid ID, address, Social Security number, date of birth and phone number. Last employer’s name, mailing address, phone ...Unemployment Insurance. If you are unemployed due to no fault of your own, you may be eligible for unemployment insurance. All claims for unemployment insurance benefits must be filed through Uplink, the online filing system. Before you file a claim for unemployment insurance refer to the Claimant Handbook (in multiple languages).Types of Problems. Improper denial or delay in settlement of a claim. Alleged illegal cancellation or termination of an insurance policy. Alleged misrepresentation by an agent broker or solicitor. Alleged theft of premiums paid to an agent, broker, or solicitor. Problems concerning insurance premiums and rates.1. Complete an Insurance Indiana Prelicensing Course. Indiana requires those seeking an insurance license to complete prelicensing before taking the state licensing exam. Prelicensing courses with Kaplan give you the best chance to pass—our pass rates are among the highest in the industry. Prelicensing Education Hour RequirementsThe Indiana Department of Insurance offers tips to help guide you through the enrollment process. Indianapolis – The open enrollment period for 2023 health insurance coverage through marketplaces and other individual plans is here. November 1, 2022, is the first day you can enroll in, re-enroll in, or change a 2023 health plan through …Pearson VUE offers online life, health, property, and casualty insurance practice tests for $19.95. Purchase an online insurance practice test. Insurance practice test FAQs. Last updated 2021-01-13. Indiana Insurance exams are now being offered in locations throughout Indiana and many locations in the surrounding states, as well as in all the ...Examinations Manager. Indiana Department of Insurance. Aug 2015 - Dec 2016 1 year 5 months. Indianapolis, Indiana Area.How to Become an Insurance Adjuster in Indiana. Getting your Indiana adjuster license can be a simple and easy process, but this will ultimately depend on how you go about completing the required steps.. Step 1: Adjuster Pre-License Education. The first step in getting an Indiana Insurance Adjuster License is taking pre-license education courses.These are state … Financial Services. The Financial Services Division regulates approximately 1,970 insurance companies operating in Indiana. Regulation of insurance companies includes: monitoring financial condition, maintaining corporate information, and collecting the state's premium taxes, which are paid by insurance companies. Breadcrumbs. IDOI; Company/Entity Financial Compliance; Foreign Admission Requirements; Current: Title Insurance Company Title Insurance Company. NAIC Electronic Application System to submit a Uniform Certificate of Authority Expansion Application. The following state specific items must accompany the application and can … Indiana Department of Insurance Leadership Commissioner Amy L. Beard. Amy L. Beard began her service as Indiana Insurance Commissioner in June 2021. Beard has spent much of her career in public service. She previously served as a healthcare consultant and administrative law judge before joining the Indiana Department of Insurance as an attorney ... Taxes & Finance. Insurance, Department of. Can I buy insurance through the Indiana Department of Insurance? October 26, 2023 15:06. …A Pre-licensing Education Certificate of Completion will be issued by your pre-licensing education provider at the end of your course. The certificate is valid for six months. Under Indiana Code 27-1-15.6-6(c), you must pass your exam and apply for your license during this six-month period. EXAMINATION. Pass the Indiana Producer Examination.Learn how to renew your insurance producer license in Indiana, including fees, continuing education, and exceptions for title producers and limited lines licenses. …Open Forum in Johnson County with Indiana Department of Insurance and Local Officials. Mon, Mar 18, 2024 Clark Pleasant Branch-Johnson County Public Library. Events. I'm Interested. IDOI Warns Hoosiers to Be Cautious of Discount Offers for Insurance Plans. Mon, Jan 15, 2024 3:40pm Company Compliance reviews all types of product lines marketed in the state of Indiana, including Property & Casualty, Accident & Health, and Life and Annuity products. Contacts Chief Deputy Commissioner - Compliance and Actuarial Services: Alexandria Peck - 317-233-9607, [email protected] 3,833 Indiana Department of Insurance jobs available on Indeed.com. Apply to Patient Access Manager, Customer Service Representative, Van Driver and more!Each newly written Indiana auto liability policy must include uninsured and underinsured motorist’s coverage unless you reject this in writing. Minimum liability limits are: Uninsured Motorists: Bodily Injury: $25,000/$50,000. Property Damage: $25,000. Under insured Motorists: Bodily Injury: $50,000.Insurance Departments. Find contact information for insurance departments and local insurance agents, or file a complaint. In accordance with Indiana Insurance Code, IC 27-1-15.6-5, before becoming licensed by the department each applicant for licensing as an insurance producer, surplus lines producer or insurance consultant must pass an examination for the line(s) of authority for which application is made. Although not preferred, you may renew the license by submitting the uniform NAIC paper renewal application along with a check or money order made payable to Indiana Department of Insurance. The application and fee may be mailed to: Indiana Department of Insurance. Agent Licensing. 311 West Washington Street.See a list of licensed insurance companies; File a medical malpractice complaint; Learn about Medicare; Compare Medicare Supplement plans; See what enforcement actions IDOI has taken; Learn about COBRA coverage; Know my HIPAA rights; Form an insurance company; File financial information for my insurance company; Find a Bail Bond Agent; …The mission of the IDOI Agency Services Division is to assure that insurance professionals are properly educated and licensed to conduct the business of insurance in the State of Indiana. As part of its mission, Agency Services approves pre-licensing and continuing education materials and schools through the IDOI Education Advisory Council.The Indiana Department of Insurance allows carriers to offer both participating and non-participating policies. Pure Premium. Also called “loss costs,” the actual or expected cost to an insurer of indemnity payments and allocated loss adjustment expenses (also known as defense and cost containment expense). ...Redomestication to Indiana. All applications must be three-hole punched and placed into a binder with each section tabbed according to the UCAA Application Checklist. Fraternal, Life, Property & Casualty and Title Insurance Companies or Risk Retention Groups. Health Maintenance Organization. Limited Service Health Maintenance Organization.Contact the Indiana Department of Insurance or call 800-622-4461. If the complaint is your insurance payments are not being paid by your employer, you will need to …Financial Services. The Financial Services Division regulates approximately 1,970 insurance companies operating in Indiana. Regulation of insurance companies includes: monitoring financial condition, maintaining corporate information, and collecting the state's premium taxes, which are paid by insurance companies.Consent Under 18 U.S.C. 1033 Federal Violent Crime Control and Law Enforcement Act. NAIC Uniform Paper Application for Individual Producer License/Registration (must include $40.00 resident producer application fee by check or money order made payable to Indiana Department of Insurance or IDOI and mail to address at bottom of this page)Indiana Department of Insurance (IDOI) representatives are participating in an Open Forum with representatives from the Johnson County Assessor’s Office on Monday, March 18 at 6 p.m. at the ...The Department of Insurance does not sell insurance. We can help consumers locate insurance companies, share complaint data concerning the company, or help someone file a complaint. We can not recommend one insurance company over another, or track individual policies.Indiana Department of Insurance (IDOI) representatives are participating in an Open Forum with representatives from the Johnson County Assessor’s Office on Monday, March 18 at 6 p.m. at the ...The Healthy Indiana Plan is a health-insurance program for qualified adults. The plan is offered by the State of Indiana. ... If you have any questions, or to find out if you may be eligible to participate in the Healthy Indiana Plan, please consult the menu on the left of this page, or contact 877-GET-HIP9 (877-438-4479). 2020 HIP waiver ... For more information regarding Market Conduct please contact: Victoria Hastings. Senior Consumer Protection Unit Attorney. [email protected]. Indiana Department of Insurance. 311 W. Washington Street, Suite 103. Indianapolis, IN 46204. Phone: 317-234-2101. Fax: 317-234-2103. On Form X, the Indiana Department of Insurance (IDOI) determines that correctly answering 30 questions demonstrates that you have the minimum knowledge necessary to pass your exam and become a licensed agent. On Form Y, however, the same level of understanding is demonstrated by answering 25 questions correctly.Please send claims filed in accordance with IC 34-13-3-8 to: Indiana Political Subdivision Risk Management Commission. 311 W Washington St, Suite 103. Indianapolis, IN 46204. Indiana Code 27-1-29 for the Indiana Political Subdivision Risk Management Commission. Indiana Code 27-1-29.1 for the Political Subdivision Catastrophic Liability Fund.All signatures must be original, even if the rider itself is a copy. Download the Fidelity Bond Cancellation Rider. If you have any questions, please contact: Annette Gunter. 317-232-2428. [email protected]. Return Cancellation Rider to: Annette Gunter. Indiana Department of Insurance. Assisting the general public and other Department of Insurance departments with research of insurance problems. Other IDOI Departments. Administrative Services - 317-232-3520. Agency Services - 317-232-2389. Consumer Services - 800-622-4461 or 232-2395. Company Compliance Services - 317-233-9607. Enforcement Division - 317-234-5888. The Indiana Department of Insurance has no jurisdiction over Medicare or Medicaid problems. We do not accept these complaints and will return them. Claims Payment – THE DEPARTMENT CANNOT ACT AS YOUR COLLECTION SERVICE. However, we do expect companies to take prompt action on claim, to fully investigate all pertinent facts concerning the claim ...In the case of Indiana, that primary requirement is $250,000 worth of malpractice insurance. Nearby states like Indiana, Michigan and Ohio have no patient compensation fund, so most physicians carry at least $1 million in malpractice insurance. The patient compensation fund arrangement protects Indiana physicians from paying the exorbitant ...Consent Under 18 U.S.C. 1033 Federal Violent Crime Control and Law Enforcement Act. NAIC Uniform Paper Application for Individual Producer License/Registration (must include $40.00 resident producer application fee by check or money order made payable to Indiana Department of Insurance or IDOI and mail to address at bottom of this page)Indiana Department of Insurance (IDOI) representatives are participating in an Open Forum with representatives from the Johnson County Assessor’s Office on Monday, March 18 at 6 p.m. at the ...Indiana Department of Insurance address is 311 West Washington Street, Suite 300, Indianapolis, IN 46204-2787, phone number 317-232-2385Unemployment Insurance. If you are unemployed due to no fault of your own, you may be eligible for unemployment insurance. All claims for unemployment insurance benefits must be filed through Uplink, the online filing system. Before you file a claim for unemployment insurance refer to the Claimant Handbook (in multiple languages).The Indiana Department of Workforce Development (DWD) serves Indiana citizens by providing job search assistance and training as well as providing a variety of services to Hoosier businesses. DWD also provides unemployment services to …
The Indiana Insurance Data Security Law § 27-2-27 et seq. applies to all licensees handling or processing non-public insurance data for policyholders or members. A “licensee” is defined as a person who either is or is required to be licensed, authorized to operate, or registered under Indiana Code Title 27. The term “licensee” does not .... Used powersports
All signatures must be original, even if the rider itself is a copy. Download the Fidelity Bond Cancellation Rider. If you have any questions, please contact: Annette Gunter. 317-232-2428. [email protected]. Return Cancellation Rider to: Annette Gunter. Indiana Department of Insurance.Pharmacy Benefit Manager Compliance (PBM) I Want To. Online Services. IDOI. Licensing. Continuing Education.Subscription for Sircon Services. Search for Approved Classroom and Self-Study Pre-Licensing Education Courses. Approved Pre-Licensing Education Provider Exam Pass Ratios. Pre-Licensing Exam Content Outlines and Study Materials. Examination Procedure Checklist. Indiana Regulations for Pre-Licensing Education Courses (760 IAC 1-40)Learn how to report changes, cancellations, or updates to your license as an insurance producer or adjuster in Indiana. Find online resources, forms, and …Annual renewal fees and premium taxes are to be filed filed electronically via the NAIC OPTins system per the mandate under Bulletin 264 . OPTins helps facilitate the processing of quarterly estimated tax, annual premium tax and annual renewal fee filings. Utilizing OPTins allows a company to schedule submission of filings prior to or on the ...Step 1. Complete Your Indiana Adjuster Continuing Education. In Indiana, you are required to complete a total of twenty-four (24) hours of continuing education (CE), including three (3) hours of ethics coursework, to upkeep your adjuster license. Your continuing education hours are completed by taking adjuster CE courses.PCF Annual Reports. The PCF Annual Report provides a cumulative overview of the Patient's Compensation Fund. PCF 2022 Annual Report. PCF 2021 Annual Report. PCF 2020 Annual Report. PCF 2019 Annual Report. PCF 2018 Annual Report. PCF 2017 Annual Report. PCF 2016 Annual Report.Join Us for a Komets Game! The BMV is proud to offer Discount Day on Saturday, April 6th at 7:30pm with the Fort Wayne Komets. Get discount tickets (regularly $22) when you purchase via the link below. Get Discounted Komets Tickets.Open Forum in Johnson County with Indiana Department of Insurance and Local Officials. Mon, Mar 18, 2024 Clark Pleasant Branch-Johnson County Public Library. Events. I'm Interested. IDOI Warns Hoosiers to Be Cautious of Discount Offers for Insurance Plans. Mon, Jan 15, 2024 3:40pmIn reference to question 23 on the business application, Indiana does not require that the designated producer be an officer, director or partner of the business entity. Attach a check * or money order for $90.00 * Checks payable to Indiana Department of Insurance. Sign application; Appointment Requirements After LicensingInsurance Claim Tips. To help avoid problems getting claims paid, the Indiana Department of Insurance offers these tips: Know Your Policy - Understand what your policy says. The policy is a contract between you and your insurance company. Know what's covered, what's excluded and what the deductibles are. File Claims as Soon as Possible - Don't ... Although not preferred, you may renew the license by submitting the uniform NAIC paper renewal application along with a check or money order made payable to Indiana Department of Insurance. The application and fee may be mailed to: Indiana Department of Insurance Agent Licensing 311 West Washington Street Indianapolis, Indiana 46204-2787 General Counsel at Indiana Department of Insurance United States. 133 followers 131 connections See your mutual connections. View mutual connections with Meggan Sign in Welcome back ... Benicorp Insurance Company was a life and health insurance company domiciled in the state of Indiana. On October 7, 2007, following a hearing in open Court and presentation of evidence, the Circuit Court of Marion County, Indiana entered an Order of Liquidation against Benicorp in accordance with the Indiana Insurance Insolvency Act (Ind. Code ... Financial Services. The Financial Services Division regulates approximately 1,970 insurance companies operating in Indiana. Regulation of insurance companies includes: monitoring financial condition, maintaining corporate information, and collecting the state's premium taxes, which are paid by insurance companies. 2020 Reporting Form. Fidelity Bond Compliance. Foreign Investments and Other Structured Securities - Life. Foreign Investments and Mortgage & Asset Backed Securities - PC. Form E. Form F. Health Care Exhibit Supplement Waiver Instructions and Form. Indiana Fee and Retaliatory Fee Statement (see below) Premium Tax (see below).