Division of Insurance Division of Insurance en espanol State of Colorado DORA


Annual Filing Requirements

Captive Insurance Companies (Group)
Captive Insurance Companies (Pure)
County Mutual Insurance Companies
Fraternal Benefit Societies
Health Maintenance Organizations
Hospital, Medical, Dental & Indemnity Corporations (HMDI) and Non-Profit Hospital, Medical - Surgical & Health Service Corporations
Life, Accident & Health Insurers
Limited Service Licensed Provider Network
Non-Admitted Reinsurers
Preneed Funeral
Prepaid Dental Plans
Property & Casualty Insurance Companies
Regional Home Office
Risk Retention Groups
Self Insurance Pools
Surplus Lines

Title Insurance Companies

Free Word Viewer

Free PDF Conversion to Text or HTML

Free Adobe Acrobat Reader

Requirements for Captive Insurance Companies - Group
Filing Checklist
Colorado Captive Principal and Home Office Evidence of Compliance  
Premium Tax Return  
For assistance click here or call 303-894-7836
Requirements for Captive Insurance Companies - Pure
Filing Checklist  
Colorado Captive Principal and Home Office Evidence ofCompliance  
Premium Tax Return  
For assistance click here or call 303-894-7836
Requirements for County Mutual Insurance Companies
General Instructions
Filing Checklist
Anti-Fraud Summary
MGA Questionnaire Word Document
Synopsis of Annual Statement Publications (online fillable form)  
Uniform Consent to Service of Process  
For assistance click here or call 303-894-7836
Requirements for Fraternal Benefit Societies
General Instructions
Filing Checklist
Anti-Fraud Summary  
CoverColorado Assessment Form
For assistance, click here or call 303-863-1960
 
Fee Form  
MGA Questionnaire Word Document
Uniform Consent to Service of Process  
For assistance click here or call 303-894-7537
Requirements for Health Maintenance Organizations
General Instructions
Filing Checklist
CoverColorado Assessment Form
For assistance, click here or call 303-863-1960
 
Fee Form  
Quarterly Variance Report Excel Document
For assistance click here or call 303-894-7537
Requirements for Hospital, Medical, Dental & Indemnity Corporations (HMDI) and Non Profit Hospital, Medical -Surgical & Health Service Corporation
General Instructions
Filing Checklist
CoverColorado Assessment Form
For assistance, click here or call 303-863-1960
 
Fee Form  
Uniform Consent to Service of Process  
Quarterly Variance Report Excel Document
For assistance click here or call 303-894-7537
Requirements for Life, Accident and Health Insurers
General Instructions
Filing Checklist
Anti-Fraud Summary
CoverColorado Assessment Form
For assistance, click here or call 303-863-1960
 
MGA Questionnaire Word Document
Premium Tax Return  
Synopsis of Annual Statement Publication (online fillable form)  
Uniform Consent to Service of Process
Quarterly Variance Report (Health Only) Excel Document
For assistance click here or call 303-894-7537
Requirements for Limited Service Licensed Provider Network
Annual Filing Instructions
Fee Form  
For assistance click here or call 303-894-7836
Requirements for Non-Admitted Reinsurers
Instructions for Non-Admitted Reinsurer
Application Approval as an Accredited Reinsurer Word Document
Application Approval as an Alien Reinsurer Maintaining a U.S. Trust Word Document
Certificate of Assuming Insurer (Form AR-1) Word Document
Fee Form  
Power of Attorney Word Document
For assistance click here or call 303-894-7836
Requirements for Prepaid Dental Plans
Filing Checklist Word Document
Fee Form  
Worksheet Word Document
For assistance click here or call 303-894-7836
Requirements for Preneed Funeral Insurance Companies
Instructions - Application for Renewal of License
Instructions - Application for Discontinued Sales
Annual Report - Trust Funded Word Document
Annual Report - Insurance Funded Word Document
Annual Report - Aggregate Merchandise Sales and Disposition Word Document
Application Word Document
Fee Form Word Document
Bond Form Word Document
For assistance click here or call 303-894-7836
Requirements for Property & Casualty Insurance Companies
General Instructions
Filing Checklist
Anti-Fraud Summary
CoverColorado Assessment Form
For assistance, click here or call 303-863-1960
 
MGA Questionnaire Word Document
Premium Tax Return  
Synopsis of Annual Statement Publication (online fillable form)  
Uniform Consent to Service of Process
Quarterly Variance Report (Health Only) Excel Document
For assistance click here or call 303-894-7537
Requirements for Regional Home Office
Instructions for Qualifications
Long Form Word Document
Short Form Word Document
Significant Direct Insurance Operations Form Word Document
Uniform Consent to Service of Process  
For assistance click here or call 303-894-7836
Requirements for Risk Retention Groups
General Instructions
Premium Tax Return  
Uniform Consent to Service of Process (Initial Applications and Changes)  
For assistance click here or call 303-894-2949
Requirements for Self Insurance Pools
General Instructions
Appendix A Word Document
Fee Form  
For assistance click here or call 303-894-7836
Requirements for Surplus Lines
General Instructions
Application Form - Alien Word Document
Application Form - Foreign Word Document
Fee Form  
For assistance click here or call 303-894-7836
Requirements for Title Insurance Companies
General Instructions
Filing Checklist
Anti-Fraud Summary
Premium Tax Return  
Synopsis of Annual Statement Publication (online fillable form)  
Uniform Consent to Service of Process
For assistance click here or call 303-894-7537
Consumer Protection