Alaska Division of Insurance

> Company, Surplus Lines Forms, and Information

Annual Statement Checklists for Insurance Companies

Annual Premium Tax Reports

Annual Continuation Forms

Annual Tax and Fee Info

Attorney-in-Fact License Application

Automated Clearinghouse Payment System (ACH)

Certificate of Authority Forms and Other Company Applications

Designation of Persons to Receive Service of Process, pdf version

Designation of Persons to Receive Service of Process, Word version

MEWA Annual Statement

MEWA Quarterly Statement

Quarterly Premium Tax Reports

Surplus Lines Insurance Company Forms

Surplus Lines Brokers Premium Report Forms

Trust Account Forms


	Public Records Request Form (This form is now writable in pdf format)
	Consumer Information
	Frequently Asked Questions
	Agent (Producer) Licensing
	Company, Surplus Lines Forms and Information
	Statutes, Regulations, Bulletins, Exams, Orders
	Purchasing Groups and Risk Retention Groups
	Rates and Forms
	Medicare Part D - Prescription Drug Coverage
	Senior Benefits Program
	Related Links


	Premera Blue Cross Proposed Conversion Transaction
	Hearings and Meetings
	Proposed Regulations
	Notices
	What's New this Month!


	Alaska Insurance Consumer Guide
	NAIC Consumer Information
	Information on Service of Process
	Filing a Consumer Complaint
	Reporting Fraud
	Insurance Company Query
	Search Division of Insurance Producer License Database
	ACH Signup: Avoid Penalties on Premium Tax Payments
	Medicare Part D - Prescription Drug Coverage