Please submit the following items to add lines to the company’s New Hampshire Certificate of Authority:

• http://www.naic.org/industry_ucaa.htm. Complete form 2C Corporate Amendments Applications.
• Submit Retaliatory Statement with UCAA application --NEW--
• Filing fee* Fee is the higher of New Hampshire's fee of $25 or company's state of domicile. Make check payable to "Treasurer, State of New Hampshire." *All fees are retaliatory and non-refundable.
• List of paragraphs – Please review list of paragraphs and description. If adding paragraph VIII, Other Casualty Risks, refer to the NAIC Uniform P&C Product Coding Matrix.
• Certificate of Compliance from State of Domicile.
• Current New Hampshire Certificate of Authority (original).
• Business plan.
• Adding Variable Annuity requires a new license and is not the same as adding a line. Please see the requirements for a Variable Annuity application .

All fees are retaliatory. Fee is non-refundable. Please make payable to "Treasurer, State of New Hampshire".

Please send all documents to the New Hampshire Insurance Department, Financial Regulation Division.

If you have any questions, please contact Linda.m.zalinskie@ins.nh.gov .

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