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For Companies > Currently Licensed Companies > License Amendment Applications > Demutualization Requirements
Demutualization requirements for licensed insurance companies.

Please be advised that it will be necessary for the Company to submit the following items for the demutualization to be recorded:

  • Application Adobe Acrobat Reader Symbol
  • 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.
  • Certificate of approval from state of domicile
  • Certificate of compliance from state of domicile
  • Return the company’s current New Hampshire Certificate of Authority (original)

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

If you have any questions, please contact Diane Cygan

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New Hampshire Insurance Department | 21 South Fruit Street, Suite 14 | Concord, NH 03301
Phone 603.271.2261 | Fax 603.271.1406 | Consumer Hotline 1.800.852.3416

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