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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 .

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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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