General Instructions For States to Complete Checklist

Fraternal Societies - For Fraternal Insurers

Health - For Health Maintenance Organization (HMO) Insurers, Dental Plan Organizations (DPO) Insurers, Health Service Corporations (HSC) Insurers, Hospital Medical Dental Service or Indemnity Corp. (HMDI) Insurers, and Limited Health Service Organization (LHSO) Insurers

Life, Accident & Health - For Alien Life/Accident/Health Insurers, Accredited Reinsurer Life/Accident/Health Insurers, Domestic Life/Accident/Health Insurers, and Foreign Life/Accident/Health Insurers

Property & Casualty - For Accredited Reinsurer Property/Casualty Insurers, Alien Property/Casualty Insurers, Foreign Risk Retention Group Insurers, Surplus Lines Insurers, Domestic Property/Casualty Insurers, and Foreign Property/Casualty Insurers

Title - For Title Insurers