The Massachusetts Division of Insurance accepts the Uniform Certificate of Authority Application (UCAA). The UCAA form and instructions are available at: http://www.naic.org/industry_ucaa.htm .

All documents must be originals, bearing original signatures where necessary.

In addition to the UCAA application, alien (non-United States domiciled companies) companies must include the documents listed on the Alien Insurance Company Required Filings pdf format of Supplemental Filings Required of an Alien Company
document.

Our consideration of the company's submission will include a financial, legal, and market conduct review, communication with other regulatory authorities, and other procedures as we consider necessary. All costs will be borne by the applicant. Upon receipt of all required documents and payment of nonrefundable filing fees, the submission will be referred to an analyst for review. In accordance with the provisions of Massachusetts General Laws, Chapter 175, Sections 4 and 32, we may either visit the company or ask a company representative to appear before the Division. We will notify you in advance of such a meeting. At any time during the process, we may inform you that we are denying the request.

While the application is pending, it is the responsibility of the applicant to amend its filing as information becomes available (i.e. quarterly statements, etc.).

Please forward complete submissions to:

Commonwealth of Massachusetts
Division of Insurance
Attn: Peter J. Arens
Company Licensing Section
1000 Washington St, Suite 810
Boston, MA 02118-6200

Only complete submissions will be reviewed.

Should the company receive initial approval of its request, the company will be notified in writing of any additional requirements. These requirements may include advertising, placing a special and/or workers' compensation deposit, appointing a resident agent, paying additional nonrefundable fees, and obtaining membership in certain rating or statistical organizations.