Insurance Resources for the state of Maine

File a Complaint with the Maine State Insurance Department

• List of Authorized Self-Insurers for Workers' Compensation - Excel or Adobe PDF
• List of Maine Continuing Care Retirement Communities
• List of Maine Licensed Preferred Provider Organizations
• List of Maine Licensed Medical Utilization Review Entities
• List of Maine Licensed Viatical Settlements Providers
• List of Registered Employee Leasing Companies (PEO's)

Maine Insurance company related information

• Find a Licensee
• List of Companies Authorized to Write Auto Insurance - Excel or Adobe
• List of Companies Authorized to Write Homeowners Insurance - Excel or Adobe
• List of Companies with Approved Workers' Compensation Rates
• List of Approved Reinsurers for Self-Insured Workers' Compensation (Rule 730) - Word or Adobe PDF
• List of Credit for Reinsurance Companies (Rule 740) - Word or Adobe PDF
• List of Eligible Surplus Lines Companies - Word or Adobe PDF
• List of Maine Domestic Companies
• List of Maine Licensed Health Maintenance Organizations
• List of Maine Registered Risk Purchasing Groups - Excel or Adobe PDF
• List of Maine Registered Risk Retention Groups - Excel or Adobe PDF
• List of Resident Agents to Receive Service of Process
• Annual Statement Filing Instructions
• Fee Schedule
• Instructions For Requesting Confidential Treatment of Documents Filed With the Bureau of Insurance
• Market Snapshot: Individual Medical
• Market Snapshot: Small Group
• Rate and Form Filing Review Checklists
• Premium Tax Information
• Schedule of Company Fees, Taxes, and Deposits (Retaliatory Statement)

Company Reporting Requirements

• Address Change Form - Word or Adobe PDF
• Assumption Reinsurance Transactions - Word or Adobe PDF
• Biographical Affidavit - Word or Adobe PDF
• Billing
  • Address Change Form - Word or Adobe PDF
  • Authorization of Credit Card Payment - Word or Adobe PDF
• Consumer Complaint Contact - Word or Adobe PDF
• Credit Disability Insurance Experience Report - Excel
• Credit Life Insurance Summary Report - Excel
• Fraud and Abuse Annual Report
  • Annual Reporting Form - ONLINE Reporting Form or Word or Adobe PDF
  • Rule 920
• Health Claims Paid by Plan Sponsor - Reported by Carrier (Carrier Reporting Form)
  • Reporting Form - Word or Adobe PDF
• Health Insurance Annual Data Report (Rule 940) - Excel
• Health Report Card Survey - Word or Adobe PDF
• Large Commercial Insurer Annual Report
• Liquor Liability Form - Word or Adobe PDF
• Maine Annual Report Supplement (Rule 945)
  • Maine Annual Report Supplement (Rule 945) - to be filled out by companies with $2 million or more in premium - Excel
  • Maine Annual Report Supplement Short Form (Rule 945) - to be filled out by companies with less than $2 million in premium - Excel
• Mandated Benefits
  • Report Form - Excel or Adobe PDF
• Medical Malpractice Liability Claim Report
  • Claim Report - Word or Adobe PDF
    New Claim Report as of September 1, 2005 - Word or Adobe PDF
  • Instructions - Word or Adobe PDF
    Instructions for New Claim Report - Word or Adobe PDF
• Service of Process - Word or Adobe PDF
• Supplemental Health Insurance Reporting Form - Bulletin 286-A - Excel or Adobe PDF
• Workers' Compensation Paid Benefits Report - Word or Adobe PDF

Maine Insurance related forms and instructions

Status Change Forms - Name Change, Merger, Redomestication, Etc.

• Merger Requirements for Two Licensed Insurance Companies
• Name Change Requirements
• Name Reservation - Word or Adobe PDF
• Ownership Change Requirements
• Redomestications Requirements
• Reorganization/Demutualization Requirements - Word or Adobe PDF

Captive Insurance Companies

• Feasibility Study - Word or Adobe PDF
• License Application - Word or Adobe PDF
• Biographical Affidavit - Word or Adobe PDF
• Title 24-A M.R.S.A. Chapter 83 Captive Insurance Companies
• Title 36 M.R.S.A. Chapter 357, Section 2513-B, Rate of Tax

Certificate of Authority

• Application Process - Word or Adobe PDF
• Regulation Chapter 231; which replaced Reg. Chapter 230 effective August 9, 2005.
• Certificate of Authority Application
• Requirements for Amending Certificate of Authority for Insurance Companies
• Service of Process - Word or Adobe PDF
• List of Resident Agents to Receive Service of Process
• Title 24-A Section 410

Credit for Reinsurance - Rule 740

• Rule 740
• Information - Word or Adobe PDF
• Application - Word or Adobe PDF
• AR-1 form - Word or Adobe PDF

Reinsurer of Workers' Compensation Self-Insurance - Rule 730

• Registration Information - Word or Adobe PDF
• Registration Application - Word or Adobe PDF
• Information for Applicant Licensed in Maine - Word or Adobe PDF
• Information for Applicant Not Licensed in Maine - Word or Adobe PDF
• Rule 730

Surplus Lines Company Eligibility

• Eligibility Information - Word or Adobe PDF
• Application Check List - Word or Adobe PDF
• Application - Word or Adobe PDF
• Service of Process - Word or Adobe PDF
• Chapter 160

Producer related Information

• Find a Licensee
• Change in Producer and Consultant Licensing Fees
• Continuing Education
• Examination Information
• Fee Schedule
• Instructions For Requesting Confidential Treatment of Documents Filed With the Bureau of Insurance
• Licensing and Registration - Forms & Information
• MaineCare Eligibility Rule
• Payment Forms
• Reporting Forms
• Appointment/Termination Procedures