Policy
Form Filing Checklists
Download policy form checklists used by the
WY Insurance Dept to approve form submissions from property & casualty and
life & health
insurance companies. There is also a link to the Interstate Insurance
Compact.
These checklists can help an insurance company prepare a complete insurance policy form filing before submission to the WY Insurance Dept. This page includes property & casualty checklists and life & health checklists.
For all policy form filings, please use the Wyoming Uniform Filing Procedure for All Regulated Insurance Coverage Certification Form. This form is in PDF format.
Property and Casualty Form Filing Checklists:
|
P&C Checklist Name |
File to Download |
| Homeowners | Word 6.0: pc_homeowners.doc |
| Personal Auto | Word 6.0: pc_persauto.doc |
| Commercial Property | Word 6.0: pc_comprop.doc |
| Commercial Auto | Word 6.0: pc_commauto.doc |
| Commercial Fire | Word 6.0: pc_commfire.doc |
| Boiler and Machinery | Word 6.0: pc_boilmach.doc |
| Farm and Ranch | Word 6.0: pc_farmranch.doc |
| Crop/Hail | Word 6.0: pc_crophail.doc |
| General Liability | Word 6.0: pc_genliab.doc |
| Inland Marine | Word 6.0: pc_inlandmarine.doc |
| Dwelling Fire | Word 6.0: pc_dwlgfire.doc |
| Fidelity Surety | Word 6.0: pc_fidelitysurety.doc |
| Medical Malpractice | Word 6.0: pc_medmal.doc |
| Workers Compensation | Word 6.0: pc_workcomp.doc |
| Title | Word 6.0: pc_title.doc |
| Service Contracts | Word 6.0: service contract checklist.doc |
| Service Contract Certification Statement | Word: Service Contract Forms Certification Statement.docx |
| Crime | Word 6.0: pc_crime.doc |
Life and Health Form Filing Checklists:
|
L&H Checklist Name |
File to Download |
| Individual Life | PDF: lh_indlife.pdf |
| Individual Health | PDF: lh_indhealth.pdf |
| Individual Fixed Annuity | PDF: lh_indannuity.pdf |
| Individual Variable Annuity | PDF: lh_indvarannuity.pdf |
| Individual Equity Indexed Annuities | PDF: lh_equityannuity.pdf Equity indexed products summary disclosure requirements |
| Individual Disability Income | PDF: lh_inddisincome.pdf |
| Individual Credit Life & Disability | PDF: lh_indcreditl&d.pdf |
| Group Life | PDF: lh_grouplife.pdf |
| Group Annuities - Fixed/Variable/Equity Indexed | PDF: lh_groupannuity.pdf Equity indexed products summary disclosure requirements |
| Group Disability Income | PDF: lh_groupdisincome.pdf |
| Group Credit Life & Disability | PDF: lh_groupcredlifedis.pdf |
| Individual Cancer | PDF: lh_cancer.pdf |
| Group Cancer | PDF: lh_gcancer.pdf |
| Small Group Health | PDF: lh_smallgrphealth.pdf |
| Large Group Health | PDF: lh_largegrphealth.pdf |
| Individual or Group Medicare Supplement | PDF: lh_ medsup.pdf |
| Long-Term Care | PDF: lh_ltc.pdf |
| Long-Term Care Insurance Partnership Policies Memorandum | Issuer Certification.pdf Disclosure Notice.pdf |
| Long Term Care Partnership & Medicaid Equality Care Eligibility Handout | LTC Ptshp & Medicaid Eligibility.pdf |
| HMO | PDF: lh_hmo.pdf |
| Stop Loss | PDF: lh_stoploss.pdf |
The Interstate Insurance Compact:
The Interstate Insurance Compact (“Compact”) is an important modernization
initiative that benefits state insurance regulators, consumers and the insurance
industry. The Compact established a multi-state public entity, the Interstate
Insurance Product Regulation Commission (IIPRC) which serves as an
instrumentality of the Member States. The IIPRC serves as a central point of
electronic filing for certain insurance products, including life insurance,
annuities, disability income and long-term care insurance to develop uniform
product standards, affording a high level of protection to purchasers of asset
protection insurance products. We encourage insurance companies to submit
filings through the Interstate Compact. Click
here for their website.