Captive Insurance

2020 Filing Checklist - Vermont Domestic - NAIC filers

31 December 2020

(NEW) 2020 Filing Checklist: Vermont Domestic - NAIC filers - Printable Reference Tool

2020 Filing Checklist - Vermont Domestic - non NAIC filers

31 December 2020

(NEW) 2020 Filing Checklist for: Domestic Association (not filing NAIC Statement), Branch, Industrial Insured, Pure and Sponsored - Printable Reference Tool

Captives List

31 March 2021

Directory of Vermont Captive Insurance Companies by License # as of 3/31/2021

Approved Management Companies

30 March 2021

RRG Certification of Independence Template

CPA Certification of Review of audit work papers

Letter of Credit Template

Biographical Affidavit - Vermont Resident Directors

Biographical Affidavit

Application for Admission - Redomestication or Merger

Please see revised Redomestication or Merger General Instructions which provides instructions for electronic submission.

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