Captive Insurance
Application for Admission - Affiliated Reinsurance Company
Application for Admission - General
Actuary Application
Vermont Captive Data
CAPTIVE INSURANCE
Vermont Captive Data
Vermont Captive Listing - as of 09/30/2024 (updated quarterly)
Vermont Captive License Count Summaries:
Filings and Due Dates
CAPTIVE INSURANCE
Filings and Due Dates
Required Filings
If you are a Foreign Risk Retention Group or a Foreign Purchasing Group registered in Vermont, you are required to file information with the State of Vermont per the below list of required filings and due dates.
Filing Due Date Checklists
CAPTIVE INSURANCE
Filing Due Date Checklists
ELECTRONIC SIGNATURES AND NOTARIZATION
- We allow electronic or e-signatures utilizing digital signature software and request that available software confirmations, such as e-signature certificates, be included within PDF filings.
- For documents requiring a notarized signature it is our expectation that documents be notarized, whether original or remote.
Application, Forms and Fees
CAPTIVE INSURANCE
Applications, Forms and Fees
For admission as a Vermont captive insurance company, upon holding a licensure meeting with the division you must submit an application, along with supporting forms and documentation. Take note of the additional requirements and application fees listed below the application and forms.
Steps to Form a Captive
CAPTIVE INSURANCE
Steps to Form a Captive
The department encourages all companies interested in forming a captive to contact one of the approved managers. The prospective captive owner can rely on the manager's expertise in this area. If at any point you wish to contact the department directly, please feel free to do so.