Captive Insurance
Application for Admission - Redomestication or Merger
Please see revised Redomestication or Merger General Instructions which provides instructions for electronic submission.
Application for Admission - Affiliated Reinsurance Company
Please see revised ARC General Instructions which provides instructions for electronic submission.
Application for Admission - General
Please see the revised General Instructions, which provides new instructions for electronic submission.
Actuary Application
Please complete as a Fillable PDF.
Vermont Captive Data
CAPTIVE INSURANCE
Vermont Captive Data
Vermont Captive Listing - as of 12/31/2024 (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.