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Regulatory Forms
Physician's Credentialing Form
Contact Us
Contact Numbers
Application Forms
Other Documents
Financial Exam Forms by Product
Announcement of Changes for Health Insurance Issuers, Utilization Review Organizations and Independent Review Organizations Concerning Annual Reporting
Filing Instructions for Health Insurance Issuers’ Implementation of Prior Authorization Programs - Act 432 of the 2022 Regular Session
Independent Review Organization Certification Application Form
Utilization Review Organization (URO) Application
Certificate of Destruction for Flooded Cars
Act 427 of the 2014 Regular Session of the Louisiana Legislature
Bulletin 2013-04 Catastrophe Model Interrogatories
Insurance Rating Filing Exhibits
Form 438 - Acknowledgement of applicant for personal lines insurance coverage in surplus lines market
Act 262 of the 2019 Regular Session-Commercial Motor Vehicle Reporting Requirements
Admitted Premium Tax
Surplus Lines Premium Tax
Physician’s Credentialing Form