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CA Department of Insurance

Grants & Annuities - Notices and Forms

The following section contains filing instructions and forms for you to view and download.  All filings, unless otherwise noted, must be submitted using the Online Assistance System for Insurer Submittals ("OASIS").

All original signature pages must be mailed to:

California Department of Insurance
Financial Analysis Division, Financial Records Unit
300 South Spring Street, South Tower, 13th Floor
Los Angeles, CA 90013

For inquiries, please contact:

Phone: (213) 346-6423 
Email: Financial_Records@insurance.ca.gov

Form No.

Description

600

G&A - Annuity Agreement Filing Instructions, 
Transmittal, Certification and Annuity Agreements Summary
Forms
.xls 

601

G&A Annual Statement Blank.xls

G&A Annual Statement Instructions.doc

602

Authorization for Disclosure of  Financial Records.xls
      Submit this form to:  California Department of Insurance
                                       Corporate and Regulatory Affairs
                                       45 Fremont Street, 24th Floor
                                       San Francisco, CA 94105

List of G&A Society Assigned California Company Codes

Back to Annual/Quarterly Statement Notices Menu 

Updated date: 07/13/17

 

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