Company Amendments Amendment fees are due at time of request and payable to the Alaska Division of Insurance. See AS 21.09.270 for retaliation information. If amendment requires reissue of Alaska COA, the original COA must be returned. Send the following amendments to: Financial Examination Section Alaska Division of Insurance 550 West 7th Avenue, Suite 1560 Anchorage, AK 99501-3567 Change of Control The acquirer must submit a Preacquisition Notification 30 days prior to the effective date of the transaction. Format for the Form E filing can be found at 3 AAC 21.186. If the effects on the Alaska market of the transaction are such that the transaction is exempt under the standards of AS 21.22.065(j), a letter can be sent in lieu of the Form E, describing the transaction and explaining how the exemption is met. Submit Form E or letter. Certificate of Assuming Insurer (Accredited Reinsurer) Submit 08-238. Send the following amendments to: Company Amendments Alaska Division of Insurance P. O. Box 110805 Juneau, AK 99811-0805 Persons to Contact Submit Form 08-280 or UCAA Form 14 for staff, address, phone, or email address changes. Person to Receive Service of Process Submit UCAA Form 12 or 08-253 AND 08-254. Surrender Certificate of Authority HMO, Joint Title Plant, Life/Health, MEWA, Property/Casualty, and Reciprocal Insurer Submit Form 08-290 on company letterhead, with requested attachments. Purchasing Group and Attorney-in-Fact Submit request in writing. Risk Retention Group, Surplus Lines, and Accredited Reinsurer Submit the written request on company letterhead, signed by a company officer. Redomestication Entities that Hold an Alaska Certificate of Authority Use UCAA Corporate Amendments Form. Include new COA, COD, and UCAA Form 12 referencing the new domicile state. Return original Alaska COA. Entity Types that are Not Issued a Certificate of Authority Notify us by letter. Name Change Life/Health, Property/Casualty, Reciprocal, and Title Insurer Use UCAA Corporate Amendments Form. Include domicile state COA, COD, and UCAA Form 12 in the new name. Return original Alaska COA. Automobile Service Corporation and Fraternal Benefit Society Use UCAA Corporate Amendments Form. Or submit Form 08-251new (without documents requested on page 2). HMO Submit 08-251HMO (without documents requested on page 2). MEWA Submit 08-303MEWA (without documents requested on page 2). Joint Title Plant Submit 08-255 (without documents requested on page 2). Purchasing Group, Risk Retention Group Submit a letter with new information. Amended articles require domicile State certification. Amended bylaws require a company officer’s certification. Articles of Incorporation, Bylaws, and Other Amendments Use UCAA Corporate Amendments Form. Or submit a letter with the new information. Amended articles require domicile state certification. Amended bylaws require a company officer’s certification.