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LIFE, ACCIDENT, & HEALTH RATE & FORMS

POLICY FORM FILING CHECKLISTS

The following checklists are being provided to assist an insurance company prepare a complete insurance policy form filing before submission to the Department. 

For all policy form filings, please use the Wyoming Uniform Filing Procedure for All Regulated Insurance Coverage Certification Form*.

Wyoming Life & Health Guaranty Association ↗

LIFE, HEALTH, & ACCIDENT FORM FILING CHECKLISTS

  • Individual Life*

  • Individual Health* / Mental Health Parity Bulletin*

  • Individual Fixed Annuity*

  • Individual Variable Annuity*

  • Individual Equity Indexed Annuities* / Disclosure Requirements*

  • Individual Disability Income*

  • Individual Credit Life & Disability*

  • Group Life*

  • Group Annuities (Fixed / Variable / Equity Indexed) Checklist* / Disclosure Requirements*

  • Group Disability Income*

  • Group Credit Life & Disability*

  • Individual Cancer*

  • Group Cancer*

  • Small Group Health* / Mental Health Parity Bulletin*

  • Large Group Health* / Mental Health Parity Bulletin*

  • Individual or Group Medicare Supplement*

  • Long-Term Care*

  • Long Term Care Rate Increase Checklist (Eff. 7/1/2020)*

  • Long-Term Care Insurance Partnership Policies Memorandum* / Issuer Certification* / Disclosure Notice*

  • Long-Term Care Partnership & Medicaid Equality Care Eligibility Handout*

  • HMO*

  • Stop Loss*

*Denotes a link to open an attached document

Subscribe to Department Email Updates

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Wyoming Department of Insurance | 106 E 6th Ave | Cheyenne, WY 82002
Main Phone: (307) 777-7401  |  Fax: (307) 777-2446  |  Consumer Affairs: (307) 777-7402  |  Producer Licensing: (307) 777-7319
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