Fis 0797 michigan-2025

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4.8 out of 5

142 votes

The document is a Michigan Application for an Individual Risk, issued by the Office of Financial and Insurance Regulation (OFIR). It outlines the necessary information required for insurers to apply for individual risk coverage, including details about the insurer, insured, coverage type, premium amounts, and certification of compliance with state laws. The application must be submitted along with a copy and is not approved until signed by OFIR authority.

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Click ‘Get Form’ to open the fis 0797 in the editor.
Begin by entering the NAIC Company Number and the name of the specific insurer. Ensure you only include one insurance company name per submission.
Fill in the insurer's address, contact person's name, phone number, email address, and the effective date of coverage.
Provide information about the insured by entering their name, mailing address, location of risk, and type of business. Indicate if this is a renewal of previously approved coverage.
Specify the type of coverage and limits of liability. If applicable, include underlying limits and details about any changes in premium.
Complete the certification section by typing or printing your name and title as an authorized representative. Don't forget to sign and date the form.

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Who regulates health insurance companies in Michigan?

DIFS regulates the business of insurance transacted in Michigan. Our authority pertains to contracts issued in Michigan. DIFS accepts complaints from parties involved in the contract, such as the insured, policyholder, or certificate holder.

How do I contact the Attorney General of Michigan?

For more information about the LARA, please visit .michigan.gov/lara. Questions? Call 517-335-9700.

How do I talk to a real person at the Secretary of State in Michigan?

Call the Secretary of State Information Center with questions about your drivers license, state ID, vehicle registration or license plate at (888) 767-6424.

Who is the director of the DIFS in Michigan?

Anita Fox - Director - Michigan Department of Insurance and Financial Services | LinkedIn.

How do I contact Il Doi?

Office locations of the Illinois Department of Insurance are now open to the public. We encourage consumers to continue to use the IDOI website, including the Help Center, or to call 866-445-5364 rather than visiting the office.