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Submission: On September 21 via api from US — Scanned from DE
Submission: On September 21 via api from US — Scanned from DE
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<div class="head">
<div class="tel">
<div class="sfContentBlock">1-800-259-5300 </div>
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<div class="fix" id="fix">
<a class="logo" href="#">
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<div class="sfContentBlock"><a class="logo" href="#"></a><a href="/home"><img title="logo" alt="logo" src="/images/default-source/default-album/logo4758162a8b9e6b8a94f4ff0000585bf2.png?sfvrsn=33c67d52_4" displaymode="Original"></a>
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<li><a href="/home">Home</a></li>
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<li><a href="/news">News/Media</a></li>
<li><a href="https://mycusthelp.com/LADOI/_rs/FindAnswers.aspx" target="_blank">FAQs</a></li>
<li><a href="/contact-us">Contact Us</a></li>
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<a data="off" id="industry-menu"><i class="Industry"></i>Industry<s>></s></a>
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<div class="sfContentBlock"><a href="https://ia.ldi.state.la.us/industryaccess" target="_blank" class="menu-access">Industry Access</a>
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<dt>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_HyperLink2_0" href="#">Insurance Type</a>
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<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_Menu_ThreeLevel_0_HyperLink1_0" href="../../consumers/insurance-type/auto">Auto</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_Menu_ThreeLevel_0_HyperLink1_1" href="../../consumers/insurance-type/flood">Flood</a>
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<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_Menu_ThreeLevel_0_HyperLink1_3" href="../../consumers/insurance-type/homeowners">Homeowners</a>
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<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_Menu_ThreeLevel_1_HyperLink1_0" href="../../consumers/complaints/file-a-complaint">File a Complaint</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_Menu_ThreeLevel_1_HyperLink1_1" href="../../consumers/complaints/complaint-data">Complaint Data</a>
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<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_HyperLink2_2" href="../../consumers/locate-companies-or-producers">Find Companies</a>
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<dt class="nosubmenu">
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_HyperLink2_3" href="../../consumers/find-agents">Find Agents/Adjusters</a>
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<dt class="nosubmenu">
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_HyperLink2_4" href="../../consumers/receivership">Receivership</a>
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<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_HyperLink2_5" href="../../consumers/insurance-fraud">Insurance Fraud</a>
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<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_HyperLink2_6" href="#">Resources & Publications</a>
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<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_Menu_ThreeLevel_6_HyperLink1_1" href="../../consumers/resources-publications/resources">Consumer Resources</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_Menu_ThreeLevel_6_HyperLink1_2" href="../../consumers/resources-publications/consumer-publications">Consumer Publications</a>
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<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_Menu_ThreeLevel_6_HyperLink1_7" href="../../consumers/resources-publications/request-for-proposal">Request For Proposal</a>
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<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_Menu_ThreeLevel_8_HyperLink1_0" href="../../consumers/boards-commissions/health-care-commission">Louisiana Health Care Commission</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_Menu_ThreeLevel_8_HyperLink1_1" href="../../consumers/boards-commissions/lpcic">Louisiana Property & Casualty Commission</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_Menu_ThreeLevel_8_HyperLink1_2" href="../../consumers/boards-commissions/latifpa">Louisiana Auto Theft & Insurance Fraud Prevention Authority</a>
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<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_0_HyperLink2_9" href="../../consumers/rfps">RFPs</a>
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<ul class="fix" style="list-style: none;">
<div class="sfContentBlock">
<li><a href="/home">Home</a></li>
<li><a href="/online-services">Online Services</a></li>
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<li><a href="https://mycusthelp.com/LADOI/_rs/FindAnswers.aspx" target="_blank">FAQs</a></li>
<li><a href="/contact-us">Contact Us</a></li>
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<div class="sfContentBlock"><a href="https://ia.ldi.state.la.us/industryaccess" target="_blank" class="menu-access">Industry Access</a>
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<div id="inputTxt_T0483D70C018">
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<div class="menu-drop">
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<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_HyperLink2_0" href="#">Producer/Adjuster</a>
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<dd>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_0_HyperLink1_0" href="../producer-adjuster/license-application">License Application</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_0_HyperLink1_1" href="../producer-adjuster/renewals">Renewals</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_0_HyperLink1_2" href="../producer-adjuster/education">Education</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_0_HyperLink1_3" href="../producer-adjuster/address-name-change">Address/Name Change</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_0_HyperLink1_4" href="../producer-adjuster/appointments-affiliations">Appointments/Affiliations</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_0_HyperLink1_5" href="../producer-adjuster/search-for-producers-and-adjusters">Search for Producers and Adjusters</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_0_HyperLink1_6" href="../producer-adjuster/printing-a-produceer-adjuster-license">Printing a License</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_0_HyperLink1_7" href="../producer-adjuster/regulatory-actions">Regulatory Actions</a>
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<dl>
<dt>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_HyperLink2_1" href="#">Company Licensing</a>
</dt>
<dd>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_1_HyperLink1_0" href="application-and-filing-requirements">Application and Filing Requirements</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_1_HyperLink1_1" href="application-forms">Application Forms</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_1_HyperLink1_2" href="annual-reports">Annual Reports</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_1_HyperLink1_3" href="certificate-of-compliance">Certificate of Compliance</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_1_HyperLink1_4" href="certified-reinsurers">Certified Reinsurers</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_1_HyperLink1_5" href="company-contact-changes">Company Contact Changes</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_1_HyperLink1_6" href="other-documents">Other Documents</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_1_HyperLink1_14" href="reciprocal-jurisdiction-reinsurers">Reciprocal Jurisdiction Reinsurers</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_1_HyperLink1_15" href="regulatory-actions">Regulatory Actions</a>
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</dl>
<dl>
<dt>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_HyperLink2_2" href="#">Financial Regulation</a>
</dt>
<dd>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_2_HyperLink1_0" href="../financial-regulation/financial-examinations">Financial Examinations</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_2_HyperLink1_1" href="../financial-regulation/financial-filing-instructions">Financial Filing Instructions</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_2_HyperLink1_2" href="../financial-regulation/market-conduct">Market Conduct</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_2_HyperLink1_3" href="../financial-regulation/receivership">Receivership</a>
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</dl>
<dl>
<dt class="nosubmenu">
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_HyperLink2_3" href="../find-companies">Find Companies</a>
</dt>
</dl>
<dl>
<dt>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_HyperLink2_4" href="#">Form & Rate Filing</a>
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<dd>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_4_HyperLink1_0" href="../form-and-rate-filing/form-and-rate-overview">Form and Rate Overview</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_4_HyperLink1_1" href="../form-and-rate-filing/form-and-rate-documents">Form and Rate Documents</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_4_HyperLink1_2" href="../form-and-rate-filing/p-c-rating-filing-exhibits">P&C Rating Filing Exhibits</a>
</dd>
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<dl>
<dt>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_HyperLink2_5" href="#">Laws & Bulletins</a>
</dt>
<dd>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_5_HyperLink1_0" href="../laws-and-bulletins/search-bulletins-directives-regulations">Search Bulletins, Directives & Regulations</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_5_HyperLink1_1" href="../laws-and-bulletins/insurance-law-(title-22)">Insurance Law (Title 22)</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_5_HyperLink1_2" href="../laws-and-bulletins/industry-resources">Legislative Updates</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_5_HyperLink1_3" href="../laws-and-bulletins/declaratory-orders">Declaratory Orders</a>
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<dl>
<dt>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_HyperLink2_6" href="#">Data Calls</a>
</dt>
<dd>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_6_HyperLink1_6" href="../regulatory-forms/hurricane-laura-data-call">Hurricane Laura Data Call</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_6_HyperLink1_7" href="../regulatory-forms/hurricane-delta-data-call">Hurricane Delta Data Call</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_6_HyperLink1_8" href="../regulatory-forms/hurricane-zeta-data-call">Hurricane Zeta Data Call</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_6_HyperLink1_9" href="../regulatory-forms/hurricane-ida-data-call">Hurricane Ida Data Call</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_6_HyperLink1_11" href="../regulatory-forms/data-call-results">Data Call Results</a>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_Menu_ThreeLevel_6_HyperLink1_12" href="../regulatory-forms/cybersecurity-event">Cybersecurity Event</a>
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<dl>
<dt>
<a id="Menu_T0483D70C005_Menu_FirstLevel_Menu_SecondLevel_1_HyperLink2_7" href="#">Taxes & Assessments</a>
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<h1>Company Contact Information</h1>
<p>Pursuant to <a href="https://legis.la.gov/legis/Law.aspx?d=1055775" target="_blank">La. R.S. 22:41.2</a> and
<a href="https://ldiweb2012dev.ldi.state.la.us/docs/default-source/documents/legaldocs/regulations/reg117-cur-submissionofcontacti.pdf?sfvrsn=6e8b4352_6" title="LAC 37:XIII.Chapter 175 (Regulation 117)" target="_blank">LAC 37:XIII.Chapter 175 (Regulation 117)</a>,
all risk bearing entities must annually provide notice to the commissioner of certain contact information and must make updates to that information no more than 30 days after a change. You may find a list of “risk bearing entities” in
<a href="http://www.legis.la.gov/legis/Law.aspx?d=506210" target="_blank">La. R.S. 22:48</a>.</p>
<p><strong>Types of contacts. </strong>The following contact types are mandatory for all risk bearing entities:</p>
<ul style="margin-left: 40px;">
<li>Consumer Complaint Contact</li>
<li>Regulatory Compliance Contact</li>
<li>Annual Statement Contact</li>
<li>Premium Tax Contact</li>
<li>Cybersecurity Contact</li>
<li>Catastrophe/Disaster Coordination Contact</li>
<li>Market Conduct Contact</li>
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<p>A company may choose to have a “Primary Contact” to satisfy one or more of the requirements rather than naming separate individuals for each position. A company may also have multiples of any contact type.</p>
<p><strong>How to submit annual notice and changes to information.</strong> A risk bearing entity may use the Licensee Contacts Module or the
<a href="https://legis.la.gov/legis/Law.aspx?d=1055775" target="_blank">Uniform Certificate of Authority Corporate Amendment Form 14</a> to notify the LDI of changes to the contact information but the annual notice will only be
available through the Licensee Contacts Module of the Industry Access System. The annual notice must be submitted no later than March 1 of each year. </p>
<p><strong>Using Industry Access.</strong> Any user of the Industry Access System may request access to the Licensee Contact Module for a company and a user with access to the module for multiple companies may copy the information from one
company to another with relative ease and without duplicative entries. The Industry Access Account Administrator for the company can determine which users, if any, currently have access to the module. You can find tutorials on creating an
Industry Access System user ID and requesting module access on the login page at <a href="https://ia.ldi.state.la.us/industryaccess" target="_blank">https://ia.ldi.state.la.us/industryaccess</a>. You can also obtain name and contact
information for a company’s Industry Access Account Administrator on that same page. </p>
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<p><a href="/docs/default-source/documents/legaldocs/bulletins/bul2022-06-cur-louisianainsurancegu.pdf?sfvrsn=32524252_6" target="_blank" title="Bulletin 2022-06: Published">Bulletin 2022-06: LIGA</a></p>
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<p><a href="/docs/default-source/documents/legaldocs/regulations/summary-report/reg123-summaryreport.pdf?sfvrsn=14734252_6" title="Regulation 123 - Summary Report">Regulation 123 - Summary Report</a></p>
<br>
<p><a href="/docs/default-source/documents/legaldocs/regulations/reg31-cur-holdingcompany.pdf?sfvrsn=b6c27352_56" title="Regulation 31: Published">Regulation 31: Published</a></p>
<br>
<p><a href="/docs/default-source/documents/legaldocs/rules/summary-report/rule9-summaryreport.pdf?sfvrsn=166f4252_6" target="_blank" title="Rule 9: Summary Report">Rule 9: Summary Report</a></p>
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<p><a href="/docs/default-source/documents/legaldocs/bulletins/bul2022-05-cur-louisianacitizensext.pdf?sfvrsn=b8214252_6" title="Bulletin 2022-05: Published">Bulletin 2022-05: Published</a></p> <br>
<p><a href="/docs/default-source/documents/legaldocs/regulations/noi/reg114-cur-noitorepealregulatio.pdf?sfvrsn=735f4252_6" title="Regulation 114: Notice of Intent">Regulation 114: Notice of Intent</a></p>
<br>
<p><a href="/docs/default-source/documents/legaldocs/bulletins/bul2022-04-cur-prescribedformforna.pdf?sfvrsn=3a374252_6" title="Bulletin 2022-04: Published">Bulletin 2022-04: Published</a></p>
<br>
<p><a href="/docs/default-source/documents/legaldocs/rules/noi/rule10-noi-web.pdf?sfvrsn=1b564252_0" title="Rule 10: Notice of Intent">Rule 10: Notice of Intent</a></p>
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1-800-259-5300 Home Online Services News/Media FAQs Contact Us Consumers> Industry> Industry Access Insurance Type Auto Flood Health Homeowners Life & Annuities Long-Term Care Other Types Complaints File a Complaint Complaint Data Find Companies Find Agents/Adjusters Receivership Insurance Fraud Resources & Publications Consumer Resources Consumer Publications Consumer Updates Request For Proposal Senior Health/SHIIP Boards & Commissions Louisiana Health Care Commission Louisiana Property & Casualty Commission Louisiana Auto Theft & Insurance Fraud Prevention Authority RFPs Home Online Services News/Media FAQs Contact Us Industry Access Industry Access Producer/Adjuster License Application Renewals Education Address/Name Change Appointments/Affiliations Search for Producers and Adjusters Printing a License Regulatory Actions Company Licensing Application and Filing Requirements Application Forms Annual Reports Certificate of Compliance Certified Reinsurers Company Contact Changes Other Documents Reciprocal Jurisdiction Reinsurers Regulatory Actions Financial Regulation Financial Examinations Financial Filing Instructions Market Conduct Receivership Find Companies Form & Rate Filing Form and Rate Overview Form and Rate Documents P&C Rating Filing Exhibits Laws & Bulletins Search Bulletins, Directives & Regulations Insurance Law (Title 22) Legislative Updates Declaratory Orders Data Calls Hurricane Laura Data Call Hurricane Delta Data Call Hurricane Zeta Data Call Hurricane Ida Data Call Data Call Results Cybersecurity Event Taxes & Assessments Admitted Premium Tax Surplus Lines Premium Tax Surplus Lines Insurers (White List) HIPAA Assessment Resources & Publications Industry Resources Consumer Publications Diversity and Opportunity Health Care Commission Industry Access Training Webinars Request For Proposal Social Network Find Agents/Adjusters Home Online Services News/Media FAQs Contact Us Industry Access Industry Access Home Online Services News/Media FAQs Contact Us Industry Access Industry Access Home Online Services News/Media FAQs Contact Us Industry Access Industry Access Home Online Services News/Media FAQs Contact Us Industry Access Industry Access Home Online Services News/Media FAQs Contact Us Industry Access Industry Access Home Online Services News/Media FAQs Contact Us Industry Access Industry Access Home Online Services News/Media FAQs Contact Us Industry Access Industry Access Home Online Services News/Media FAQs Contact Us Industry Access Industry Access Application Forms Certified Reinsurers Financial Filing Instructions Fingerprinting for Producers/Adjusters Other Documents Contact Us Division of Company Licensing (800) 259-5300 (225) 219-9322 (Fax) COMPANY CONTACT INFORMATION Pursuant to La. R.S. 22:41.2 and LAC 37:XIII.Chapter 175 (Regulation 117), all risk bearing entities must annually provide notice to the commissioner of certain contact information and must make updates to that information no more than 30 days after a change. You may find a list of “risk bearing entities” in La. R.S. 22:48. Types of contacts. The following contact types are mandatory for all risk bearing entities: * Consumer Complaint Contact * Regulatory Compliance Contact * Annual Statement Contact * Premium Tax Contact * Cybersecurity Contact * Catastrophe/Disaster Coordination Contact * Market Conduct Contact A company may choose to have a “Primary Contact” to satisfy one or more of the requirements rather than naming separate individuals for each position. A company may also have multiples of any contact type. How to submit annual notice and changes to information. A risk bearing entity may use the Licensee Contacts Module or the Uniform Certificate of Authority Corporate Amendment Form 14 to notify the LDI of changes to the contact information but the annual notice will only be available through the Licensee Contacts Module of the Industry Access System. The annual notice must be submitted no later than March 1 of each year. Using Industry Access. Any user of the Industry Access System may request access to the Licensee Contact Module for a company and a user with access to the module for multiple companies may copy the information from one company to another with relative ease and without duplicative entries. The Industry Access Account Administrator for the company can determine which users, if any, currently have access to the module. You can find tutorials on creating an Industry Access System user ID and requesting module access on the login page at https://ia.ldi.state.la.us/industryaccess. 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