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Utah Insurance

Changes to Certificates of Authority (COA)

If the name of an insurance company, its state of domicile, or additional lines of authority are to be added to the COA, please visit the NAIC website for Corporate Amendments and forms to be filed with the department.

Completed forms, along with any fees, should be mailed to:

Utah Insurance Department
Company Licensing Division
4315 S. 2700 W., Suite 2300
Taylorsville, UT 84129

To obtain a certified certificate of authority for your company, please fill out NAIC Form 15 and submit it to If further assistance is required, please contact Dava Neal at (801) 957-9252.