New Mexico Insurance Forms
Insurance companies transacting business in New Mexico are required to deposit securities with the Office of Superintendent of Insurance in order to be qualified to transact business in the state of New Mexico. Click on the links to access the specific statutory authority:
These sections may also be found on the Internet at www.osi.state.nm.us or by calling The Nils Law Publishing at (800) 423-5910 or by writing to National Insurance Law Service, P.O. Box 2507, Chatsworth, California 91311.
The following Office of Superintendent of Insurance forms are required to exchange securities.
- Instructions and Procedures for Depositing and Withdrawing Securities
- Application for Deposit of Securities, Form No 600A
- Application for Withdrawal of Securities, Form No 600B
BE SURE THESE FORMS ARE NOT ALTERED IN ANY WAY!
The following Century Bank forms are required to verify authorization for statements, interest disposition, verify Tax Identification Number, and request Internet Access for the securities:
- Company Resolution
- Internet Access Agreement
- Terms and Conditions of Service
- Name and Address Verification
- W9 with Instructions
- TrustReporter Guide
- Secure Email Instructions
Scanned signed copies, Docusign-ed forms or forms with e-signatures may be e-mailed to the contacts below.
Should you have any questions, please contact:
Alan Snow 505.995.1210 e-mail: firstname.lastname@example.org
Debbie Guillen 505.995.1211 e-mail: email@example.com
David Mundis 505.995.1213 e-mail: firstname.lastname@example.org
|You may also mail forms to:||Overnight deliveries:|
ATTN: Alan Snow
PO Box 1507
Santa Fe, NM 87504-1507
ATTN: Alan Snow
100 S. Federal Pl
Santa Fe, NM 87501
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