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Certification for Accredited and Trusteed Reinsurer

For more information regarding any of the topics below, go to the Company Licensing and Registration home page.

Forms and Checklists

Certification for Accredited and Trusteed Reinsurer
TDI Form Number Description File FormatLanguage
FIN405
Company Licensing and Registration Open Records Request
Open Records Request form for the Company Licensing and Registration Office
PDF English
FIN426
Form R-4, Accredited/Trusteed Reinsurer Checklist
See FIN425 for memo with further instructions. Accredited Reinsurers to submit this form with initial and annual filing.
PDF English
FIN427
Form R-1, Submission for Reinsurance Accreditation
See FIN425 for memo with further instructions.
PDF English
FIN428
Form R-3, Certificate of Assuming Insurer
Form R-3 (notarized form) Designates Commissioner of Insurance as Attorney for Service; submits to the COI to examine its books and records; submits to the jurisdiction of any court of competent jurisdiction in Texas for adjudication of any issues.
PDF English
FIN429
Accredited/Trusteed Reinsurer Business Plan Outline
Guide to key elements that might be included in a 3-year business plan for Accredited/Trusteed Reinsurers.
PDF English

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