Specimen copies of the following forms are available from the Legal Division of the Department of Insurance. Submitters are responsible for obtaining their own supplies of such forms.
Document Submission Formset
Group Life Certificate of Compliance
Group Disability Certificate of Compliance
Blanket life Certificate of Compliance
Blanket Disability Certificate of Compliance
Tuition Refund Certificate of Compliance
Cal. Code Regs. Tit. 10, § 2218.9
Note: Authority cited: Sections 779.21, 10191, 10506 and 10507.4, Insurance Code. Reference: Sections 779.8, 779.13, 10205, 10205.5, 10205.6, 10225, 10270.1, 10270.2, 10270.3, 10270.5, 10270.57, 10270.9, 10270.91, 10270.92, 10270.93, 10290, 10292, 10506, 10507.2, 11066, 11069, 11512.4, 11513, 11513.1, 11513.2, 11515 and 11658, Insurance Code.