To apply for an original certificate of authority, an insurer shall file with the commissioner a Uniform Certificate of Authority Application from the National Association of Insurance Commissioners that shall set forth or be accompanied by all of the following:

(1) The insurer’s request showing:

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Terms Used In Hawaii Revised Statutes 431:3-212

  • Attorney-in-fact: A person who, acting as an agent, is given written authorization by another person to transact business for him (her) out of court.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
(A) Its name, in compliance with sections 431:3-202(b) and 431:4-104(d)(1), home office location, type of insurer, organization date, state or country of its domicile, and name and location of the principal office of its attorney-in-fact, if a reciprocal insurer;
(B) The classes of insurance it proposes to transact; and
(C) Additional information as the commissioner may reasonably require.
(2) Documents including the following:

(A) A copy of its charter as amended or certified by the proper public officer of the state or country of domicile, if a foreign or alien insurer;
(B) A copy of its bylaws as amended, certified by its proper officer;
(C) A copy of its annual statement as of December 31 last preceding;
(D) An appointment of the commissioner as its attorney to receive service of legal process, if a foreign or alien insurer or a domestic reciprocal insurer;
(E) The name and business address of its authorized resident agent upon whom process may be served in all cases, if a foreign or alien insurer;
(F) A copy of the appointment and authority of its United States manager, certified by its proper officer, if an alien insurer;
(G) A certificate from the proper public official of its state or country of domicile showing that it is duly organized and authorized to transact the classes of insurance proposed to be transacted, if a foreign or alien insurer;
(H) The declaration required by section 431:4-409, if a domestic reciprocal insurer;
(I) A certificate of the proper public official as to any deposit made or held in compliance with this code;
(J) A copy of the report of the last examination made of the insurer certified by the insurance supervisory official of its state of domicile or entry into the United States, if a foreign or alien insurer; and
(K) Other documents or stipulations as the commissioner may reasonably require to evidence compliance with this code.
(3) A deposit with the commissioner of the appropriate fees required by this code.

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