Surrender of Life/Health Insurer Certificate of Authority

The following Form 08-290 should be printed on company letterhead and sent to:

Company Amendments
Alaska Division of Insurance
P. O. Box 110805
Juneau, AK 99811-0805

Form for Surrender of Certificate of Authority: Form 08-290

State of Alaska Licensing Companies Consumers Surplus Lines Email Webmaster Email Insurance

Consumer Services in-state Toll Free Hotline 1-800-467-8725 or 1-800-INSURAK

9th Floor State Office Bldg.
333 Willoughby Avenue 99801
Juneau, Alaska 99811-0805
Main Phone (907) 465-2515
Fax (907) 465-3422
TDD (907) 465-5437

P.O. Box 110805
Juneau, Alaska 99811-0805

Robert B. Atwood Building
550 W. 7th Avenue, Suite 1560
Anchorage, Alaska 99501-3597
Main Phone (907) 269-7900
Fax (907) 269-7910
TDD (907) 465-5437

Consumer Complaint