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Delaware Department of

Company Regulation (BERG)

Due to the current COVID-19 health crisis Company Filings may be sent electronically until further notice
Notarization requirements are currently being waived.
Please note, the assigned analyst may  reach out at a future date to request hard/notarized copies.
Please email filings in pdf format to berg@delaware.gov and ensure the subject line reads as follows :
● Due date of Filing(s), Company Name, NAIC# (i.e. 8/15 Filings, Company Name, NAIC#)
Please do not email the analyst directly.

The Bureau of Company Examination, Rehabilitation and Guaranty, or BERG, is responsible for assuring the financial health and stability of insurance companies in Delaware. It does so by analyzing and assessing the financial condition of insurance companies domesticated and doing business in Delaware in order to protect consumers and, if necessary, by managing, rehabilitating or liquidating financially impaired insurers.

General Information

Affidavit of Exemption

Application for Name Change

Certificate Request Request form for certificates. Applicable fees are required at time of request

Form 11 Biographical Affidavit – UCAA

Form 12 Uniform Consent to Service of Process

Form D1 Designation of Person for Receipt of Service of Process

Form D2 Designation of Person to Receive Regulations, Bulletins, etc.

Form PF-1 Insurance Premium Finance Company Application

Fraud Prevention Bureau Fee Information

H-1 Form Application For Managed Care Organization Certificate Of Authority

H-2 Form Questionnaire For Certificate Of Authority Of Managed Care Organization

H-4 Form Designation of Individual for Receipt of Bulletins, Etc.

NAIC Company Code Application Required following approval of UCAA Primary application and issuance of Certificate of Authority

Surety Waiver

Use of Trade name or DBA

Voluntary Dissolution of a Delaware Domestic Company Procedure for dissolving a Delaware domestic company

Voluntary Surrender of License – TPA

Company Information

If the director/officer changes are for a group of multiple companies a cover letter (on company letterhead) is acceptable with the company names, NAIC # and FEIN. Please be sure to add this cover letter to your Biographical Affidavits or Director/Officer Update Form.

Email the cover letter and Biographical Affidavits or Director/Officer Update Form to berg@delaware.gov or mail to Delaware Department of Insurance Attn: BERG, 1351 West North Street, Suite 101, Dover, DE 19904

Security Exchange Request– Request changes to Securities held in Escrow

UCAA – Uniform Certificate of Authority Application information

Company Types

18 Del. Admin C. § 1403 (Formerly Regulation 58)

18 Del. C. §§ 6401-6420

Requirements for Obtaining Authority as a Managed Care Organization

18 Del. C. § 33A

PBM Final Order Effective 8/11/2020

Pharmacy Benefits Manager Checklist/Registration application

  • Application registration for those transacting as PBM’s prior to the regulation effective date of August 11, 2020 are required to submit their registration on or before October 1, 2020.
  • A pharmacy benefits manager shall register with the Commissioner as a pharmacy benefits manager before providing pharmacy benefits management services in this State. §3353A


Internationally Active Insurance Groups (IAIG)

Miscellaneous Links

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