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Delaware Department of

Company Regulation (BERG)

Please refer to the Departments Annual Filing Checklists for specific filing instructions.

Insurers are encouraged to file required forms electronically to Filing fees must be in the form of a check and be accompanied by a cover letter.
The Department will accept electronic signatures that comply with the Uniform Electronic Transactions Act, Title 6 Ch. 12A.

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 Insurance Data Security Act Data Security Act – HB174 – Only required for Domestics

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

Surety Waiver

Use of Trade name or DBA

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

UCAA – Primary, Expansion and Corporate Amendment Applications and Forms

Company Information

      • NAIC Biographical Affidavits are required for all changes in Officers, Directors or Key Managerial Personnel and individuals with a 10% or more beneficial ownership in the company. Email with cover letter to within 60 days of the change

    • FOREIGN:
      • NAIC biographical affidavits are NOT required for new officers or directors. However, a letter of notification is required for changes to Officers (not directors) emailed to within 60 days of change. Notification letter must include the Company Name(s), NAIC#(s), Business Address, Phone Number, and Email Address

Please refer to the state specific chart on the NAIC website: Fingerprint and Biographical Affidavit Requirements – Industry UCAA (

Reminder: Non-Public information (NPI) should be sent securely using the State preferred method of Egress Secure

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

  • A pharmacy benefits manager shall register with the Commissioner as a pharmacy benefits manager before providing pharmacy benefits management services in this State. §3353A

Annual Renewal – May 1 (Please do not submit more than 60 days in advance)

Pharmacy Benefits Manager Name Change Application

Affidavit of Lost PBM Certificate form

Pharmacy Benefits Manager Address Change form

Pharmacy Benefits Manager Reports

  • A pharmacy benefits manager shall provide a Pharmacy Benefits Manager Network Adequacy report annually describing the pharmacy benefits manager network and the pharmacy benefits manager network’s accessibility in this State. § 3363A (a)
    • Delaware PBM Annual Network Adequacy Report
  • A pharmacy benefit manager shall provide quarterly reports with itemized amounts of pharmacy benefits manager revenue, rebate and paid sources as required in § 3363A (b). The PBM will be required to submit one Attestation and Quarterly itemized report per insurer.

Pharmacy Benefits Manager/Respondent MAC Appeal Form

18 Del. Admin C. § 2001 (Formerly Regulation 21)

18 Del. C. §§ 4801-4812

Requirements for Obtaining a License as a Premium Finance Company

Annual Renewal – January 1 (Please do not submit more than 60 days in advance)


Internationally Active Insurance Groups (IAIG)

Miscellaneous Links

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