Please be advised, the Wilmington Office of the Delaware Department of Insurance has moved to a new location effective June 30th, 2023. The new address for the Wilmington office is: 503 Carr Road, Suite 303, Wilmington, Delaware 19809. (All payments should be mailed to 1351 West North Street, Suite 101, Dover, Delaware 19904.)

Medicaid Unwinding FAQ – See More Info

COVID-19 Insurance FAQ - See More Info

Insurance Menu

Delaware Department of
Insurance

Forms & Applications

This page provides links to many of the forms used by the Delaware Department of Insurance.

Arbitration Forms
Company Regulation Forms
Consumer Complaint Forms
Continuing Education Provider Forms
Fraud Forms
Freedom of Information Act (FOIA) Policy & Request Form (see Title 8, Delaware Administrative Code)
Home Inventory Form
Life and Health Filing Forms
Medicare Supplement Annual Filing Forms (see below)
Miscellaneous (see below)
Proof of Insurance (Regulation 606) Forms (see below)
Property and Casualty Filing Forms
Producer Licensing Forms
Surplus Lines Brokers Tax Filing Forms
Tax and Annual Renewal Forms (all companies including AR, SL, PG, and RRG)

Medicare Supplement Annual Filing Forms:

Miscellaneous Forms:

State of Delaware Employment Application
Network Disclosure and Transparency (For medical providers who have patients with policies issued in Delaware)
- APPENDIX 1 – FORM OF FACILITY-BASED PROVIDER DISCLOSURE (Word doc)
- APPENDIX 2 – FORM OF HEALTH CARE PROVIDER DISCLOSURE (Word doc)

Proof of Insurance (Regulation 606) Forms:

Attachments/Forms For Compliance With Regulation 606

FOR CARRIER USE ONLY

Related Topics: Applications, Department of Insurance, DOI, forms, Forms & Applications, insurance, Insurance Commissioner