Filing of Corporate Amendments and
Information Updates

Multiple Employer Welfare Organization (MEWA)

Designation of Persons to Contact (for New Staff, New Address, New Phone, New E-mail Address)

Form 08-280 should be submitted to change the designated company person to contact for the areas listed on the form. The Form should be sent to:

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

Designation of Persons to Contact:

Name Change

Form 08-303MEWA should be submitted to amend the Certificate of Authority for a name change. The Form only should be completed (without the documents requested on page 2) and sent with $100 to:

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

Questions: Jeff Bodine
jeff.bodine@alaska.gov
907-465-4609

Please make checks payable to: Alaska Division of Insurance

Amended Articles of Incorporation

Submit the new amended Articles of Incorporation or Trust Agreement with a check for $100 to:

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

Please make checks payable to: Alaska Division of Insurance

Amended Bylaws

Submit the new amended Bylaws with a check for $100 to:

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

Please make checks payable to: Alaska Division of Insurance

Designation of Person to Receive Service of Process

One of the following Forms,UCAA Form 12 or Form 08-253 and Form 08-254, should be submitted to change the designated company person to whom legal process documents accepted by the director are to be forwarded. The Form should be sent to:

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

Redomestication

Submit the information regarding a change in domicile state by letter with $100 to amend the Certificate of Authority to:

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

Please make check payable to Alaska Division of Insurance

Other Amendments (for Changes to Other Information)

To submit other changes in company information, a letter giving the new information should be sent to the following address:

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

Surrender of Multiple Employer Welfare Arrangement (MEWA) Certificate of Authority

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