Insurer Forms and Applications

Find a list of downloadable and online forms for insurance companies.

Captive Insurance

Connecticut Data Security Forms

Cybersecurity Exception Certification 
Connecticut Insurance Data Security Law Exception Certification Form
Cybersecurity Notification Form 
Complete this form and email to cid.mc@ct.gov along with all required attachments.
Data Security Law Annual Certification 
Connecticut Insurance Data Security Law Annual Certification Form

Consumer Report Card Surveys

Consumer Report Card Survey Part 1 
Five worksheets in this excel workbook
Consumer Report Card Survey Part 2 
Seven worksheets in this excel workbook
Consumer Report Card Survey Addendum  
All networks

Network Adequacy Surveys

Dental

Medical

Vision

Additional Resources