Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
Commissioner
Home Agents Agencies Insurers Fire Marshal Industrial Loan Consumer Services Premium Tax Legal Fraud

H-QUEST Forms

ATTENTION: TO ALL NEW APPLICANTS - EFFECTIVE 1/1/2012. 
In accordance with state law, beginning January 1, 2012, the Office of Insurance and Safety Fire Commissioner will be changing its procedures regarding the verification of lawful presence of persons applying for all licenses, permits, registrations and certificates. Please click HERE for more information.

ATTENTION:
 We have NEW IMPORTANT payment procedures. Please view them HERE.


Form #H-Quest This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2008
Title: Questionnaire for All Health Policy Form Filings.Responsible Executive Officer or Official Designee Required to Sign and Certify Answers Given.
Questionnaire for All Health Policy Form Filings.Responsible Executive Officer or Official Designee Required to Sign and Certify Answers Given.
PID:371-SID:527-FN:H-QUESTFORM.pdf

Form #H-QUEST General Cover for Form and Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2008
Title: H-QUEST General Cover for Form and Instructions
The H-Quest Questionnaire is being required of insurers as part of the Life and Health Division’s review of selected types of health insurance policy forms filings. These questions represent additional information the Commissioner has recently directed his staff to gather with respect to proposed health insurance forms filings or changes in previously approved health forms filings.
PID:249-SID:277-FN:H-QUESTGeneralCoverforFormandInstructions.pdf

Form #H-QUEST Instructions for Completion of Form This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2008
Title: H-QUEST Instructions for Completion of Form
H-QUEST Instructions for Completion of Form
PID:250-SID:278-FN:H-QUEST Instructions for Completion of Form.pdf

EmploymentE-VerifyTechnical Contact9/3/2015 2:48:34 AM-172.16.0.243Contact UsPrivacy PolicyLaws & Regs