Reporting Portal

List the NAIC Carrier Group, and/or individual company identification numbers and company names that have authorized you to report statistical data on their behalf to the MWUA.

Company Entry
Company 1
If no Group NAIC, put "N/A" in the Group NAIC field.
Floor, suite, building, etc.

Required:

Alternate Statistical Reporting Contact

Floor, suite, building, etc.

Required:

Residual Market Reporting Officer or Senior Residual Market Manager Contact

Floor, suite, building, etc.

Required:

CFO or CEO Contact

Floor, suite, building, etc.