Alabama Department of Insurance

Below are links to instructions and forms for Dental Service Plan Corporation as required by Section 22-21-363, Code of Alabama 1975. If assistance is needed, please contact the Department of Insurance.

Contact Person:
April Thomas - (334)241-4181

Address:
Alabama Department of Insurance
201 Monroe Street, Suite 502
Montgomery, AL 36104

• Schedule of General Requirements
• Application for Certificate of Authority
• Dental Service-Premium Tax Form
• Remittance of Premium Taxes – click HERE to electronically remit premium taxes and the premium tax form. Checks or money orders are no longer encouraged.
• Renewal Application Schedule of Requirements
• Renewal Application for Certificate of Authority
• Surety Bond