Form A Statements filed with the Missouri Department of Insurance, Financial Institutions and Professional Registration

Any person seeking to acquire control of a Missouri domestic insurer must file a Form A Statement with and obtain the approval of the Director of the Missouri Department of Insurance, Financial Institutions and Professional Registration. See sections 382.040-382.095, RSMo, and 20 CSR 200-11.101. House Bill 50 (2015), effective on August 28, 2015, includes new Form A Statement requirements relating to enterprise risk management (“ERM”) at section 382.050.1(13) and (14), RSMo, and the companion filing of a Form E pre-acquisition notification pursuant to sections 382.040.3 and 382.095, RSMo.

Standards: The Director reviews each Form A Statement to determine:

  1. If, after the change of control the domestic insurer will be able to satisfy the requirements for the issuance of a license to write the line or lines of insurance for which it is presently licensed;
  2. The effect of the acquisition of control on competition in insurance in this state;
  3. If the financial condition of any acquiring person might jeopardize the financial stability of the domestic insurer or prejudice the interest of its policyholders;
  4. The fairness, reasonableness and public interest of any plans or proposals which the acquiring person has for the insurer, its assets, its business or corporate structure, or its management;
  5. The competence, experience and integrity of the persons who will control the operations of the domestic insurer; and
  6. If the acquisition is likely to be hazardous or prejudicial to the insurance buying public.

Under section 382.060, "[t]he director shall approve any merger or other acquisition of control referred to in section 382.040 unless after a public hearing" the director makes certain findings. The director reserves the right to hold a hearing on any given Form A. Under section 382.060.3, the director is required to make a determination within thirty days after the conclusion of any such hearing.

The table below shows the filing and disposition of recent Form A Statements.

Proposed acquisition of Control of: Date Filed Hearing Dates Order Date Comments
Proposed Acquisition of Wellcare of Missouri Health Insurance Company, Inc., and Missouri Care, Incorporated, each, an indirect subsidiary of Wellcare Health Plans, Inc. by Centene Corporation 2019-04-19 2019-06-17 Approved with Conditions
Proposed acquisition of control of: Proposed Acquisition of Ozark National Life Insurance Company by National Western Life Group, Inc. 2018-11-05 2019-01-22 Approved
Proposed Acquisition of Cornerstone National Insurance Company by CFM Insurance Inc. 2018-10-18 2019-01-04 Approved with Conditions
Proposed Acquisition of Missouri Medicare Select, LLC by American Health Companies, Inc., American Health Holdings, Inc., American Health Advantage of Missouri, LLC., JCT Family Limited Partnership and Lierman Investment Company, LLC 2018-10-09 2018-11-27 Approved with conditions
Proposed Acquisition of Maiden Reinsurance North America, Inc. by Enstar Holdings (US) LLC, et al. 2018-10-11 2018-11-21 Approved with conditions
Proposed Acquisition of Savers Property and Casualty Insurance Company by State National Insurance Company, Inc., and Markel Corporation 2018-09-10 2018-10-31 Approved
Proposed Acquisition of Express Reinsurance Company by Cigna Corporation. 2018-04-20 2018-10-31 Approved
Proposed Acquisition of Coventry Health and Life Insurance Company, Coventry Health Care of Missouri, Inc., and AETNA Better Health of Missouri, LLC, subsidiaries of AETNA, Inc. by CVS Health Corporation. 2018-01-08 2018-10-30 Approved with Conditions
Proposed Acquisition of Agents National Title Insurance Company by UFG Global LLC 2017-10-04 11/28/2017 2017-12-22 Approved
Proposed Acquisition of Cigna Dental Health of Missouri, Inc. and Cigna Healthcare of St. Louis, Inc. by Anthem, Inc. 2015-10-20 2017-05-15 Withdrawn
Proposed Acquisition of Capital Reserve Life Insurance Company by Royalty Capital Corporation, John C. Todd, and Gregg E. Zahn 2016-12-06 01/05/2017 2017-01-10 Approved with Conditions
Proposed Acquisition of Preferred Physicians Medical Risk Retention Group, Inc. by NORCAL Mutual Insurance Company 2016-10-24 12/6/16 2016-12-28 Approved
Proposed Acquisition of Galen Insurance Company by Missouri Professionals Mutual-Physicians Professional Indemnity Association 2016-06-03 10/11/2016 2016-11-10 Disapproved
Proposed Acquisition of Capital Reserve Life Insurance Company by Inspire Capital Corporation 2016-02-17 08/16/2016 2016-08-24 Approved with conditions
Proposed Acquisition of Fidelity Security Life Insurance Company by Richard and Sandra Jones Family GST Trust for Richard F. Jones, Jr., Richard and Sandra Jones Family GST Trust for Bradford R. Jones, and Richard and Sandra Jones Family GST Trust for Bryson L. Jones 2016-06-06 07/13/2016 2016-08-22 Approved
Proposed Acquisition of Gulf Coast Title Insurance Company by Agents National Title Insurance Company 2016-06-03 07/15/2016 2016-08-01 Approved
Proposed Acquisition of United Dental Care of Missouri, Inc., by Sun Life Financial Inc. and Sun Life Assurance of Canada 2015-10-28 12/02/2015 2016-01-05 Approved
Proposed Sale of Founders Title Insurance by Agents National Title Insurance Company 2015-10-20 11/12/2015 2015-11-23 Approved
Proposed Acquisition of Sparta Specialty Insurance Company by Safety National Casualty Corporation 2015-09-17 09/30/15 2015-10-09 Approved
Proposed acquisition of Savers Property & Casualty Insurance Company 2015-01-30 06/11/2015 2015-07-06 Approved with conditions
Proposed acquisition of Lyndon Property Insurance Company by The Dai-ichi Life Insurance Co. Ltd. 2014-07-21 9/9/2014 2014-10-01 Approved
Generali USA Life Reassurance Company by SCOR Global Life Americas Holding Inc., SCOR Global Life S.E., and SCOR S.E. 2013-06-25 2013-09-05 Withdrawn
Sale of Founders Title Insurance Company by Agents National Title Insurance Company 2013-06-27 07/24/2013 2013-08-19 Approved with conditions
Missouri Care, Inc. by WellCare Health Plans, Inc. 2013-02-07 03/07/2013 2013-03-28 Approved
Coventry Healthcare of Missouri Inc by Aetna Inc. 2012-09-17 2/19/2013 2013-03-28 Approved with Conditions
Coventry Healthcare of Missouri Inc by Aetna Inc. 2012-09-17 2/19/2013 2013-03-28 Approved with Conditions
Gateway Insurance Company by Atlas Financial Holdings, Inc. 2012-11-01 12/12/2012 2012-12-21 Approved
Individual Assurance Company, Life, Health & Accident 2012-11-19 12/17/2012 2012-12-18 Approved with Conditions
Essentia Insurance Company by Markel Corp. 2012-10-18 11/15/2012 2012-12-12 Approved
Arch Insurance Canada, Ltd., by Arch Insurance Company 2012-05-11 06/12/2012 2012-06-29 Approved
Acquisition of Founders Title Insurance Company by Agents National Title Insurance Company 2012-03-09 04/27/2012 2012-05-22 Approved
Safety National Casualty Corp. by Tokio Marine Holdings Inc. 2012-01-25 02/24/2012 2012-02-28 Approved
Mercy's Family Health Partners, Inc. by Coventry Health Care, Inc. 2011-10-28 11/29/2011 2011-12-19 Approved
Fidelity Security Life Insurance Company of Great American Life Insurance Company of New York 2011-09-28 11/16/2011 2011-12-14 Approved
Family Benefit Life Insurance Company by Trinity Life Insurance Company. 2011-08-25 09/23/2011 2011-10-14 Approved
Intermed Insurance Company by The Doctors Company 2011-06-14 07/27/2011 2011-08-19 Approved
Mercy Health Plans and Mercy Health Plans of Missouri Inc., by Coventry Health Care Inc. 2010-07-08 8/26/2010 2010-09-14 Approved
Vanliner Insurance Co. by National Interstate Insurance Co. 2010-04-30 6/18/2010 2010-06-29 Approved
Capital Reserve Life Insurance Co. by American Life & Security Corp. 2010-03-26 4/30/2010 2010-05-11 Approved
GMAC Insurance Co. Online Inc., National General Assurance Co. and National General Insurance Co. by American Capital Acquisition Corp. 2009-10-29 11/30/2009 2009-12-28 Approved
Preservation Life Insurance Co. by PFHC Medical Management LLC 2009-08-28 11/19/2009, 10/23/2009 2009-12-21 Approved
Preservation Life Insurance Co. by PFHC Medical Management LLC 2008-12-05 1/05/2009 2009-02-04 Disapproved
Plaza Insurance Co. by State Automobile Mutual Insurance Co. 2008-12-09 1/29/2009 2009-01-30 Approved
GMAC Direct Insurance Co. by Maiden Holdings North America Ltd. 2008-11-10 12/10/2008 2008-12-17 Approved with Condition
Safeco National Insurance Co. by Liberty Mutual Holding Co. Inc. and others 2008-05-16 06/18/2008 2008-09-04 Approved
American Financial Security Life Insurance Co. by American Financial Security Holdings Inc. 2008-03-27 07/11/2008 2008-07-21 Approved with Condition
First Marine Insurance Co. by Munich American Holding Corp. and others 2007-12-28 01/29/2008 2008-03-18 Approved
First Marine Insurance Co. by American Modern Home Insurance Co. 2007-12-07 01/03/2008 2008-01-04 Approved
Cameron Country Mutual Insurance Co. by Cameron Mutual Insurance Co. 2007-11-02 12/06/2007 2007-12-21 Approved
Capital Reserve Life Insurance Co. by Security National Life Insurance Co. 2007-10-26 11/26/2007 2007-12-05 Approved with Condition
Alliance for Community Health LLC, d/b/a Mercy Care Plus by Molina HealthCare Inc. 2007-09-17 10/12/2007 2007-10-22 Approved with Condition
Essence LLP d/b/a Essence Healthcare by Essence Group Holdings Corp. 2007-08-07 09/19/2007 2007-09-21 Approved with Condition
Missouri Care Inc. by Aetna Health Holdings LLC 2007-05-31 06/28/2007 2007-07-05 Approved
National Alliance Insurance Co. by Rockhill Insurance Co. 2007-05-22 6/19/2007 2007-06-21 Approved
Traders Insurance Co. by Brooke Corp. 2007-02-07 03/13/2007 2007-03-27 Approved
Missouri Care L.C. by Schaller Anderson Inc. 2006-11-28 01/17/2006 2007-02-16 Approved
National Alliance Insurance Co., GMAC Direct Insurance Co., GMAC Insurance Co. Online Inc., National General Assurance Co., and National General Insurance Co. by FIM Holdings LLC, Cerberus FIM Investors LLC, Cerberus FIM LLC, and Stephen A Fienberg 2006-06-09 07/25/2006 2006-10-27 Approved
Essence Inc. by EHC II, LLC 2006-07-18 8/22/2006 2006-08-31 Approved
American Healthcare Inc. by Douglas Myers 2006-05-17 06/21/2006 2006-06-30 Approved
Alliance for Community Health LLC d/b/a Community Care Plus by Mercy Health Plans Inc. 2006-05-16 06/13/2006 2006-06-23 Approved
Automobile Club Inter-Insurance Exchange, and others, by The Interinsurance Exchange of the Automobile Club and Automobile Club of Southern California 2006-04-14 05/23/2006 2006-06-21 Approved with Condition
Employers Reinsurance Corporation, First Marine Insurance Company, First Specialty Insurance Corporation and Westport Insurance Corporation by Swiss Reinsurance Company and Swiss Re America Holding Corporation 2006-01-09 03/02/2006 2006-05-18 Approved
Gateway Insurance Co. by Hendricks Holding Co. Inc. 2005-10-17 11/14/2005 2005-11-28 Approved with Condition
American Financial Security Life Insurance Co. by ACA Assurance 2005-08-26 09/19/2005 2005-11-10 Approved with Condition
Lewer Life Insurance Co. by Michael Lewer 2005-02-18 03/15/2005 2005-03-16 Approved
Cameron Life Insurance Co. by Unified Life Insurance Co. 2004-11-01 12/14/2004 2004-12-15 Approved
Cambridge Life Insurance Co. et al. by Coventry Health Care Inc. 2004-10-25 12/02/2004 2004-12-08 Approved
FirstGuard Health Plan Inc. by Centene Corp. 2004-10-12 11/10/2004 2004-11-23 Approved with condition
Cameron Life Insurance Co. by Texas International Life Insurance Co. 2004-02-19 5/6/2004 2004-11-02 Withdrawn
Alliance for Community Health LLC d/b/a Community Care Plus by Bush O'Donnell & Co. Inc 2004-04-05 05/20/2004 2004-05-21 Approved
Blue Cross Blue Shield of Missouri, Healthy Alliance Life Ins. Co., HMO Missouri Inc. and HealthLink HMO Inc. by Anthem Holding Corp. 2003-12-17 02/10/2004 2004-03-08 Approved
The Bar Plan Title Insurance Co. by Reliant holding Co. 2003-11-26 12/23/2003 2003-12-30 Approved with Condition
American Life and Health Insurance Co. by American Founders Life Insurance Co. 2002-10-22 Cancelled 2003-12-18 Withdrawn
ERC Life Reinsurance Corp. by Scottish Re Group Limited, and others 2003-10-30 12/02/2003 2003-12-18 Approved
Independent Reciprocal Exchange by Independent Mutual Fire Insurance Co. 2003-09-09 10/10/2003 2003-11-25 Approved
A. G. Edwards Life Insurance Co. by Heartland Health 2002-12-20 01/17/2003 2003-02-04 Approved with condition
Business Men's Assurance Co. of America by Liberty Life Insurance Co. 2002-09-24 01/21/2003 2003-02-04 Approved
Mid America Century Life Insurance Co. by Citizens Inc. 2002-12-11 01/09/2003 2003-02-04 Approved
FirstGuard Health Plan Inc. by Swope Community Enterprises 2002-11-19 12/27/2002 2003-01-27 Approved
Mid America Health Care Plans Inc. by Coventry Health Care Inc. 2002-09-18 11/21/2002 2002-11-27 Approved
Independent Mutual Fire Insurance Co. (MO) by Independent Mutual Fire Insurance Co. (IL) 2002-09-05 11/07/2002 2002-11-26 Approved
Traders Insurance Co. by Mark C. Concannon 2002-04-18 05/21/2002 2002-05-22 Approved
National Alliance Insurance Company by Motors Insurance Corporation 2002-03-22 04/18/2002 2002-05-06 Approved
Capital Reserve Life Insurance Co. by Franklin L. Warden 2002-03-15 04/11/2002 2002-04-15 Approved
Lyndon Life Insurance Co. by XL Life and Annuity Holding Co. 2001-12-27 01/23/2002 2002-03-27 Approved
First American Insurance Co. by Warburg Pincus (Bermuda) Private Equity VIII, L.P. et al. and HFCP IV (Bermuda) L.P. et al. 2001-12-20 01/24/2002 2002-02-15 Approved
First American Insurance Co. by Warburg Pincus (Bermuda) Private Equity VIII, L.P. et al. and HFCP IV (Bermuda) L.P. et al. 2001-12-20 01/24/2002 2002-02-15 Approved
Healthy Alliance Life Insurance Co., HMO Missouri Inc. and HealthLink HMO Inc. wholly owned subsidiaries of RightChoice Managed Care Inc. d/b/a Blue Cross & Blue Shield of Missouri and Alliance Blue Cross and Blue Shield by WellPoint Health Networks Inc. 2001-11-19 12/19/2001 2002-01-16 Approved
Imperial General Life Insurance Co. by American Founders Life Insurance Co. 2001-10-19 11/13/2001 2001-12-18 Approved
OAKRE Life Insurance Co. by American Prearranged Services Trust 2001-05-16 06/14/2001-08/31/2001 2001-09-27 Approved with Condition
American Continental Life Insurance Co. by Continental Casualty Co. 2001-08-06 09/05/2001 2001-09-26 Approved
AGC Life Insurance Co. by American International Group Inc. 2001-05-29 06/26/2001 2001-07-26 Approved
First American Insurance Co. by Arch Capital Group Ltd. 2001-04-26 05/14/2001 2001-06-04 Approved
American Central Insurance Co. by White Mountains Insurance Group Ltd. (Filing amended 03/12/2001) 2000-10-20 11/28/2000-03/12/2001 2001-05-29 Approved
Instant Auto Insurance Co. by Vesta Insurance Group Inc. 2001-02-16 03/15/2001 2001-05-01 Approved
Northfield Insurance Co by Citigroup Inc. 2000-09-15 10/18/2000 2000-11-09 Approved
GenAm Benefits Insurance Co. by Health Care Service Corp. 2000-06-23 07/24/2000 2000-07-28 Approved
Casualty Indemnity Exchange (CIE) by Mid-American General Agency Inc. 2000-06-09 07/12/2000 2000-07-24 Approved
Chicago Title Insurance Co. by Leucadia National Corp. 2000-04-25 N/A 2000-07-17 Exempted
Medical Defense Associates and Medical Defense Insurance Co. by Ivy Medical LLC 2000-02-23 03/23/2000 2000-04-04 Approved
Integral Insurance Co. by Caterpillar Insurance Holdings Inc. 2000-03-02 03/28/2000 2000-04-04 Approved
American Continental Insurance Co. and American Continental Life Ins. Co. by The St. Paul Cos. Inc. 2000-01-28 02/23/2000 2000-02-29 Approved
American Continental Insurance Co. and American Continental Life Ins. Co. by The St. Paul Cos. Inc. 2000-01-28 02/23/2000 2000-02-29 Approved
Chicago Title Insurance Co. by Fidelity National Financial 1999-10-19 01/27/2000 2000-02-07 Approved with conditions
Lyndon Life Ins. Co. and Lyndon Property Insurance Co. by Protective Life Insurance Co. 1999-11-15 12/15/1999 1999-12-16 Approved
Lyndon Life Ins. Co. and Lyndon Property Insurance Co. by Protective Life Insurance Co. 1999-11-15 12/15/1999 1999-12-16 Approved
American Life and Health Insurance Co. by American Founders Life Insurance Co. 2001-12-10 01/10/2002 Hearing continued Withdrawn
2012-06-25