Form A Statements filed with the Missouri Department of Commerce & Insurance.

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: Hearing Dates Order Date
Proposed Acquisition of Sunset Life Insurance Company of America by Rainier Management, Ltd.; Cordillera Holdings, LLP; Foraker Holdings, LLC; and Bona Holdings, LLC 2021-10-08
Proposed Acquisition of Cornerstone National Insurance Company by CFM Insurance Inc. as AMENDED AUGUST 26, 2021 2021-08-26
NHC Advantage by NEA 17 GP, LLC; NEA Partners 17, LP; New Enterprise Associates 17 LP; Senior Housing NewCo, LLC; and Senior Housing Buyer, Inc. 2021-05-21
Preferred Physicians Medical Risk Retention Group, a Mutual Insurance Company bt ProAssurance Corporation and PRA Professional Liability Group, Inc. 2021-04-30
Agents National Title Insurance Company by Finance of America Companies Inc. 2021-03-30
National General Assurance Company, National General Insurance Company, National General Insurance Online, Inc., by Allstate Insurance Holding, LLC and The Allstate Corporation as set out in the Form A Statement and clarified in the Applicants' responses to the Departments information requests 2020-12-23
Proposed acquisition of Family Benefit Life Insurance Company by Gregg E. Zahn as set out in the Form A Application and clarified in the November 14, 2019, and December 10, 2019, Responses to the Division's November 7, 2019, and November 27, 2019, Comment Letter. 2019-12-31
Proposed Acquisition of Missouri Care, Incorporated by Anthem, Inc., an Indiana Corporation and ATH Holding Company, LEC,an Indiana limited liability company, and a direct wholly owned subsidiary of Anthem, Inc. 2019-11-14
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 2019-06-17
Proposed acquisition of control of: Proposed Acquisition of Ozark National Life Insurance Company by National Western Life Group, Inc. 2019-01-22
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 2018-11-27
Proposed Acquisition of Maiden Reinsurance North America, Inc. by Enstar Holdings (US) LLC, et al. 2018-11-21
Proposed Acquisition of Savers Property and Casualty Insurance Company by State National Insurance Company, Inc., and Markel Corporation 2018-10-31
Proposed Acquisition of Express Reinsurance Company by Cigna Corporation. 2018-10-31
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. 2018-10-30
Proposed Acquisition of Agents National Title Insurance Company by UFG Global LLC 11/28/2017 2017-12-22
Proposed Acquisition of Cigna Dental Health of Missouri, Inc. and Cigna Healthcare of St. Louis, Inc. by Anthem, Inc. 2017-05-15
Proposed Acquisition of Capital Reserve Life Insurance Company by Royalty Capital Corporation, John C. Todd, and Gregg E. Zahn 01/05/2017 2017-01-10
Proposed Acquisition of Preferred Physicians Medical Risk Retention Group, Inc. by NORCAL Mutual Insurance Company 12/6/16 2016-12-28
Proposed Acquisition of Galen Insurance Company by Missouri Professionals Mutual-Physicians Professional Indemnity Association 10/11/2016 2016-11-10
Proposed Acquisition of Capital Reserve Life Insurance Company by Inspire Capital Corporation 08/16/2016 2016-08-24
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 07/13/2016 2016-08-22
Proposed Acquisition of Gulf Coast Title Insurance Company by Agents National Title Insurance Company 07/15/2016 2016-08-01
Proposed Acquisition of United Dental Care of Missouri, Inc., by Sun Life Financial Inc. and Sun Life Assurance of Canada 12/02/2015 2016-01-05
Proposed Sale of Founders Title Insurance by Agents National Title Insurance Company 11/12/2015 2015-11-23
Proposed Acquisition of Sparta Specialty Insurance Company by Safety National Casualty Corporation 09/30/15 2015-10-09
Proposed acquisition of Savers Property & Casualty Insurance Company 06/11/2015 2015-07-06
Proposed acquisition of Lyndon Property Insurance Company by The Dai-ichi Life Insurance Co. Ltd. 9/9/2014 2014-10-01
Generali USA Life Reassurance Company by SCOR Global Life Americas Holding Inc., SCOR Global Life S.E., and SCOR S.E. 2013-09-05
Sale of Founders Title Insurance Company by Agents National Title Insurance Company 07/24/2013 2013-08-19
Coventry Healthcare of Missouri Inc by Aetna Inc. 2/19/2013 2013-03-28
Missouri Care, Inc. by WellCare Health Plans, Inc. 03/07/2013 2013-03-28
Coventry Healthcare of Missouri Inc by Aetna Inc. 2/19/2013 2013-03-28
Gateway Insurance Company by Atlas Financial Holdings, Inc. 12/12/2012 2012-12-21
Individual Assurance Company, Life, Health & Accident 12/17/2012 2012-12-18
Essentia Insurance Company by Markel Corp. 11/15/2012 2012-12-12
Arch Insurance Canada, Ltd., by Arch Insurance Company 06/12/2012 2012-06-29
Acquisition of Founders Title Insurance Company by Agents National Title Insurance Company 04/27/2012 2012-05-22
Safety National Casualty Corp. by Tokio Marine Holdings Inc. 02/24/2012 2012-02-28
Mercy's Family Health Partners, Inc. by Coventry Health Care, Inc. 11/29/2011 2011-12-19
Fidelity Security Life Insurance Company of Great American Life Insurance Company of New York 11/16/2011 2011-12-14
Family Benefit Life Insurance Company by Trinity Life Insurance Company. 09/23/2011 2011-10-14
Intermed Insurance Company by The Doctors Company 07/27/2011 2011-08-19
Mercy Health Plans and Mercy Health Plans of Missouri Inc., by Coventry Health Care Inc. 8/26/2010 2010-09-14
Vanliner Insurance Co. by National Interstate Insurance Co. 6/18/2010 2010-06-29
Capital Reserve Life Insurance Co. by American Life & Security Corp. 4/30/2010 2010-05-11
GMAC Insurance Co. Online Inc., National General Assurance Co. and National General Insurance Co. by American Capital Acquisition Corp. 11/30/2009 2009-12-28
Preservation Life Insurance Co. by PFHC Medical Management LLC 11/19/2009, 10/23/2009 2009-12-21
Preservation Life Insurance Co. by PFHC Medical Management LLC 1/05/2009 2009-02-04
Plaza Insurance Co. by State Automobile Mutual Insurance Co. 1/29/2009 2009-01-30
GMAC Direct Insurance Co. by Maiden Holdings North America Ltd. 12/10/2008 2008-12-17
Safeco National Insurance Co. by Liberty Mutual Holding Co. Inc. and others 06/18/2008 2008-09-04
American Financial Security Life Insurance Co. by American Financial Security Holdings Inc. 07/11/2008 2008-07-21
First Marine Insurance Co. by Munich American Holding Corp. and others 01/29/2008 2008-03-18
First Marine Insurance Co. by American Modern Home Insurance Co. 01/03/2008 2008-01-04
Cameron Country Mutual Insurance Co. by Cameron Mutual Insurance Co. 12/06/2007 2007-12-21
Capital Reserve Life Insurance Co. by Security National Life Insurance Co. 11/26/2007 2007-12-05
Alliance for Community Health LLC, d/b/a Mercy Care Plus by Molina HealthCare Inc. 10/12/2007 2007-10-22
Essence LLP d/b/a Essence Healthcare by Essence Group Holdings Corp. 09/19/2007 2007-09-21
Missouri Care Inc. by Aetna Health Holdings LLC 06/28/2007 2007-07-05
National Alliance Insurance Co. by Rockhill Insurance Co. 6/19/2007 2007-06-21
Traders Insurance Co. by Brooke Corp. 03/13/2007 2007-03-27
Missouri Care L.C. by Schaller Anderson Inc. 01/17/2006 2007-02-16
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 07/25/2006 2006-10-27
Essence Inc. by EHC II, LLC 8/22/2006 2006-08-31
American Healthcare Inc. by Douglas Myers 06/21/2006 2006-06-30
Alliance for Community Health LLC d/b/a Community Care Plus by Mercy Health Plans Inc. 06/13/2006 2006-06-23
Automobile Club Inter-Insurance Exchange, and others, by The Interinsurance Exchange of the Automobile Club and Automobile Club of Southern California 05/23/2006 2006-06-21
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 03/02/2006 2006-05-18
Gateway Insurance Co. by Hendricks Holding Co. Inc. 11/14/2005 2005-11-28
American Financial Security Life Insurance Co. by ACA Assurance 09/19/2005 2005-11-10
Lewer Life Insurance Co. by Michael Lewer 03/15/2005 2005-03-16
Cameron Life Insurance Co. by Unified Life Insurance Co. 12/14/2004 2004-12-15
Cambridge Life Insurance Co. et al. by Coventry Health Care Inc. 12/02/2004 2004-12-08
FirstGuard Health Plan Inc. by Centene Corp. 11/10/2004 2004-11-23
Cameron Life Insurance Co. by Texas International Life Insurance Co. 5/6/2004 2004-11-02
Alliance for Community Health LLC d/b/a Community Care Plus by Bush O'Donnell & Co. Inc 05/20/2004 2004-05-21
Blue Cross Blue Shield of Missouri, Healthy Alliance Life Ins. Co., HMO Missouri Inc. and HealthLink HMO Inc. by Anthem Holding Corp. 02/10/2004 2004-03-08
The Bar Plan Title Insurance Co. by Reliant holding Co. 12/23/2003 2003-12-30
American Life and Health Insurance Co. by American Founders Life Insurance Co. Cancelled 2003-12-18
ERC Life Reinsurance Corp. by Scottish Re Group Limited, and others 12/02/2003 2003-12-18
Independent Reciprocal Exchange by Independent Mutual Fire Insurance Co. 10/10/2003 2003-11-25
A. G. Edwards Life Insurance Co. by Heartland Health 01/17/2003 2003-02-04
Business Men's Assurance Co. of America by Liberty Life Insurance Co. 01/21/2003 2003-02-04
Mid America Century Life Insurance Co. by Citizens Inc. 01/09/2003 2003-02-04
FirstGuard Health Plan Inc. by Swope Community Enterprises 12/27/2002 2003-01-27
Mid America Health Care Plans Inc. by Coventry Health Care Inc. 11/21/2002 2002-11-27
Independent Mutual Fire Insurance Co. (MO) by Independent Mutual Fire Insurance Co. (IL) 11/07/2002 2002-11-26
Traders Insurance Co. by Mark C. Concannon 05/21/2002 2002-05-22
National Alliance Insurance Company by Motors Insurance Corporation 04/18/2002 2002-05-06
Capital Reserve Life Insurance Co. by Franklin L. Warden 04/11/2002 2002-04-15
Lyndon Life Insurance Co. by XL Life and Annuity Holding Co. 01/23/2002 2002-03-27
First American Insurance Co. by Warburg Pincus (Bermuda) Private Equity VIII, L.P. et al. and HFCP IV (Bermuda) L.P. et al. 01/24/2002 2002-02-15
First American Insurance Co. by Warburg Pincus (Bermuda) Private Equity VIII, L.P. et al. and HFCP IV (Bermuda) L.P. et al. 01/24/2002 2002-02-15
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. 12/19/2001 2002-01-16
Imperial General Life Insurance Co. by American Founders Life Insurance Co. 11/13/2001 2001-12-18
OAKRE Life Insurance Co. by American Prearranged Services Trust 06/14/2001-08/31/2001 2001-09-27
American Continental Life Insurance Co. by Continental Casualty Co. 09/05/2001 2001-09-26
AGC Life Insurance Co. by American International Group Inc. 06/26/2001 2001-07-26
First American Insurance Co. by Arch Capital Group Ltd. 05/14/2001 2001-06-04
American Central Insurance Co. by White Mountains Insurance Group Ltd. (Filing amended 03/12/2001) 11/28/2000-03/12/2001 2001-05-29
Instant Auto Insurance Co. by Vesta Insurance Group Inc. 03/15/2001 2001-05-01
Northfield Insurance Co by Citigroup Inc. 10/18/2000 2000-11-09
GenAm Benefits Insurance Co. by Health Care Service Corp. 07/24/2000 2000-07-28
Casualty Indemnity Exchange (CIE) by Mid-American General Agency Inc. 07/12/2000 2000-07-24
Chicago Title Insurance Co. by Leucadia National Corp. N/A 2000-07-17
Medical Defense Associates and Medical Defense Insurance Co. by Ivy Medical LLC 03/23/2000 2000-04-04
Integral Insurance Co. by Caterpillar Insurance Holdings Inc. 03/28/2000 2000-04-04
American Continental Insurance Co. and American Continental Life Ins. Co. by The St. Paul Cos. Inc. 02/23/2000 2000-02-29
American Continental Insurance Co. and American Continental Life Ins. Co. by The St. Paul Cos. Inc. 02/23/2000 2000-02-29
Chicago Title Insurance Co. by Fidelity National Financial 01/27/2000 2000-02-07
Lyndon Life Ins. Co. and Lyndon Property Insurance Co. by Protective Life Insurance Co. 12/15/1999 1999-12-16
Lyndon Life Ins. Co. and Lyndon Property Insurance Co. by Protective Life Insurance Co. 12/15/1999 1999-12-16
Missouri Medicare Select by MFO AHP, LLC; MFO AHP SUB LLC; AHP Orchards, LLC; Orchard Holdings LLC; Orchard Holdings II, LLC; Orchard Holdings III, LLC; Mark T. Mitchell Living Trust; Mitchell Family Irrevocable Trust; and Mark Mitchell
American Life and Health Insurance Co. by American Founders Life Insurance Co. 01/10/2002 Hearing continued