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  Independent Third Parties Used for Verification of Biographical Information  

 

All applications for an Ohio Certificate of Authority must contain biographical affidavits, including those from health insuring corporations. Form 11, ”Biographical Affidavit,” of the NAIC Uniform Certificate of Authority Application should be used for this purpose. Select “Forms” at www.naic.org/industry_ucaa.htm to download this form.

 

The Ohio Department of Insurance also requires independent third-party verification of all biographical affidavits. Verifications must be sent to the Ohio Department of Insurance at the address below directly by the independent third party. A list of independent third parties used for verification of biographical information in Ohio is shown below. Note that the Ohio list differs from the NAIC list. Not all NAIC approved independent third parties indicated a willingness or ability to provide this service to Ohio.

 

Questions regarding all applications for certificate of authority should be addressed to Gary Burchfield at gary.burchfield@ins.state.oh.us or (614) 728-1074.

 

Send applications to:
Ohio Department of Insurance
Office of Risk Management
50 W. Town Street
Third Floor - Suite 300
Columbus, Ohio 43215
Attention: Gary Burchfield

 

An application for certificate of authority may be submitted at any time throughout the year.

 
Independent Third Parties Used for Verification of Biographical Information*

Acxiom
6111 Oak Tree Blvd.
Independence, OH 44131
(800) 853-3228

 

Bombet Cashio & Associates
11220 N. Harrel’s Ferry
Baton Rouge, LA 70816
(800) 256-5333

 

General Information Services
12770 Coit Rd., Suite 1200
Dallas, TX 75251
(214) 265-8817

 

Innerfax Inc.
314 McHenry Rd., Suite F
Buffalo Grove, IL 60089
(800) 323-0769

 

Owens OnLine, Inc.
6501 N. Himes Ave., Suite 104
Tampa, FL 33614
(800) 745-4656 Ext. 5021 or 5022

 

Business Information Group
P.O. Box 130
Southampton, PA 18966
Attn: Stefan Keller, President
(800) 369-2612

 

Applicant Insight Limited, Inc.
5390 School Road
New Port Richey, FL 34656
(800) 771-7703 Ext. 2185

 

ChoicePoint, Inc.
8659 Baypine Road
Building 3, Suite 306
Jacksonville, FL 32256
(877) 288-1317

 

Heartland Investigative Group
900 Rand Tower
Minneapolis, MN 55402
(800) 967-1882

 

James M. Sweeney & Associates, Inc.
320 LeClaire St.
Davenport, IA 52801
(563) 323-5922

 

Stephanie Froelich
IDS Backgrounds, LLC
11726 Cleveland Ave. NW
Uniontown, OH 44685
Phone (800) 262-7301
Fax (800) 262-6730
Web site: www.idsbackgrounds.com
Email: stephanie@idsbackgrounds.com

*This information is provided “as is.” This list was generated from the list provided on the NAIC UCAA website, which was then modified from inquiries made to those third parties. The Ohio Department of Insurance does not guarantee the completeness, accuracy or adequacy of this information. Inclusion on this list does not imply endorsement by this State.


 

The State of Ohio is an Equal Opportunity Employer

50 W. Town Street, Third Floor - Suite 300   Columbus, Ohio   43215
General Info: 614-644-2658  |  Consumer Hotline: 800-686-1526  |  Fraud Hotline: 800-686-1527  |  OSHIIP Hotline: 800-686-1578