E-AFR.IC (v. 20191104)
Financial Affairs Division
Arizona Department of Insurance
AUDITED FINANCIAL REPORT INTERNAL CONTROL FILINGS TRANSMITTAL FORM
In addition to the Audited Financial Report (AFR), the insurance company is required to file internal
control documents that are prepared in accordance with the NAIC Annual Financial Reporting Model
Regulation (Regulation).
Management’s Report of Internal Control Over Financial Reporting (MRIC) must comply with
Section 17 of the Regulation.
MRIC filing is required if annual direct written and assumed premiums are $500,000,000 or
more.
MRIC filing is NOT required if annual direct written and assumed premiums is less than
$500,000,000.
Complete and attach Form E-AFR.IC to the MRIC that is filed electronically with the
Department by AUGUST 1. A Form E-AFR.IC filing is NOT required if the MRIC filing is NOT
required.
Send the MRIC filing to financialfilings@azinsurance.gov
. Name the document using this
format “MRIC-NAIC Number-Insurer Name” (e.g. MRIC-55555-insurer name).
Communication of Internal Control Related Matters Noted in an Audit (CIC) must comply with
Section 11 of the Regulation.
CIC filing is required even if NO unremediated material weaknesses were noted. If no
unremediated material weaknesses state so in the filing.
The CIC must be filed electronically with the NAIC by AUGUST 1.
ENTER THE CALENDAR YEAR OF THE ATTACHED FILING:
Enter the NAIC number and name of the insurance company whose MRIC document is attached.
Name of Insurance Company
Contact Name Title
Email Address Telephone Number
A penalty fee of up to $25 per day may be assessed for any part of your AFR filing that is
filed late. ARS § 20-223.
