Description: Description: Arkansas Insurance Department

Finance Home

Pre-Paid Funeral Division

Phone:  (501) 371-2683, Toll Free (800) 282-9134, Fax:  (501) 371-2747

Email: rick.toland@arkansas.gov

The Pre-Paid Funeral Section of the Finance Division reviews prepaid funeral contracts to ensure compliance with Acts 852 of 1995, 372 of 1997, 1249 of 1999 and 1043 of 2001. The review process includes examination of active and matured prepaid funeral contracts, on-site financial examinations of the licensees' trust funds and custodial accounts, review of licensees' annual reports and written and oral responses to consumers' inquiries and complaints.

Click here to download Arkansas PrePaid Benefits Law- AR Code Ann. 23-40-101 et seq.

Rule and Regulation 63- Trust Fund Release Forms for Prepaid Funeral Benefits Contracts

Rule and Regulation 84- Prepaid Funeral Benefits Contracts Recover Fund Fees

2013 Annual Report Instructions and Memorandum

 

FORM #

NAME OF FORM

AID FI CA

Custodial Agreement

AID FI C1

Seller's Affidavit of Contract Performance:  Request to Withdraw Funds or Proceeds

AID FI C2

Seller's affidavit for cancellation and refund of Prepaid Funeral Benefits Contract Proceeds

AID FI C3

Affidavit and Request of Purchase to Cancel A Prepaid Funeral Benefits Contract

Custodial Agreement

AID FI F1

Prepaid Funeral Benefits License Application

AID FI F2

Prepaid Funeral Benefits License Renewal Application

AID FI F3

Hold, Invest, & Administer Prepaid Funeral Benefits Trust Agreement

AID FI F4

Net Worth Certification by Application (Initial & Renewal)

AID FI F5

No Existing Prepaid Funeral Benefits Affidavit

AID FI F6

Change of Ownership Application / Prepaid Funeral Benefits Contracts & Trust Fund

AID FI F7

Assignment & Acceptance of Prepaid Funeral Benefits Contracts & Trust Fund

AID FI F8

Transferee's certification of Net Worth in a Change of Ownership Transaction

AID FI F9

Application to Transfer Trust Funds

FI QTRLY

Report for 1st quarter (January 1 thru March 31st each year)

FI QTRLY

Report for 2nd quarter (April 1 thru June 30th each year)

FI QTRLY

Report for 3rd quarter (July 1 thru September 30th each year)

FI QTRLY

Report for 4th quarter (October 1 thru December 31st each year)

AID FI INS

Annual Report of Insurance Funded Prepaid Funeral Contracts Jan. 1 thru Dec. 31st

AID FI CASH

Annual Report of Cash Funded Prepaid Funeral Contracts  Jan. 1 thru Dec. 31st.

AID FI ANN

Annual Report of Annuity Funded Prepaid Funeral Contracts   Jan.1 thru Dec 31st.

 

Request Copies of Public Pre-Need Funeral Reports  

 

       For assistance, click here or call 501-371-2683