Arkansas Insurance Department

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

 

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