The Prepaid Funeral Division, a section of the Finance Division, reviews prepaid funeral contracts to ensure compliance with Acts 852 of 1995, 372 of 1997, 1249 of 1999 ad 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.

  • Legal/Regulatory References - Prepaid Funeral Benefits Law

Arkansas Prepaid Funeral Benefits Law (A.C.A. § 23-40-101 et seq.)

Rule 63 - Preneed Insurance Replacement and Prepaid Funeral Benefits Contract Cancellation Requirements

Rule 84 - Prepaid Funeral Benefits Contracts Recovery Fund Fees

  • Annual Report Recap

           2016     2015     2014     2013

 

  • Annual Report Forms & Instructions

            AID-FI-AR2016 2016 Annual Report Form(Consolidated format) January 1 through December 31st

           2016 Annual Report Completion Instructions

  • Quarterly Report Forms & Instructions

            AID-FI-QTRLY (2017Q1) 1st Quarter 2017 (01/01/17 - 03/31/17)

            AID-FI-QTRLY (2017Q2) 2nd Quarter 2017 (04/01/17 - 06/30/17)

            AID-FI-QTRLY (2017Q3) 3rd Quarter 2017 (07/01/17 - 09/30/17)

            AID-FI-QTRLY (2017Q4) 4th Quarter 2017 (10/01/17 - 12/31/17)

  • Prepaid Contract Cancellation/Transfer Forms

            AID-FI-C1 Seller’s Affidavit of Contract Performance: Request to Withdraw Funds or Proceeds

            AID-FI-C2 Seller’s affidavit for Cancellation and Cash Surrender or Re-Assignment of Prepaid Funeral Benefits Contract Proceeds

            AID-FI-C3 Affidavit and Request of Purchaser to Cancel a Prepaid Funeral Benefits Contract

            Appendix A Important Notice: Replacement of Life Insurance or Annuities

            Appendix B Important Notice: Replacement of Prepaid Funeral Benefit Contracts

  • Initial Prepaid Funeral Benefits License Application Forms

            AID-FI-F1 Application for a Prepaid Funeral Benefits License

            AID-FI-F3 Agreement to Hold, Invest & Administer Prepaid Funeral Benefits Trust  (a.k.a. Trust Agreement)

            AID-FI-F4 Certification of Net Worth by Applicant for Initial or Renewed License

            AID-FI-F5 Applicant’s Afficavit of No Existing Prepaid Funeral Contracts

            AID-FI-CA Custodial Agreement

  • Renewal Application Forms

            AID-FI-F2 Application for Renewal of a Prepaid Funeral Benefits License

            AID-FI-F4 Certification of Net Worth by Applicant for Initial or Renewed License

  • Change of Owndership Application Forms

             AID-FI-F6 Application for Change of Ownership of Prepaid Funeral Benefits Contracts and Funds

             AID-FI-F7 Assignment and Acceptance of Prepaid Funeral Benefits Contracts and Trust Funds

             AID-FI-F8 Transferee's certification of Net Worth in a Change of Ownership Transaction

  • Transfer of Trust Funds Application Forms

              AID-FI-F9 Application to Transfer Trust Funds

              AID-FI-F3 Agreement to Hold, Invest & Administer Prepaid Funeral Benefits Trust (a.k.a. Trust  Agreement)

  • Prepaid Recovery Program Claim Form

             AID-FI-PRA Prepaid Recovery Program Fund Application for Reimbursement

Contact Us