Virginia’s Insurance Marketplace is here!  

Virginia’s Insurance Marketplace is Virginia's one-stop shop where consumers can purchase quality and affordable health and dental insurance plans. The Marketplace is the only place where Virginians can access the full range of financial assistance for Qualified Health Plans (QHPs) and Qualified Dental Plans (QDPs).

The Virginia Health Benefit Exchange, a division of the SCC, operates Virginia’s Insurance Marketplace with the goal to improve health coverage accessibility and affordability for Virginians. Consumers should visit Virginia’s Insurance Marketplace to shop and enroll in a quality health plan and view financial assistance options. Small business health insurance is also available

Join Our Exchange Community 

Exchange Carriers, Agents, Certified Application Counselors (CACs), Certified Application Counselor Designated Organizations (CDOs), and Navigators can find information about how to become a Virginia certified carrier, agent or assister; regular Exchange updates, along with resources to assist them and their consumers. Visit us at www.marketplace.virginia.gov for more information, or select from options on this page.

Rate and Price Information for Certificated Communications Companies

Name	Telephone Number
Birth Injury Fund (BIF)	(804) 330-2471
Certified Financial Planner Board of Standards	1-800-487-1497
Consumer Services - Non-Insurance Complaints Consumer Protection Section, Office of the Attorney General	(804) 786-2042 1-800-552-9963
U.S. Department of Labor - Continuation of Health Coverage (COBRA)	1-866-4-USA-DOL
DCJS – Surety Bail Bondsman Licensing (Virginia Department of Criminal Justice Services)	(804) 786-4000
DMV - Consumer Contact Center (Virginia Department of Motor Vehicles)	1-800-435-5137
DMV - Motor Carrier Services (Virginia Department of Motor Vehicles)	1-866-DMVLINE
ERISA (U.S. Department of Labor, Employee Benefits Security Adm. Employee Retirement Income Security Act)	1-866-444-EBSA
FAMIS Children's Health Insurance – CoverVA	1-855-242-8282
Federal Employees Health Insurance Plan - Mail Handlers Plan	1-800-410-7778
Flood Insurance (National Flood Insurance Program)	1-888-379-9532
Virginia Life, Accident & Sickness Insurance Guaranty Association	(804) 282-2240
Virginia Property and Casualty Insurance Guaranty Association	1-800-282-2240
HIPAA (U.S. Department of Labor, Employee Benefits Security Adm.)	1-866-4-USA-DOL
Insurance Fraud (Virginia Department of State Police-Insurance Fraud Unit)	1-877-623-7283
Virginia Lawyer Referral Service (Virginia State Bar)	(804) 775-0808 1-800-552-7977
Legislative Services (Virginia Division of Legislative Services)	(804) 786-3591
Medicaid (Virginia Department of Medical Assistance Services)	(804) 786-7933
Medicare	1-800-Medicare
Medicare Claims, Appeals Information, and Medicare Summary Notices	1-800-Medicare
NAIC (National Association Insurance Commissioners)	(816) 842-3600
Provider Complaints (Virginia Department of Health Professions)	(804) 367-4400 1-800-533-1560
Quality of Care Issues/Facilities/HMOs (Virginia Department of Health)	(804) 367-2102 1-800-955-1819
Retirement for State Employees (Virginia Retirement System)	(804) 649-8059 1-888-827-3847
State Employees Insurance (Department of Human Resources Management)	(804) 225-2131
Workers' Compensation Claims (Virginia Workers' Compensation Commission)	1-877-664-2566 (Nationwide toll free number)

 

Service of Process Instructions

The following are applications and related forms for new banks and for existing banks and bank holding companies, including applications for branch offices/relocations, conversion to a state bank charter, bank mergers, and acquisitions of banks. Each application form includes filing instructions. Some application types require the filing of supplemental forms. In each instance, the appropriate supplemental forms are listed directly following the application form. It is important to carefully read and follow all instructions and to provide full and complete responses. Investigation of the application may be delayed if the application is incomplete.

Establish a New Bank

• CCB-1121 Application of a New Bank or a New Savings and Loan Association for a Certificate of Authority to Begin Business in Virginia
• SUPPLEMENTAL FORMS
  • Bank Directors Responsibilities Bureau of Financial Institutions, State Corporation Commission, Commonwealth of Virginia
  • CCB-1117 Bank Directors Responsibilities Certification
  • CCB-1123 Personal Financial Report and Disclosure Statement
  • CCB-1140 Oath of Office of Organizing Directors of Financial Institutions
  • CCB-1147 Certification Form for Interagency Biographical and Financial Report
  • CCB-1150 Employment and Business Affiliation Disclosure Form

Conversion to a State Chartered Bank

• CCB-1146 Application to Convert Pursuant to Title 6.2 of the Code of Virginia
• SUPPLEMENTAL FORMS
  • Bank Directors Responsibilities Bureau of Financial Institutions, State Corporation Commission, Commonwealth of Virginia
  • CCB-1117 Bank Directors Responsibilities Certification
  • CCB-1123 Personal Financial Report and Disclosure Statement
  • CCB-1140 Oath of Office of Organizing Directors of Financial Institutions
  • CCB-1147 Certification Form for Interagency Biographical and Financial Report
  • CCB-1150 Employment and Business Affiliation Disclosure Form

Establish a Bank Branch

• CCB-1125 Application to Establish a Branch

Change the Location of a Main Office or Bank Branch

• CCB-1126 Application to Change the Location of a Main Office or Branch Pursuant to Title 6.2 of the Code of Virginia

Bank Merger

• CCB-1128 Application for Approval of Merger Pursuant to Title 6.2 of the Code of Virginia
• SUPPLEMENTAL FORMS
  • Bank Directors Responsibilities Bureau of Financial Institutions, State Corporation Commission, Commonwealth of Virginia
  • CCB-1117 Bank Directors Responsibilities Certification
  • CCB-1123 Personal Financial Report and Disclosure Statement
  • CCB-1140 Oath of Office of Organizing Directors of Financial Institutions
  • CCB-1147 Certification Form for Interagency Biographical and Financial Report
  • CCB-1150 Employment and Business Affiliation Disclosure Form

Interim Institution to Begin Business in Virginia

• CCB-1131 Application of an Interim Institution to Begin Business in Virginia

Supplemental Forms

• Bank Directors Responsibilities Bureau of Financial Institutions, State Corporation Commission, Commonwealth of Virginia
• CCB-1117 Bank Directors Responsibilities Certification
• CCB-1123 Personal Financial Report and Disclosure Statement
• CCB-1140 Oath of Office of Organizing Directors of Financial Institutions
• CCB-1147 Certification Form for Interagency Biographical and Financial Report
• CCB-1150 Employment and Business Affiliation Disclosure Form

Permission To Acquire Voting Shares Of A Virginia Financial Institution By A Person Or A Virginia Financial Institution Holding Company

• CCB-1137 Application for Permission to Acquire Voting Shares of a Virginia Financial Institution Pursuant to Section 6.2-704 A of the Code of Virginia

Supplemental Forms

• CCB-1123 Personal Financial Report and Disclosure Statement
• CCB-1137A Consent to Service of Process
• CCB-1147 Certification Form for Interagency Biographical and Financial Report
• CCB-1150 Employment and Business Affiliation Disclosure Form

Acquire A Virginia Bank Holding Company Or Virginia Bank By An Out-Of-State Bank Holding Company

• CCB-1139 Application to Acquire a Virginia Bank Holding Company or Virginia Bank Pursuant to Section 6.2-704 C of the Code of Virginia

Supplemental Forms

• CCB-1123 Personal Financial Report and Disclosure Statement
• CCB-1137A Consent to Service of Process
• CCB-1143 Limited Personal Financial Report and Disclosure Statement
• CCB-1147 Certification Form for Interagency Biographical and Financial Report
• CCB-1150 Employment and Business Affiliation Disclosure Form

Notice Of Intent To Acquire A Bank Outside Virginia

• CCB-1138 Notice of Intent to Acquire a Bank Outside Virginia Pursuant to Section 6.2-715 of the Code of Virginia

Bank Holding Company To Acquire A Federal Savings Institution

• CCB-1144 Application of a Bank Holding Company to Acquire a Federal Savings Institution Pursuant to Section 6.2-1146 of the Code of Virginia
• SUPPLEMENTAL FORMS
  • CCB-1123 Personal Financial Report and Disclosure Statement

Establish A Subsidiary Trust Company

• CCB-1129 Application of a Subsidiary Trust Company for a Certificate of Authority to Begin Business Pursuant to Title 6.2, Chapter 10, Article 3 of the Code of Virginia

Supplemental Forms

• Bank Directors Responsibilities Bureau of Financial Institutions, State Corporation Commission, Commonwealth of Virginia
• CCB-1117 Bank Directors Responsibilities Certification
• CCB-1123 Personal Financial Report and Disclosure Statement
• CCB-1140 Oath of Office of Organizing Directors of Financial Institutions
• CCB-1147 Certification Form for Interagency Biographical and Financial Report
• CCB-1150 Employment and Business Affiliation Disclosure Form

Bank To Engage In The Trust Business

• CCB-1127 Application by a Bank To Engage in the Trust Business Pursuant to Title 6.2, Chapter 8, Article 3 of the Code of Virginia

Establish A Trust Office

• CCB-9905 Application to Establish a Trust Office

Virginia Essential Health Benefits Benchmark Plan Receives Federal Approval

This page lists the filings that you may need during the lifecycle of your Virginia or Foreign Partnership. We encourage you to file online to save time and prevent processing errors.
 

	I want to...	Fee	Filing Method
Start a New Business	Register your Partnership (UPA93)	$25	File Online or Download Form UPA93-DOC or UPA93-PDF
Renew Your Business	Renew your Partnership Registration (UPA83DRENEW)	$25	File Online or Download Form UPA83DR-DOC or UPA83DR-PDF
Update Your Business	Statement of Denial for a Partnership (UPA94)	$25	File Online or Download Form UPA94-DOC or UPA94-PDF
	Statement of Dissociation from a Partnership (UPA115)	$25	File Online or Download Form UPA115-DOC or UPA115-PDF
	Amendment to Partnership Statement (UPA83DAMEND) Note: Amend any statement filed, including statement of denial, dissociation, dissolution, or merger	$25	File Online or Download Form UPA83DA-DOC or UPA83DA-PDF
	Cancellation of Partnership Statement (UPA83DCANC) Note: Cancel any statement filed, including statement of denial, dissociation, dissolution, or merger	$25	File Online or Download Form UPA83DC-DOC or UPA83DC-PDF
Convert, Domesticate, or Merge Your Business	Convert your Virginia or Foreign Partnership to a Virginia Limited Partnership (LPA73.11:3)	$100	Download Form LPA73.11:3-DOC or LPA73.11:3-PDF
	Convert your Partnership to another eligible business type	Varies by business type	File & Attach Online (for Virginia businesses only). Download guidelines LLC1085-Part-DOC to convert to a Virginia LLC. You must create your own articles.
	Merge your Partnership with another eligible business	$25	File & Attach Online. You must create your own articles. We do not have a guide available.
Close Your Business	Statement of Dissolution for a Partnership (UPA121)	$25	File Online or Download Form UPA121-DOC or UPA121-PDF

Effective September 1, 2024 for new and renewal business - AIPSO Filing No. VA 24-01 – Virginia Exclusions-Auto Dealers Coverage Form AP 72 51 clarifies Abuse or Molestation exclusion, Perfluoroalkyl and Polyfluoroalkyl Substances exclusion added to General Liability Coverages, added Communicable Disease Exclusion for Covered Auto Liability CA 04 55 and Abuse or Molestation Exclusion for Covered Autos Liability CA 28 03 and updated Virginia Motor Carrier Endorsement CA 23 07 to track with ISO.

Effective January 1, 2025 (new and renewal business) – VAIP Commercial Lines Filing No.: VA 24-05 revised minimum financial responsibility limits to $50,000/$100,000 Bodily Injury and $25,000 Property Damage, Uninsured/Underinsured Motorist limits to 50,000/$100,000 Bodily Injury and $25,000 Property Damage, Combined Single Limit to $125,000, and amendments have been made to the Virginia Changes - Business Auto Coverage Form AP 20 89 and Virginia Changes - Auto Dealers Coverage Form AP 20 90.

KING’S GRANT CONTINUING CARE PROVIDER 2024 DISCLOSURE STATEMENT