1. a) A written request for dissolution; or, in the case of an HMO or LHSO, a request for withdrawal of statutory deposit;
2. b) Except in the case of a non-domestic HMO or LHSO, a plan of dissolution, as described in Section 2410.60 of this Part, which must be certified by an officer of the insurance entity; a non-domestic HMO or LHSO must submit a certified plan of withdrawal that includes the information described in Section 2410.60(a)(1), (2), (3), (5) and (6) with respect to its Illinois operations;

3. c) An official written instrument in which an agreement or decision was made to dissolve the insurance entity, as follows:

   1. 1) A lawful resolution of the Board of Directors of the insurance entity surrendering its Certificate of Authority and requesting cancellation of the Articles of Incorporation by the Director; or
   2. 2) A lawful resolution from the governing body of a mutual benefit association, fraternal benefit society or burial society surrendering the insurance entity’s Certificate of Authority and requesting cancellation of the Articles of Incorporation; or
   3. 3) A lawful resolution from the governing body of an HMO or an LHSO, surrendering its Certificate of Authority; or
   4. 4) In the case of an HMO or LHSO, an administrative order issued by the governmental officer responsible for issuing the original organizational documents.
4. d) Any other documentation or information requested by the Director.

The following documents must be filed by the insurance entity with the Director in order to initiate the administrative dissolution process: