Any purchasing group which intends to do business in this state shall furnish notice to the director which shall:
(1) Identify the state in which the group is domiciled;
(2) Specify the lines and classifications of liability insurance which the purchasing group intends to purchase;
(3) Identify the insurance company from which the group intends to purchase its insurance and the domicile, together with the complete business address, of such company;
(4) Identify the principal place of business of the group, together with the complete business address;
(5) Provide such other information as may be required by the director to verify that the purchasing group is qualified under § 58-6A-1;
(6) Identify all other states in which the group intends to do business; and
(7) Specify the method by which, and the person through whom insurance shall be offered to its members whose risks are resident or located in this state.