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A domestic insurer is defined as an insurance company that is incorporated and primarily operates within the state of incorporation. This means that the insurer is subject to the laws and regulations of that particular state and tends to have a business presence and regulatory framework established there. While domestic insurers may offer products in other states, their home base and primary operations remain in the state where they were incorporated.

The other options describe different types of insurers or business models. Some insurers may operate in multiple states, but that does not make them domestic; rather, it indicates that they are multistate insurers. Operating solely outside the United States pertains to foreign insurers, not domestic ones. Lastly, focusing on international clients suggests a global or international insurer rather than one that is domestically focused. Thus, the essence of what constitutes a domestic insurer is having a core operational base in the state where it is incorporated.