Company Licensing Forms & Applications
Insurance Company Licenses
Accredited Reinsurers
Auto Clubs or Associations
Charitable Gift Annuities
- Charitable Gift Annuity Application Packet [ONLINE]
- Charitable Gift Annuity Issuer Annual Report Form [pdf]
County Mutual Insurance Companies
Employee Leasing
- Employee Leasing Licensee Application [ONLINE]
- Employee Leasing Renewal Application [ONLINE]
- Guaranty Agreement Form [pdf]
External Review Organizations
- External Review Organizations Application Packet [pdf]
- External Review Organizations Approved List [pdf]
Health Carrier Grievance Reporting Forms and Procedures
- Instructions and Packet [pdf]
- Instructions and Packet [word]
MEWA
- MEWA Application [pdf]
Pharmacy Benefits Manager ("PBM") Licensing Packet
Prepaid Limited Health Service Organizations
Prescription Drug Discount Plan Operators
Preferred Provider Organizations
Risk Purchasing Groups
Risk Retention Groups
Tax Preparation Service Companies
Third Party Administrators
- Life and Health Third-Party Administrators Packet [ONLINE]
- Workers Compensation Third-Party Administrators Packet [ONLINE]
Utilization Review Organizations
Vehicle Protection Product
- Warrantor's Initial Registration [pdf] (Vehicle Protection Act)
- Warrantor's Registration Renewal [pdf]
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