Third Party Administrator
- Initial Application & Renewal
- You may file via the National Insurance Producer Registry
Paper (must include a $50 paper processing fee in addition to the application fee)
- Initial Application
- Compliance Officer (DRP) & Firm ($300 application fee)
- Individual - Please file the NAIC Uniform Renewal Application and note at the top of form "TPA Renewal." The renewal fee is $300.
- Firm - Please contact the division to obtain a duplicate copy of your renewal form. The renewal fee is $300.