Texas Department of Insurance Forms

This form is used for notifying the Commissioner of Insurance in Texas about the registration of a purchasing group.

This form is used for applying for an Insurance Premium Finance Company License in Texas by a Bank or Savings and Loan Association.

This form is used for the annual filing or amendment of purchasing group information in the state of Texas.

This Form is used for updating biographical information on the FIN324 Biographical Affidavit in the state of Texas. It is used to provide updated personal information for individuals associated with financial institutions.

This form is used for the annual reporting of risk retention and purchasing groups in Texas. It is required for agents to report their group's activities and compliance with state regulations.

This form is used for applying to become a Professional Employer Organization (PEO) in Texas and obtain approval to sponsor a health benefit plan for client employers.

This form is used for submitting a biographical affidavit for a captive insurance company in Texas. It collects personal information and background details of individuals associated with the company.

This Form is used for applying for a Certificate of Approval to conduct workers' compensation self-insurance group (SIG) business in the state of Texas.

This form is used for terminating a Workers' Compensation Self-insurance Group (SIG) Certificate of Approval in Texas. It provides a checklist of items that need to be completed for the termination process.

This form is used for appointing a commissioner as an agent in Texas.

This form is used for obtaining a surety bond by a Workers' Compensation Self-insurance Group (SIG) Administrator or Service Company in Texas. The bond ensures financial protection for injured workers in case of any default or non-compliance by the SIG Administrator or Service Company.

This form is used for the initial and annual filing requirements checklist for Risk Retention Groups in Texas. It outlines the necessary steps and documentation needed for compliance.

This form is used for continuing care providers to apply for a certificate of authority to do business in the state of Texas.

This Form is used for notifying the Texas Department of Insurance that an insurer or HMO will be acting as an administrator.

This form is used for applying for a Certificate of Authority in the state of Texas.

This form is used for the acquisition of health care collaborative organizations in Texas. It is a legal document that outlines the terms and conditions of the acquisition process.

This document is used for administrators in Texas to certify financial statements.

This form is used for military spouses in Texas who wish to apply to act as an administrator in legal matters.

This Form is used for surrendering the Certificate of Authority of a Third Party Administrator in the state of Texas.

This form is used for completing a checklist for the merger of HMOs (health maintenance organizations) in the state of Texas.

This Form is used for third-party administrators in Texas to notify the state of any change in their address or contact information.

This form is used for requesting the conversion of a certificate of authority to a renewal in the state of Texas.

This form is used for employers in Texas who want to become members of a Workers' Compensation Self-Insurance Group (SIG).

This form is used for the service of process by administrators in Texas.

This form is used for making changes to the corporate governance documents checklist of a Workers' Compensation Self-insurance Group (SIG) in Texas.

This form is used for reporting any changes in performance or fidelity bond for Workers' Compensation Self-insurance Group (SIG) in Texas.

This form is used for checking the increase or decrease in membership for a Workers Compensation Self-insurance Group (SIG) in Texas.

This form is used for transmittal checklist for Health Care Collaborative (HCC) filings in Texas.

This form is used for changing the name of an administrator (TPA) in Texas.

This form is used for providing payor information in the Health Care Collaborative program in Texas.