Texas Department of Insurance Forms

This Form is used for making changes to the custodian of securities held in Texas.

This form is used for submitting an application for reinsurance accreditation in the state of Texas.

This form is used for renewing or amending the registration of a purchasing group in the state of Texas.

This Form is used for submitting an open records request to obtain company licensing and registration information in the state of Texas.

This form is used for reporting a change in the security for incurred liabilities within a Texas Workers' Compensation Self-insurance Group (SIG). It is used to ensure compliance with regulatory requirements.

This document is a checklist used in Texas for the merger of Workers' Compensation Self-insurance Groups (SIGs). It helps ensure the successful completion of the merger process.

This form is used for the Texas Workers' Compensation Self-insurance Group (SIG) to check the excess insurance coverage.

This form is used for creating a Declaration of Trust in Texas. It outlines the terms and conditions for managing and distributing assets held in a trust.

This Form is used for obtaining a Certificate of Authority for a Multiple Employer Welfare Arrangement (MEWA) in the state of Texas. MEWAs are arrangements that provide health or other benefits to the employees of two or more employers. This document is required to establish a MEWA in Texas and outlines the necessary steps and requirements.

This Form is used to apply for a certificate of authority to operate a health care collaborative in the state of Texas.

This Form is used for filing an annual affidavit by nonresident public insurance adjusters in Texas. It ensures compliance with state regulations for individuals working in the insurance industry.

This form is used for submitting course assignments for the FIN518 course in Texas. It is designed to ensure proper documentation of student work and facilitate grading and evaluation processes.

This Form is used for requesting a change of address for a currently registered branch office in Texas.

This form is used for applying for certification in a title insurance course in the state of Texas.

This form is used for registering or exempting affiliates of a provider network contracting entity in Texas.

This form is used for reporting prompt pay penalties by HMO/Insurers in Texas.