Texas Department of Insurance Forms

This form is used for a checklist for group annuities in the state of Texas. It provides a comprehensive guide to ensure all necessary requirements are met when offering group annuity plans.

This Form is used for checking the requirements for filing a Return of Premium in Texas.

This document is a checklist for the Waiver of Premium form (LAC024) in Texas. It provides a list of items that need to be completed or included when submitting the form.

This form is used for conducting fire exit drills and providing fire prevention education in schools in Texas.

This form is used for the Health Maintenance Organization (HMO) in Texas to submit their annual network adequacy report and access plan checklist. It ensures that the HMO is meeting the required standards for providing adequate healthcare access to its members.

This Form is used for checking life insurance policy exclusions in Texas.

This form is used for determining noninsurance benefits in Texas. It helps to track and evaluate the benefits that are available to individuals in Texas, excluding insurance-related benefits.

This form is used for reconciling benefits of HMOs with the schedule of charges in Texas.

This form is used for certifying independence and qualifications of the reviewer in the state of Texas.

This form is used for applying for an individual agent license in the state of Texas. It is required for individuals who wish to become licensed insurance agents in Texas.

This Form is used for requesting a balance billing waiver in the state of Texas. Balance billing occurs when a healthcare provider bills a patient for the remaining amount after insurance has paid its portion.

This form is used for requesting speakers from the Texas Speakers Bureau.

This document is used for calculating the conditions of Continuing Care Retirement Communities (CCRCs) in Texas.

This form is used for administrators in Texas to submit their annual report.

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

This Form is used for applying to join the Workers' Compensation Health Care Network in Texas. It is required for healthcare providers who wish to participate in the state's workers' compensation system.

This form is used for obtaining a surety bond for a Navigator Entity in Texas.