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This version of the form is not currently in use and is provided for reference only. Download this version of
Form INS3211
for the current year.
Form INS3211 Business Entity Third Party Administrators (Tpa) License Application - Ohio
What Is Form INS3211?
This is a legal form that was released by the Ohio Department of Insurance - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form INS3211?
A: Form INS3211 is the Business Entity Third Party Administrators (TPA) License Application for the state of Ohio.
Q: Who needs to complete this form?
A: Business entities that wish to apply for a TPA license in Ohio must complete this form.
Q: What is a Third Party Administrator?
A: A Third Party Administrator (TPA) is a company that handles the administrative services for employee benefit plans on behalf of the employer.
Form Details:
- Released on January 1, 2019;
- The latest edition provided by the Ohio Department of Insurance;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form INS3211 by clicking the link below or browse more documents and templates provided by the Ohio Department of Insurance.
Download Form INS3211 Business Entity Third Party Administrators (Tpa) License Application - Ohio
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