Third Party Administrator Surrender and Voluntary Clearance Request Form - Rhode Island

Third Party Administrator Surrender and Voluntary Clearance Request Form - Rhode Island

Third Party Administrator Surrender and Voluntary Clearance Request Form is a legal document that was released by the Rhode Island Department of Business Regulation - a government authority operating within Rhode Island.

FAQ

Q: What is a Third Party Administrator (TPA) surrender and voluntary clearance request form?
A: The TPA surrender and voluntary clearance request form is a document used in Rhode Island for TPAs to surrender their license and request clearance.

Q: What is a Third Party Administrator (TPA)?
A: A Third Party Administrator (TPA) is a company or individual that processes claims and provides administrative services for employee benefit plans.

Q: Who needs to use the TPA surrender and voluntary clearance request form?
A: TPAs who wish to surrender their license and request clearance in Rhode Island need to use this form.

Q: Why would a TPA surrender their license?
A: A TPA may surrender their license for various reasons, such as retiring from the industry or closing down their business.

Q: What is voluntary clearance?
A: Voluntary clearance is the process of obtaining official confirmation that a TPA has met all their obligations and can cease operations in Rhode Island.

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Form Details:

  • Released on May 20, 2003;
  • The latest edition currently provided by the Rhode Island Department of Business Regulation;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Business Regulation.

Download Third Party Administrator Surrender and Voluntary Clearance Request Form - Rhode Island

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