Form FIS0850 Financial Statement for Third Party Administrators (Tpas) - Michigan

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form FIS0850 for the current year.

Form FIS0850 Financial Statement for Third Party Administrators (Tpas) - Michigan

What Is Form FIS0850?

This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is FIS0850?
A: FIS0850 is a financial statement for Third Party Administrators (TPAs) in Michigan.

Q: Who is required to file FIS0850?
A: TPAs in Michigan are required to file FIS0850.

Q: What information does FIS0850 require?
A: FIS0850 requires TPAs to provide their financial statements.

Q: Is FIS0850 specific to Michigan?
A: Yes, FIS0850 is specific to Third Party Administrators in Michigan.

Q: What is the purpose of FIS0850?
A: The purpose of FIS0850 is to provide financial information about TPAs in Michigan.

Q: Are there any penalties for not filing FIS0850?
A: Yes, TPAs in Michigan may face penalties for not filing FIS0850, including fines and potential license suspension.

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Form Details:

  • Released on January 1, 2021;
  • The latest edition provided by the Michigan Department of Insurance and Financial Services;
  • 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 FIS0850 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.

Download Form FIS0850 Financial Statement for Third Party Administrators (Tpas) - Michigan

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