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Form 995 Application for Certificate of Filing as a Liability Self-insurance Group - Kentucky
What Is Form 995?
This is a legal form that was released by the Kentucky Department of Insurance - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 995?
A: Form 995 is an application for a Certificate of Filing as a Liability Self-insurance Group in Kentucky.
Q: What is a Liability Self-insurance Group?
A: A Liability Self-insurance Group is a group of businesses that join together to provide their own liability insurance coverage.
Q: Why would a business need to file Form 995?
A: A business would need to file Form 995 in order to apply for a Certificate of Filing as a Liability Self-insurance Group in Kentucky.
Q: What information is required on Form 995?
A: Form 995 requires information such as the names and addresses of the businesses in the group, the name of the group administrator, and details about the liability insurance coverage.
Q: Is Form 995 only applicable to businesses in Kentucky?
A: Yes, Form 995 is specific to businesses in Kentucky who want to apply for a Certificate of Filing as a Liability Self-insurance Group.
Form Details:
- Released on July 1, 2020;
- The latest edition provided by the Kentucky 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 printable version of Form 995 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Insurance.
Download Form 995 Application for Certificate of Filing as a Liability Self-insurance Group - Kentucky
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