Your Certificate of Authority to operate as a captive insurance company in the State of Kansas may be continued according to K.S.A. 40-4307 provided that your company complies with Kansas law upon submission of the following material prior to March 1 annually and paying the annual fee of $10,000 per K.S.A. 40-4302d.

• Please email your annual report of financial condition to kdoi.rf@ks.gov.
• Please answer the questions and submit this online form.
• You will be taken to a payment portal after pressing submit on this application.

Regarding the annual report:

• It must be verified by oath of two of its executive officers.
• The report must be filed with generally accepted accounting principles.
• The captive insurance company may make a written application to file the report 60 days after the company’s fiscal year end instead or prior to March 1 annually.