Non-Resident Third Party Administrator Biennial Renewal Attestation

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Renewal Instructions 

Download and fill out the Non-Resident TPA License Renewal Form.

Only non-resident administrators are required to renew on a biennial basis. A Kansas Home State license is perpetual unless suspended, surrendered, or revoked. Please upload this form to the Attachments Warehouse for Kansas review.

Please contact the Kansas Department of Insurance if you have any questions regarding this form or the renewal process: kdoi.tpa@ks.gov