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Oregon.gov Licenses, Permits and Registrations
Department of Consumer & Business Services
Detailed Information for: Third Party Administrator
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Updated: 9/19/2007
Description: Third party administrators solicit or effect coverage of, underwrite, collect charges or premiums from, or adjust or settle claims on, residents of this state or residents of another state from offices in this state, in connection with life or health insurance coverage.




Similar Keywords: TPA
Statutes, Rules, Ordinances: ORS 744
OAR 836-075
Duration: 2 years
Fees - application, exam, etc.:  $45
Responsible Agency: Insurance Division - Licenses
Bonding Requirements: None
Insurance Requirements: Must have $500,000 in errors and omissions coverage.
Prerequisites:
  • List of individuals responsible for conduct of affairs
  • Biographical affidavits for each owner, partner, director and officer
  • All basic organizational documents and by laws
  • Annual stand alone financial statement for the last two years and most recent quarterly available
  • Business plan
  • Evidence of fiduciary account
Application Form: Third Party Administrator Application Form 440-2292
Service Links:  How to print your license
 Insurance Agency Search
 Downloadable Application Form
contact Agency Contact Information
Additional Information: Effective July 1, 2007 - The Oregon Insurance Division will no longer issue printed initial, renewal, or replacement licenses. All license information for active licensees will be available on our website. To view your license status or to print a copy, please use one of the search pages.
How to print your license

  Agency Information
Please refer to the Agency Website for further details and additional information.
Agency Name: Insurance Division - Licenses
E-mail Address: dcbs.insmail@state.or.us
Phone: 503-947-7980
Mail Address: DCBS - Insurance Division
350 Winter St NE
Salem, OR 97301 - 3883
Website Information: http://oregoninsurance.org/

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