Accident & Health and Life Insurance
Accident & Health and Life Insurance
2023 SERFF Health Filings
2022 SERFF Health Filings
Filing Requirements
- Compliance Reference for Group Accident and Health Coverages
- Compliance Reference for Individual Accident and Health Coverages
Standardized Credentialing Application
Health Maintenance Organizations
- Explanatory Letter
- Application for Certificate of Authority
- Quality of Care Assessment Guidelines
- HMO Estimated Privilege Fee Statement
Pharmacy Benefits Manager
Effective January 1, 2023, all Pharmacy Benefits Managers operating in Kansas are required to be licensed with the Department. See 2022 House Substitute for SB 28.
- Pharmacy Benefit Manager Licensing and Renewal Information and Instructions
- Network Adequacy Report
- Additional Required Information Form
- PBM Licensing Frequently Asked Questions
- PBM Initial Licensing Application Checklist
Third Party Administrators
- Renewal Process
- Application for TPA Registration
- Kansas Home State TPA Application
- Kansas Non-Resident TPA Application
- Business Entity Name Change Application
- Annual Report
- Pay Annual Report Fee
- Hardship Exemption
- Bond of Administrator
- Bulletin 1991-21
- Bulletin 2017-2
- Voluntary Surrender of Kansas TPA Certificate
Utilization Review Organizations
- Bulletin 1995-4
- Bulletin 1995-6
- K.A.R. 40-4-41
- Explanatory Letter
- Application for Utilization Review Certificate
- Renewal Process
Viatical Settlement Companies
- Viatical Settlement Provider
- Viatical Admission Application
- Viatical Explanatory Letter
- Viatical Instruction Packet