Property & Casualty

Property & Casualty Companies

• Auto Insurance – Approved Accident Prevention Courses
• Fire/Windstorm Liens
• Rate & Form Filing Checklists

Advisory Organizations

• Advisory Organization Registration

Auto Self Insurers

• Kansas Resident Self-Insured Auto Application 40-3104
• NonResident Self-Insured Auto Application 40-3106
• Self-Insured Motor Carrier Application 66-1128

Premium Finance Company

• Continuation of License as a Premium Finance Company

Pools

• Group Funded Workers’ Compensation Pool Annual Information
• Municipal Funded Pool Annual Information

Rating Organizations

• Application for New or Renewal License as a Rating Organization

Risk Purchasing Group

• Risk Purchasing Group Initial Application
• Risk Purchasing Group Appointment of Attorney to Accept Service and Designation Form
• Change Form

Risk Retention Groups

• Risk Retention Groups Annual Premium Tax Statement

Title Companies, Agents and Agencies

• Information for Title Companies, Agents and Agencies
• Sample Format for filing Charges for Escrow, Closing and Other Services
• Sample Format for filing Commercial Title Insurance Rates
• Sample Format for filing Residential Title Insurance Rates
• Kansas Counties with Population less than 10,000
• Unique and Unusual Rule: Electronic Form for Title Insurance Individual Risk Filing
• Controlled Business Reports: Electronic Form For Annual Affiliated Transactions Filing
• Bulletin 1989-31
• Title Rates

Authorization Forms

• Application for Subscription to the Kansas Automobile Assigned Claims Plan
• Application for Subscription to the Kansas Automobile Insurance Plan
• Declaration of Compliance with the Kansas Automobile Injury Reparations Act
• Declaration of Compliance with the Kansas Health Care Provider Insurance Availability Act-PDF
• Kansas Basic Property Insurance Inspection and Placement Program
• Membership Agreement for Kansas Health Care Provider Insurance Availability Plan-PDF
• Non-Admitted Carrier Declaration of Compliance with the Kansas Automobile Injury Reparations Act-PDF
• Non-Admitted Carrier Declaration of Compliance with the Kansas Health Care Provider Insurance Availability Act-PDF
• Request for Notification to the Corporation Commission
• Membership Agreement for Workers Compensation Assigned Risk Pool