The Ohio Ins3213 form serves as a critical document for businesses operating within the insurance sector in Ohio, detailing the requirements for those seeking to renew or continue their license as a Third Party Administrator (TPA). This comprehensive form, overseen by Judith L. French, the Director of the Ohio Department of Insurance, mandates applicants to specify whether they are applying for a resident or non-resident license and provide extensive demographic information such as the business entity’s name, Federal Employer Identification Number (FEIN), Ohio License Number, and National Producer Number (NPN). In addition, the form requires disclosure of affiliations with financial institutions or banks, detailed contact information, and identification of at least one responsible licensed producer to ensure compliance with state insurance regulations. It rigorously scrutinizes the background of the business entity and its key personnel for any criminal or administrative offenses that could affect their suitability to hold a license. The form further delves into operational aspects, asking about fidelity bond coverage, professional liability, and Errors & Omissions (E&O) insurance, alongside the maintenance of records and handling of funds, ensuring that TPAs understand and adhere to specific legal and ethical standards. Furthermore, entities are asked to report any significant changes such as alterations in ownership, management, or business address, indicating a comprehensive approach to maintaining up-to-date and compliant insurance operations in Ohio.
| Question | Answer |
|---|---|
| Form Name | Ohio Form Ins3213 |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | INS3213 ohio department of insurance tpa 2013 renewal form |
