FIN300
|
Company Name Application
Application to reserve a company name
|
PDF |
English |
FIN302
|
HMO Application for Certificate of Authority
Application for an HMO to do business in the state of Texas
|
PDF |
English |
FIN311
|
Biographical Affidavit
Biographical Affidavit form to be completed by certain officers and directors of insurance companies; compliance with statute
|
PDF |
English |
FIN321
|
Company Licensing Fee Transmittal Form
Company Licensing and Registration Fee Transmittal Form to be submitted with filings.
|
PDF |
English |
FIN345
|
Total and Partial Assumption Reinsurance for Domestic Companies
Checklist for Total and Partial Assumption Reinsurance Agreements involving at least one Texas domestic insurance company
|
PDF |
English |
FIN355
|
Biographical Affidavit and Fingerprint Requirements for Health Maintenance Organizations (HMOs)
Instructions and requirements for submitting biographical affidavit and fingerprints for Health Maintenance Organizations (HMOs)
|
PDF |
English |
FIN357
|
HMO Certificate of Authority Application Checklist
Filing instructions for an entity wishing to do business as a Health Maintenance Organization (HMO) in Texas
|
PDF |
English |
FIN358
|
HMO DBA Filing Checklist
Filing instructions relating to an HMO's DBA, Assumed Name, Trade Mark, Service Marks and Logos
|
PDF |
English |
FIN359
|
HMO Home Office Change Checklist
Filing instruction related to a Health Maintenance Organization's subsequent filing for a home office change
|
PDF |
English |
FIN360
|
HMO Name Change Checklist
Instructions related to a Health Maintenance Organization's subsequent filing for a name change
|
PDF |
English |
FIN361
|
HMO Service Area Expansion
Filing instructions for a Health Maintenance Organization wishing to provide HMO coverage in additional counties
|
PDF |
English |
FIN363
|
HMO Merger Checklist
Checklist and instructions for a Health Maintenance Organization's merger filing
|
PDF |
English |
FIN364
|
Cancellation of HMO Certificate of Authority
Instructions for a Health Maintenance Organization wishing to cancel its HMO certificate of authority to transact business in Texas.
|
PDF |
English |
FIN365
|
HMO Withdrawal Guidelines
Guidelines for a Health Maintenance Organization to file a plan of orderly withdrawal before the HMO undertakes total or substantial withdrawal.
|
PDF |
English |
FIN407
|
Statutory Deposit Transaction Form
Statutory Deposit Transaction Form is submitted when a securities is deposited or withdrawn.
|
PDF |
English |
FIN435
|
Checklist for Placing an Initial Statutory Deposit
Checklist for an insurance company to initially place security funds on deposit.
|
PDF |
English |
FIN436
|
Checklist for a Name Change or Merger of Securities on Deposit
Checklist outlining documents required for an insurance company to change the name for which securities are held.
|
PDF |
English |
FIN437
|
Checklist for Substituting Securities on Deposit
Checklist outlining documents required for an insurance company to substitute securities held on deposit.
|
PDF |
English |
FIN438
|
Checklist for Withdrawal of Statutory Deposit
Instructions outlining documents required for an insurance company to withdraw securities on deposit, due to a reduction, dissolution, merger, or cancellation of company's Certificate of Authority.
|
PDF |
English |
FIN453
|
Declaration of Trust
Form to be executed for securities held on deposit.
|
PDF |
English |