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Application for Licensure/Registration/Renewal, Insurance Companies

Continuing Care Retirement Community, Chapter 647, Wis. Stat. (pdf form) Domestic Insurers, Chapter 611, Wis. Stat. Domestic Insurers--Fraternals, Chapter 614, Wis. Stat. or Nondomestic Fraternals Under s. 618.26, Wis. Stat. Domestic, For Profit, Health Maintenance Organizations Licensed Under Ch. 611, Wis. Stat. Domestic, Not For Profit, Health Maintenance Organizations Licensed Under Ch. 613, Wis. Stat. Domestic, Nonprofit, Limited Service Health Organizations Licensed Under Ch. 613, Wis. Stat. Domestic, For Profit, Limited Service Health Organizations Licensed Under Ch. 611, Wis. Stat. Employee Benefit Plan Administrator   Initial Application (pdf form)    Fillable pdf form   Annual Renewal (pdf form)    Fillable pdf form Gift Annuity, Chapter 615, Wis. Stat. Motor Club Services, Chapter 616, Wis. Stat. Nondomestic Insurers, Chapter 618, Wis. Stat. NAIC Uniform Certificate of Authority Application (UCAA) Reinsurer Status (Authorized/Accredited) Self-Insured Liability Plans for Providers, Section Ins 17.50, Wis. Adm. Code Vehicle Protection Product Warranty, Section 100.203, Wis. Stat. Viatical Settlement Provider License, Section 632.68, Wis. Stat. Warranty Plan, Chapter Ins 15, Wis. Adm. Code

Updated: March 27, 2008

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