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Official Website

of the Commonwealth of Pennsylvania

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    Apply for or Renew Your Company Insurance License

    Company Licenses

    The company licensing requirements differ depending on which license you would like to apply for or renew. Use the matrix below to find information for the license type you are looking for.

    Company Licensing Help

    License TypeLicensing InfoFeesLicense DurationResources/Additional Information
    Certified Reinsurers

    Uniform Application Checklist 

    PA Form CR-1

    PA Form CR-F

    PA Form CR-S

    		Initial/Renewal Fee: $7501 Year

    PA Form CR-F Instructions

    PA Form CR-S Instructions

    Certified Review Entities (CRE)ApplicationInitial Certification:
    CRE Only - $1,000
    CRE & IRO - $2,000
    IRO Only - $2,000
    Certification Renewal
    CRE Only - $500
    CRE & IRO - $1,000
    IRO Only - $1,000    		CRE Only Certification & Renewal – 3 years
    CRE & IRO Certification & Renewal – 2 years
    IRO Only Certification & Renewal – 2 years    		 
    Continuing Care ProviderApplicationInitial/Renewal Fee: $750Valid until surrendered

    Instructions

    Disclosure Statement Checklist

    Disclosure Statement Checklist Instructions

    Resident's Agreement Checklist

    Continuing Care Retirement CommunitiesApplicationInitial/Renewal Fee: $7501 Year

    CCRC Disclosure Statement Checklist

    CCRC Resident's Agreement Checklist

    Exclusive General Agent

    Corporation or Partnership

    Application Form
    Individual

    Application Form
    Renewal Form

    		Initial/Renewal Fee: $4001 YearInstructions
    Health Maintenance Organization (HMO) ApplicationApplicationInitial/Renewal Fee: $2,500Valid until surrenderedAdditional Resources
    Health Services Plan CorporationApplicationInitial/Renewal Fee: $2,500Valid until surrendered 
    Hospital Plan CorporationApplicationInitial/Renewal Fee: $2,500Valid until surrendered 
    Insurance Administrator (TPA)

    Corporation or Partnership Application Form

    Individual Application Form

    Renewal Form

    		Initial/Renewal Fee: $1002 YearsApplication Instructions
    Managing General Agent

    Corporation or Partnership Application Form

    Individual Application Form

    		NoneValid until surrendered

    Instructions

    Authorization Form

    Pharmacy Services Administration Organization (PSAO)Sircon Apply or RenewInitial/Renewal Fee: $5002 YearsMore information on Pharmacy Benefit Registrations 
    Pharmacy​ Benefit Auditing EntitySircon Apply or Renew

    		Initial/Renewal Fee: $10,0002 YearsMore information on Pharmacy Benefit Registrations 
    Pharmacy​ Benefit Manager (PBM)Sircon Apply or Renew

    		Initial/Renewal Fee: $10,0002 YearsMore information on Pharmacy Benefit Registrations 
    Preferred Provider Organization (PPO)ApplicationInitial Fee: $2,500
    Renewal Fee: $750 Domestic/ $850 Foreign    		1 Year​PPO Instructions
    Premium Finance

    Application Form

    Renewal Form

    		Initial/Renewal Fee: $2001 Year

    Instructions

    Business Plan Form

    Biographical Affidavit Form

    ​​​​Reciprocal Jurisdiction Reinsurers

    Uniform Application Checklist

    PA Form CR-F

    PA Form CR-S

    		Initial/Renewal Fee: $7501 Year

    PA Form CR-F Instructions

    PA Form CR-S Instructions

    Reinsurance Intermediary Broker

    Corporation or Partnership Application Form

    Individual Application Form

    Renewal Form

    		None2 YearsInstructions
    Reinsurance Intermediary Manager

    Corporation or Partnership application Form

    Individual Application Form

    Renewal Form

    		None2 YearsInstructions
    Risk Purchasing GroupApplicationInitial/Renewal Fee: $100Valid until surrendered 
    Risk Retention GroupApplicationInitial/Renewal Fee: $300Valid until surrendered 
    Viatical Settlement Provider

    Individual

    Business

    Renewal Form

    		Initial/Renewal Fee: $3001 YearInstructions