Kansas Insurance Department

Online

$50

Online

$50

Biennially by the end of the licensee's birth month.

http://www.ksinsurance.org/index.php

$80 for most

http://www.ksinsurance.org/index.php

$80 for most

Varies by application date

From $30 to $100 depending on license type

Online

$50

Biennially

Professional Employer Organization Initial Application

$1,000 per company

• A list of all companies included in the group with contact information and web address
• A list of jurisdictions in which the applicant(s) has operated in the past five years
• Attach a list of any branch offices maintained by the PEO in Kansas
• Audited financial statements not older than 13 months

Professional Employer Organization Application (Renewal)

$500 per company

Annually within 120 days after the end of a registrant's fiscal year.

• List of all entities within the group
• Articles of Incorporation
• List of jurisdictions applicant has operated in the past 5 years
• List of branches maintained by the PEO in the state
• List of persons owning/controlling 15% or more equity
• List of people who has served as president CEO, or authority to act as executive officer
• Audited financial statement not older than 13 months with demonstration of positive working capital or a bond, letter of credit, or securities with minimum amrket value to comply with K.S.A. 44-1706(a) plus $100,000

Professional Employer Organization Initial Application

$1,000

• Attach a list of jurisdictions in which the applicant(s) has operated in the past five (5) years.
• Attach a list of any branch offices maintained by the PEO in this state, include address and phone.
• Attach the most recent audited financial statements setting forth the financial condition of the PEO or PEO Group.
  • At the time of registration, audited financial statement shall not be older than 13 months.
  • If the closing date of the audited financial statements is older than three months from the date of application, the Applicant must also attach updated, though unaudited, financial statements for the most recent quarter, attested to by the CEO or CFO.
  • The financial statement shall be prepared in accordance with generally accepted accounting principles and audited by an independent certified public accountant licensed to practice in the jurisdiction in which such accountant is located, and shall be without qualification as to the going concern status of the PEO. A PEO Group may submit combined or consolidated audited financial statements to meet the requirements of this section. A PEO that has not had sufficient operating history to have audited financial statements based upon at least 12 months of operating history shall meet the financial capacity requirements of K.S.A. 44-1704 (f) and present financial statements reviewed by a certified public accountant.
• Demonstration of positive working capital (one of the following): 
  • Applicants must maintain positive working capital upon registration as indicated in the financial statements,
  • Submit a bond, irrevocable letter of credit or securities with a minimum market value in an amount equal to the sum of the amount that would be necessary for such professional employer organization or professional employer group to comply with K.S.A. 44-1706 (a) plus $100,000 to the commissioner at such time as the professional employer organization or professional employer group does not have sufficient working capital.

If positive working capital is not evident in the financial statements, a bond of $100,000 is required. 

Professional Employer Organization Application (Renewal)

$500

Annually within 120 days after the end of a registrant's fiscal year.

• Articles of Incorporation
• List of jurisdictions applicant has operated in the past 5 years
• List of branches maintained by the PEO in the state
• List of persons owning/controlling 15% or more equity
• List of people who has served as president CEO, or authority to act as executive officer
• Audited financial statement not older than 13 months with demonstration of positive working capital or a bond, letter of credit, or securities with minimum amrket value to comply with K.S.A. 44-1706(a) plus $100,000

Professional Employer Organization Initial Application

$500

• Articles of Incorporation
• List of jurisdictions applicant has operated in the past 5 years
• List of branches maintained by the PEO in the state
• List of persons owning/controlling 15% or more equity
• List of people who has served as president CEO, or authority to act as executive officer
• Audited financial statement not older than 13 months with demonstration of positive working capital or a bond, letter of credit, or securities with minimum amrket value to comply with K.S.A. 44-1706(a) plus $100,000

Professional Employer Organization Application (Renewal)

$500

Annually within 120 days after the end of a registrant's fiscal year.

• Articles of Incorporation
• List of jurisdictions applicant has operated in the past 5 years
• List of branches maintained by the PEO in the state
• List of persons owning/controlling 15% or more equity
• List of people who has served as president CEO, or authority to act as executive officer
• Audited financial statement not older than 13 months with demonstration of positive working capital or a bond, letter of credit, or securities with minimum amrket value to comply with K.S.A. 44-1706(a) plus $100,000

TPA Registration Application 

Mail 

$0

TPA Registratoin Application (Renewal)

Mail 

$0

Annually by December 31.

Kansas Non-Resident TPA Application

Mail 

$400

• Kansas Non-Resident TPA Checklist
• Non-Resident TPA Application
• Certificate of Good Standing issued by Declared Home State (defined KSA 40-3813(b)
• Home State TPA License (Declared Home State defined KSA 40-3813(b)

TPA Renewal Application 

Mail

$200

Biennially by December 31. 

Application for Utilization Review Certificate

$0 for URAC accredited entities and $100 for non-accredited entites.

• URAC certificate of accreditation (if applicable)
• A certified copy of the URO’s charter or articles of incorporation and bylaws

$0 for URAC accredited entities and $50 for non-accredited entites.

If your organization is URAC accredited, renewal is every 3 years, consistent with URAC requirements.  If your organization has a standard Kansas URO certificate, then the renewal is due annually.

See the instructions for renewal listed on this page.

• Current URAC accreditation certificate (if applicable)
• Any/all changes within the prior year to your organization’s Policy and Procedure documents and/or support material
• Notification of any change in officers (please submit an updated organizational chart)
• Notification of contact person and phone information
• Notification of change in address, phone number, and e-mail address
• Notification of any additions or deletions to review site locations
• Any other material changes to your organization of policy and procedures documents