Arkansas Insurance Department - Product Compliance Division


Please Note

We are a service company that can help you file with the Arkansas Insurance Department - Product Compliance Division. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Phone: 501-371-2800
Fax: 501-371-2748

Web: Home Name search
Email: Insurance.Product.Compliance@Arkansas.gov

Licenses

We track the following licenses with the Arkansas Insurance Department - Product Compliance Division in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

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Arkansas Professional Employer Organization License

Agency:Arkansas Insurance Department - Product Compliance Division
Law:

Arkansas Code § 23-92-404

Foreign Qualification is Prerequisite:Yes
Financial Requirements:

Licensees must maintain a net worth of at least $100,000.

Insurance Requirements:

Certificates of insurance certifying that workers compensation coverage has been secured for each client must be submitted to the Department within 30 days of its effective date.

Bond Requirements:

Either a bond in the amount of at least $100,000, an irrevocable letter of credit in a face amount of at least $100,000, or proof of a deposit of securities with a minimum market value of $100,000 is required.

Notes:

PEOs that are accredited by ESAC, which is a licensed Employer Assurance Service Organization (ESAO) in Arkansas, are not required to post the required $100,000 bond or submit the application and biennial renewal forms.

Fact Checked:6/1/21

Initial Registration

Form:

Form PEO-P: PEO Application

Agency Fee:

$1,000

Notarize:Required
Required Attachments:
  • A list by jurisdiction of each name under which the PEO(s) has operated in the preceding five (5) years, including any fictitious names, alternative names, names of predecessors and, if known, successor business entities
  • Controlling Person Exhibit for each controlling person
  • A financial statement setting forth the financial condition of the PEO, as of a date not earlier than 180 days before the date the financial statement is submitted to the commissioner. The financial shall be prepared in accordance with generally accepted accounting principles, and unless the PEO provides financial assurance as set forth in Ark. Code Ann. §23-92-408(a)(2), the financial statement shall be audited by an independent certified public accountant licensed to practice in Arkansas or the state of domicile of the PEO.
  • The states in which the applicant is currently doing business as a PEO
  • A list of all licenses held by the applicant or its controlling persons
  • If the applicant is organized under Arkansas law as a corporation, limited partnership or limited liability company, attach a copy the relevant certificate issued by the Secretary of State of Arkansas. If a partnership or sole proprietor doing business under an assumed name, please furnish a copy of any assumed name filing and indicate the county or counties in which it is filed.
  • If the applicant is organized under the laws of another state as a corporation, limited partnership or limited liability company, attach a copy of the relevant certificate issued by the Secretary of State of Arkansas, evidencing the applicant’s authority to conduct business in the State of Arkansas
  • Copies of all notices, pleadings, answers, complaints, orders that set out the allegations, the applicant’s defenses, the basis upon which the action was concluded (if applicable)
  • A list of litigation pending against the applicant (if applicable)
  • A specimen copy of the proposed contract between the applicant and its clients
  • An explanation of any health benefits available to your employees
  • An explanation of any other benefits that may be provided to the employee
Fact Checked:6/1/21

Registration Renewal

Form:

Form PEO-PR: PEO Renewal Application

Agency Fee:

$1,000

Due:

Biennially by the date of issuance.

Notarize:Required
Required Attachments:
  • A list by jurisdiction of each name under which the PEO(s) has operated in the preceding five (5) years, including any fictitious names, alternative names, names of predecessors and, if known, successor business entities
  • Controlling Person Exhibit for each controlling person
  • A financial statement setting forth the financial condition of the PEO, as of a date not earlier than 180 days before the date the financial statement is submitted to the commissioner. The financial shall be prepared in accordance with generally accepted accounting principles, and unless the PEO provides financial assurance as set forth in Ark. Code Ann. §23-92-408(a)(2), the financial statement shall be audited by an independent certified public accountant licensed to practice in Arkansas or the state of domicile of the PEO.
  • The states in which the applicant is currently doing business as a PEO
  • A list of all licenses held by the applicant or its controlling persons
  • If the applicant is organized under Arkansas law as a corporation, limited partnership or limited liability company, attach a copy the relevant certificate issued by the Secretary of State of Arkansas. If a partnership or sole proprietor doing business under an assumed name, please furnish a copy of any assumed name filing and indicate the county or counties in which it is filed.
  • If the applicant is organized under the laws of another state as a corporation, limited partnership or limited liability company, attach a copy of the relevant certificate issued by the Secretary of State of Arkansas, evidencing the applicant’s authority to conduct business in the State of Arkansas
  • Copies of all notices, pleadings, answers, complaints, orders that set out the allegations, the applicant’s defenses, the basis upon which the action was concluded (if applicable)
  • A list of litigation pending against the applicant (if applicable)
  • A specimen copy of the proposed contract between the applicant and its clients
  • An explanation of any health benefits available to your employees
  • An explanation of any other benefits that may be provided to the employee
Fact Checked:6/1/21

Financial Reporting

Agency Fee:

$0

Due:

Annually by the registration anniversary date.

Notes:

Licensees must submit a financial statement setting forth the financial condition of the PEO, as of a date not earlier than 180 days before the date the financial statement is submitted to the commissioner. The financial shall be prepared in accordance with generally accepted accounting principles, and unless the PEO provides financial assurance as set forth in Ark. Code Ann. §23-92-408(a)(2), the financial statement shall be audited by an independent certified public accountant licensed to practice in Arkansas or the state of domicile of the PEO.

Fact Checked:6/3/21

Supplemental Reporting
Quarterly Report

Form:

Form PC EL - Quarterly Report

Agency Fee:

$0

Due:

Within 45 days after the end of each calendar quarter.

Fact Checked:6/3/21

Arkansas Professional Employer Organization License - Exempt

Agency:Arkansas Insurance Department - Product Compliance Division
Law:

Arkansas Code § 23-92-404

Notes:

A professional employer organization is eligible for exemption if they:

  • Submit a properly executed request for exemption on a form provided by the State Insurance Department;
  • Are domiciled outside of Arkansas and is licensed or registered as a professional employer organization in another state that has the same or greater requirements;
  • Do not maintain an office in this state or solicit in any manner clients located or domiciled within this state; and
  • Have 100 or fewer covered employees employed or domiciled in Arkansas.
Fact Checked:6/1/21

Initial Registration

Form:

Form PEO-E: Initial and Renewal PEO Exempt Application

Agency Fee:

$100

Notarize:Required
Required Attachments:
  • A list by jurisdiction of each name under which the PEO(s) has operated in the preceding five (5) years, including any fictitious names, alternative names, names of predecessors and, if known, successor business entities
  • The states in which the applicant is currently doing business as a PEO
Fact Checked:6/3/21

Registration Renewal

Form:

Form PEO-E: Initial and Renewal PEO Exempt Application

Agency Fee:

$100

Due:

Biennially by the date of issuance.

Notarize:Required
Required Attachments:
  • A list by jurisdiction of each name under which the PEO(s) has operated in the preceding five (5) years, including any fictitious names, alternative names, names of predecessors and, if known, successor business entities
  • The states in which the applicant is currently doing business as a PEO
Fact Checked:6/3/21

Arkansas Professional Employer Organization License - Group

Agency:Arkansas Insurance Department - Product Compliance Division
Law:

Arkansas Code § 23-92-404

Foreign Qualification is Prerequisite:Yes
Financial Requirements:

Licensees must maintain a net worth of at least $100,000.

Insurance Requirements:

Certificates of insurance certifying that workers compensation coverage has been secured for each client must be submitted to the Department within 30 days of its effective date.

Bond Requirements:

Either a bond in the amount of at least $100,000, an irrevocable letter of credit in a face amount of at least $100,000, or proof of a deposit of securities with a minimum market value of $100,000 is required.

Fact Checked:6/1/21

Initial Registration

Form:

Form PEO-G: Group PEO Application

Agency Fee:

$1,000 per individual PEO affiliate applicant.

Notarize:Required
Required Attachments:
  • A list by jurisdiction of each name under which the group or its related PEOs have operated in the preceding five (5) years, including any fictitious names, alternative names, names of predecessors and, if known, successor business entities
  • Cross Guarantee Form
  • Controlling Person Exhibit for each controlling person
  • A financial statement setting forth the financial condition of the group, as of a date not earlier than one hundred eighty (180) days before the date the financial statement is submitted to the commissioner. The financial shall be prepared in accordance with generally accepted accounting principles, and unless the group provides financial assurance as set forth in Ark. Code Ann. §23-92-408(a)(2), the financial statement shall be audited by an independent certified public accountant licensed to practice in Arkansas or the state of domicile of the group. A group may submit combined or consolidated financial statements to meet this requirement but should indicate that the statements are combined or consolidated.
  • The states in which the applicant or one or more of its affiliates is currently doing business as a PEO or group
  • A list of all licenses held by the applicant or its controlling persons
  • If the applicant is organized under Arkansas law as a corporation, limited partnership or limited liability company, attach a copy the relevant certificate issued by the Secretary of State of Arkansas. If a partnership or sole proprietor doing business under an assumed name, please furnish a copy of any assumed name filing and indicate the county or counties in which it is filed.
  • If the applicant is organized under the laws of another state as a corporation, limited partnership or limited liability company, attach a copy of the relevant certificate issued by the Secretary of State of Arkansas, evidencing the applicant’s authority to conduct business in the State of Arkansas
  • Copies of all notices, pleadings, answers, complaints, orders that set out the allegations, the applicant’s defenses, the basis upon which the action was concluded (if applicable)
  • A list of litigation pending against the applicant (if applicable)
  • A specimen copy of the proposed contract between the applicant and its clients
  • If the group holding company also offers professional employer organization services directly to clients in addition to any provided by its members, attach a list of all clients
  • An explanation of any health benefits available to your employees
  • An explanation of any other benefits that may be provided to the employee
Fact Checked:6/3/21

Registration Renewal

Form:

Form PEO-GR: Group PEO Renewal Application

Agency Fee:

$1,000 per individual PEO affiliate applicant.

Due:

Biennially by the date of issuance.

Notarize:Required
Required Attachments:
  • A list by jurisdiction of each name under which the group or its related PEOs have operated in the preceding five (5) years, including any fictitious names, alternative names, names of predecessors and, if known, successor business entities
  • Cross Guarantee Form
  • Controlling Person Exhibit for each controlling person
  • A financial statement setting forth the financial condition of the group, as of a date not earlier than one hundred eighty (180) days before the date the financial statement is submitted to the commissioner. The financial shall be prepared in accordance with generally accepted accounting principles, and unless the group provides financial assurance as set forth in Ark. Code Ann. §23-92-408(a)(2), the financial statement shall be audited by an independent certified public accountant licensed to practice in Arkansas or the state of domicile of the group. A group may submit combined or consolidated financial statements to meet this requirement but should indicate that the statements are combined or consolidated.
  • The states in which the applicant or one or more of its affiliates is currently doing business as a PEO or group
  • A list of all licenses held by the applicant or its controlling persons
  • If the applicant is organized under Arkansas law as a corporation, limited partnership or limited liability company, attach a copy the relevant certificate issued by the Secretary of State of Arkansas. If a partnership or sole proprietor doing business under an assumed name, please furnish a copy of any assumed name filing and indicate the county or counties in which it is filed.
  • If the applicant is organized under the laws of another state as a corporation, limited partnership or limited liability company, attach a copy of the relevant certificate issued by the Secretary of State of Arkansas, evidencing the applicant’s authority to conduct business in the State of Arkansas
  • Copies of all notices, pleadings, answers, complaints, orders that set out the allegations, the applicant’s defenses, the basis upon which the action was concluded (if applicable)
  • A list of litigation pending against the applicant (if applicable)
  • A specimen copy of the proposed contract between the applicant and its clients
  • If the group holding company also offers professional employer organization services directly to clients in addition to any provided by its members, attach a list of all clients
  • An explanation of any health benefits available to your employees
  • An explanation of any other benefits that may be provided to the employee
Fact Checked:6/3/21

Financial Reporting

Agency Fee:

$0

Due:

Annually by the registration anniversary date.

Notes:

Licensees must submit a financial statement setting forth the financial condition of the PEO, as of a date not earlier than 180 days before the date the financial statement is submitted to the commissioner. The financial shall be prepared in accordance with generally accepted accounting principles, and unless the PEO provides financial assurance as set forth in Ark. Code Ann. §23-92-408(a)(2), the financial statement shall be audited by an independent certified public accountant licensed to practice in Arkansas or the state of domicile of the PEO.

Fact Checked:6/3/21

Supplemental Reporting
Quarterly Report

Form:

Form PC EL - Quarterly Report

Agency Fee:

$0

Due:

Within 45 days after the end of each calendar quarter.

Fact Checked:6/3/21

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