This website uses cookies. We use cookies to personalize content and ads, to provide social media
features and to analyze our traffic. We also share information about your use of our site with our
social media, advertising and analytics partners who may combine it with other information that
you’ve provided to them or that they’ve collected from your use of their services. You consent to
our cookies if you continue to use our website.
Licensing requirements for Texas insurance professionals and companies.
This page provides an overview of insurance licensing in Texas for individuals and companies. You will find state requirements, application fees, filing instructions, and more. For assistance with licensing, please contact us to learn about our software and managed license services.
Companies that provide insurance producer services in Texas must apply for a license prior to doing
business. Depending on the lines of authority offered by the entity and the types of services offered, multiple
firm licenses may be required.
Before applying, firms should ensure that the licensed individual to be appointed agent in charge has the
necessary licenses. Firms should also gather proof of incorporation, or foreign qualification for out-of-state
firms, in anticipation of application requirements.
Medical or Workers' Compensation Utilization Review
Agency:
Texas Department of Insurance
Law:
TX Ins Code § 4201.101
Foreign Qualification is Prerequisite:
Yes
Notes:
Applicants must choose to apply for certification or registration. Certification is for entities that conduct utilization review for a health benefit plan or health insurance policy; also payors or administrators holding a certificate of authority under TX Ins Code ch. 4201. Registration is for licensed insurance companies or health maintenance organizations that perform utilization review only for their own insureds or enrollees.
$2,150 for certification. There is no fee for 'registered' applicants.
Notarize:
Required
Required Attachments:
A summary of the utilization review plan as detailed in the application
Categories of personnel as noted in 28 TAC § 19.1706 and 28 TAC § 19.2006
Appeal of adverse determination acknowledgement and template letters
Telephone access details as noted in 28 TAC § 19.1712 and 28 TAC § 19.2012
Written evidence that the applicant is doing business in Texas in accordance with the Texas Business Organizations Code, which may include a letter from the Texas Secretary of State indicating the entity has filed the appropriate paperwork to conduct business in this state
A chart showing the internal organizational structure of the applicant’s executives, officers, and directors and the title of the position held by each
A letter of good standing from the Texas Comptroller of Public Accounts
Completed biographical affidavit and fingerprints for each executive, officer, and director
Filing fees depend on your individual situation. We do our best to calculate your filing fees
upfront and collect those fees today so we can get started. Your specialist will determine your
exact filing fees and invoice additional fees if required.
