Required Materials
- Application for Premium Service Company, Form 4501
- Every question on the application must be answered. Indicate "none" or "not applicable" if a question does not apply.
- Articles of Incorporation or Certificate of Domestication
- License fee of $1,000
- Notice of Financing statement
- Premium Service Company Bond, Form 4500
- Under no circumstances will the $50,000 Security Bond or Certificate of Deposit requirement be waived.
The following items must be submitted in duplicate:
- Premium Service Agreement
- Maximum Rate Schedule (Form 4503) and Promulgated Maximum Schedule
- Payment book
- Notice of overdue payment (Intent to Cancel)
- Notice to insurer that policy is financed
- Request for cancellation