Utah Insurance Department

Please Note

We are a service company that can help you file with the Utah Insurance Department. 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

Physical address:
State Office Building Ste 3110 / Capitol Hill Complex
450 N State St.
Salt Lake City, UT 84114

Phone: (801)538-3800
Fax: (801)538-3829

Web: Home Name search Forms
Email: licensing.uid@utah.gov

Licenses

We track the following licenses with the Utah Insurance Department 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.

A laptop placed on a desk with our License Manager software on display

Utah Independent Review Organization Registration

Type of Review:	Medical Utilization Review
Agency:	Utah Insurance Department

Form:	Independent Review Organization Application
Agency Fee:	$250

Filing Method:	Online
Agency Fee:	$75
Due:	Biennially by the last day of initial registration month

Agency:	Utah Insurance Department
Law:	UT Code § 31A-40-304
Notes:	PEOs may be eligible for a small operation license if neither the PEO nor any of the PEO’s clients has an office in Utah, the PEO is not owned or controlled by a professional employer organization operating in Utah and the PEO does not have more than fifty employees employed or domiciled in Utah.

Form:	Professional Employer Organization – Small Operation License Application
Agency Fee:	$2,050
Required Attachments:	The name and number of employees in Utah for each client with employees in Utah An explanation and any documentation pertaining to any adverse regulatory action taken by any state or federal regulatory law enforcement or regulatory agency against the PEO, an owner, a director, an officer, or senior executive officer (if applicable)

Form:	Professional Employer Organization – Licensed Through An Assurance Organization Application
Agency Fee:	$2,050
Original Ink:	Not required
Notarize:	Not required
Required Attachments:	Business location of each Utah office An explanation and any documentation pertaining to any adverse regulatory action taken by any state or federal regulatory law enforcement or regulatory agency against the PEO, an owner, a director, an officer, or senior executive officer (if applicable) A copy of the certificate from the assurance organization certifying the qualifications of the professional employer organization A list of the Professional Employer Organization Utah clients

Form:	Professional Employer Organization – Not Licensed Through An Assurance Organization Application
Agency Fee:	$2,050
Required Attachments:	Business location of each Utah office An explanation and any documentation pertaining to any adverse regulatory action taken by any state or federal regulatory law enforcement or regulatory agency against the PEO, an owner, a director, an officer, or senior executive officer (if applicable) A copy of the applicant’s articles of incorporation or other business organization documents A list by jurisdiction of each name under which the applicant has operated in the preceding five years, including alternate names, names of predecessors and, if known, successor business name A list of applicant’s Utah clients Documentation that demonstrates the PEO or collectively the professional employer organization group has at least $100,000 in working capital as determined by generally accepted accounting principles or a bond, an irrevocable letter of credit, or one or more credits or securities in an amount of at least $100,000 A copy of the applicant’s most recent financial statement that: is prepared on a GAAP basis; is audited by an independent CPA; complies with Section 31A-40-205; and complies with Section 31A-40-305 A statement of ownership that: includes the name of a person that, individually or acting in concert with one or more persons, owns or controls, directly or indirectly, 10% or more equity interest in the PEO; and includes a completed Biographical Affidavit for each named person A list of all individuals who serve as a director, president, chief executive officer, or senior executive officer of the PEO with a completed Biographical Affidavit, found on the Departments Web Site, for each individual on the list Documentation explaining how the applicant meets, or will meet, the workers’ compensation requirements of 31A-40-209 Documentation explaining how the applicant meets, or will meet, the unemployment compensation insurance requirements of 31A-40-210 Documentation on health benefit plans, if offered by the PEO

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Utah Insurance Department

Please Note

Contact Information

Licenses

Utah Independent Review Organization Registration

Initial Registration

Registration Renewal

Utah Insurance Agency License

Initial Registration

Registration Renewal

Utah Insurance Agent License

Initial Registration

Registration Renewal

Utah Non-Resident Consultant License

Initial Registration

Registration Renewal

Utah Non-Resident Consultant License

Initial Registration

Registration Renewal

Utah Non-Resident Independent Adjuster License

Initial Registration

Registration Renewal

Utah Non-Resident Independent Adjuster License

Initial Registration

Registration Renewal

Utah Non-Resident Limited Line Producer License

Initial Registration

Registration Renewal

Utah Non-Resident Limited Line Producer License

Initial Registration

Registration Renewal

Utah Non-Resident Managing General Agent License

Initial Registration

Registration Renewal

Utah Non-Resident Managing General Agent License

Initial Registration

Registration Renewal

Utah Non-Resident Producer License

Initial Registration

Registration Renewal

Utah Non-Resident Producer License

Initial Registration

Registration Renewal

Utah Non-Resident Public Adjuster License

Initial Registration

Registration Renewal

Utah Non-Resident Public Adjuster License

Initial Registration

Registration Renewal

Utah Non-Resident Reinsurance Intermediary License

Initial Registration

Registration Renewal

Utah Non-Resident Reinsurance Intermediary License

Initial Registration

Registration Renewal

Utah Non-Resident Surplus Lines Organization License

Initial Registration

Registration Renewal

Utah Non-Resident Surplus Lines Producer License

Initial Registration

Registration Renewal

Utah Non-Resident Third Party Administrator License

Initial Registration

Registration Renewal

Utah Non-Resident Third Party Adminstrator License

Initial Registration

Registration Renewal

Utah Professional Employer Organization – Small Operation License

Initial Registration

Registration Renewal

Utah Professional Employer Organization License - Licensed Through An Assurance Organization

Initial Registration

Renewal Not Required

Utah Professional Employer Organization License - Not Licensed Through An Assurance Organization

Initial Registration

Registration Renewal