Third Party Administrator Surrender and Voluntary Clearance Request Form - Rhode Island

Third Party Administrator Surrender and Voluntary Clearance Request Form - Rhode Island

Third Party Administrator Surrender and Voluntary Clearance Request Form is a legal document that was released by the Rhode Island Department of Business Regulation - a government authority operating within Rhode Island.

FAQ

Q: What is a Third Party Administrator (TPA) surrender and voluntary clearance request form?A: The TPA surrender and voluntary clearance request form is a document used in Rhode Island for TPAs to surrender their license and request clearance.

Q: What is a Third Party Administrator (TPA)?A: A Third Party Administrator (TPA) is a company or individual that processes claims and provides administrative services for employee benefit plans.

Q: Who needs to use the TPA surrender and voluntary clearance request form?A: TPAs who wish to surrender their license and request clearance in Rhode Island need to use this form.

Q: Why would a TPA surrender their license?A: A TPA may surrender their license for various reasons, such as retiring from the industry or closing down their business.

Q: What is voluntary clearance?A: Voluntary clearance is the process of obtaining official confirmation that a TPA has met all their obligations and can cease operations in Rhode Island.

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Form Details:

  • Released on May 20, 2003;
  • The latest edition currently provided by the Rhode Island Department of Business Regulation;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Rhode Island Department of Business Regulation.

Download Third Party Administrator Surrender and Voluntary Clearance Request Form - Rhode Island

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