Skip to main content
Official State of Iowa Website
Agencies A-Z Programs & Services
Back to home page
Iowa Insurance Division

Main navigation

  • Consumers
    • Filing Complaints
    • Insurance
    • Securities & Regulated Businesses
    • Consumer Advocacy & Education
    • Consumer News
  • Regulated Individuals
    • Insurance Producers & Related Professionals
    • Securities Agents & Investment Advisers
    • Sales Agents for Prearranged Funeral Services & Merchandise
  • Regulated Entities
    • Insurance-Related Entities
    • Regulated Benefit Plans
    • Securities & Investments
    • Other Regulated Entities
    • Premium Tax Filings and Other Form Filings
  • Legal & Resources
    • Data
    • Legal Information
    • Reports
  • About
    • Insurance Commissioner
    • Contact
    • Location
    • Employment
    • Internships & Clerkships
    • Innovation
    • News
Agencies A-Z Online Services

Breadcrumbs

  1. Home
  2. Regulated Entities
  3. Insurance-Related Entities

Forms

Business Entity Address Change

Business Entity Name Change

Business Entity Voluntary Surrender

DRLP (Designated Responsible Licensed Producer) Change

TPA (Third-Party Administrator) Address Change

TPA (Third-Party Administrator) Officer/Director Change

TPA (Third-Party Administrator) Voluntary Surrender

TPA (Third-Party Administrator) Name Change

TPA (Third-Party Administrator) Application Checklist

TPA (Third-Party Administrator) Exception Affidavit

TPA (Third-Party Administrator) Exception Affidavit Notary Page

TPA (Third-Party Administrator) Application

TPA (Third-Party Administrator) Surety Bond Attestation

Iowa Navigator Entity License

Iowa Navigator Entity Renewal

Portable Electronic Application

Portable Electronic Certificate

Portable Electronic Renewal

Counter Employee License Application

Rental Company Application

Secondary Navigation Menu

  • Insurance-Related Entities
    • Insurers
      • Insurers Entering the Iowa Market
      • Insurers Rate Filing and Policy Form Filings
      • Other Requirements for Insurers
    • Iowa Captive Insurance
      • Captive Insurance Applications and Forms
      • How to Form Captive in Iowa
      • Iowa Captive Insurance Rates, Premium Tax, Fees, and Minimum Required Capital
      • Ongoing Requirements for Iowa Captive Insurance Companies
      • Reasons to domicile your captive insurance company in Iowa:
      • Types of Iowa Captives
    • Producer Business Entities
    • Entities Providing Services to Insurers or Insurance Producers
      • Pharmacy Benefits Managers (PBMs)
        • PBM Prior Authorization Forms
      • Third-Party Administrators (TPAs)
      • Managing General Agents (MGAs)
      • Continuing Education (CE) Providers
      • Reinsurance Intermediaries
      • Advisory and Rating Organizations
      • Independent Review Organizations
      • Utilization Reviewers
      • Iowa Insurance Guaranty Association
      • Iowa Life & Health Insurance Guaranty Association
    • Entities Handling Insurers' Products
      • Viatical Settlement Providers
      • Portable Electronics Insurance
      • Vehicle Rental Company Insurance
      • Navigator Entities
      • Purchasing Groups
    • Surplus Lines Carriers
    • Forms
    • Data Security Act and Cybersecurity Events
    • Reinsurer Filings

Iowa Insurance Division

Footer Social Media Menu

  • Opens in a new window.
  • Opens in a new window.
  • Opens in a new window.
  • Opens in a new window.

Iowa Insurance Division

1963 Bell Avenue, Suite 100
Des Moines, IA 50315

Phone

515-654-6600

How can we help?

Share feedback with us

Footer Menu

Footer

  • Connect
    • Contact
    • News
    • Employment
    • Financial Literacy
Back to home page

Contact Menu

  • Send Feedback

© 2025 State of Iowa - Read our accessibility, data, and privacy policies.

OSZAR »