Tennessee Department of Commerce & Insurance - Insurance Division

Please Note

We are a service company that can help you file with the Tennessee Department of Commerce & Insurance - Insurance Division. 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

Phone: (615) 741-2693

Web: Home Name search
Email: ce.agent.licensing@tn.gov

Licenses

We track the following licenses with the Tennessee Department of Commerce & Insurance - Insurance Division in order to provide compliance services to our clients. As a client, you see this and other Compliance Core™ data in License Manager in-line with your licenses.

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Tennessee Professional Employer Organization Registration - Group Restricted

Agency:Tennessee Department of Commerce & Insurance - Insurance Division
Law:

TN Code § 62-43-106

Eligible Entity Types:

  • Sole Proprietorship
  • Partnership
  • Corporation
Foreign Qualification is Prerequisite:Yes
Notes:

An applicant is eligible for a limited registration under this chapter if such applicant:

  • Submits a request for limited registration to the department;
  • Is domiciled outside this state and is licensed or registered as a professional employer organization in another state;
  • Does not maintain an office in this state or directly solicits clients located or domiciled within this state; and
  • Does not have more than 50 covered employees employed or domiciled in this state.
Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$250 application fee + $1,000 license fee

Required Attachments:
  • Articles of Incorporation
  • Proof of Tennessee Secretary of State registration
  • ACORD Form/Workers' Compensation certificate
  • Notarized self insurance health plan
  • Domicile licensure

Registration Renewal

Filing Method:

Online

Agency Fee:

$1,000

Due:

Biennially by the date of issuance.

Required Attachments:

  • Name of persons owning 20% or more (if publicly traded)
  • Name of persons owning 10% or more (if not publicly traded)
  • Certificate of Liability
  • Notarized statement stating whether the applicant sponsors a self-insured healt plan
  • Staff Leasing Guaranty Agreement
  • Notarized statement afirming that the PEO/Staff Leasing Company or Group does not maintain an office in this state, does not maintain a sales force or have a sales representative in this state, and does not directly solicit clients located or domiciled within this state
  • Notarized statement demonstrating that the applicant will lease no more than fifty (50) employees in this state without obtaining an unrestricted license in this state
  • Copy of current license to engage in PEO/Staff Leasing issued by the applicant's state of domicile or a notarized statement by the applicant stating that no license is required by the applicant's state of domicile to engage in PEO/Staff Licensing or a notarized statement by the applicant stating that it is not licensed in its state domicile or residence due to the fact that the applicant does not engage in staff leasing in that state (if out of state)

Tennessee Professional Employer Organization Registration - Group Unrestricted

Agency:Tennessee Department of Commerce & Insurance - Insurance Division
Law:

TN Code § 62-43-106

Eligible Entity Types:

  • Sole Proprietorship
  • Partnership
  • Corporation
Foreign Qualification is Prerequisite:No
Financial Requirements:

Applicants must maintain positive working capital at registration as reflected in the financial statements submitted to the department.

Insurance Requirements:

Evidence of workers' compensation coverage for covered employees in this state who are subject to the Tennessee Workers' Compensation Law

Bond Requirements:

An applicant that does not have positive working capital may provide a bond, irrevocable letter of credit or securities with a minimum market value equaling the deficiency plus $100,000.

Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$250 application fee + $4,000 license fee

Required Attachments:
  • Articles of Incorporation
  • Proof of Tennessee Secretary of State registration
  • Notarized self insurance health plan
  • Financial statements prepared in accordance with generally accepted accounting principles and audited by an independent certified public accountant and no older than 13 months from the date of application.

Registration Renewal

Filing Method:

Online

Agency Fee:

$4,000

Due:

Biennially by the date of issuance.

Required Attachments:

  • Name of persons owning 20% or more (if publicly traded)
  • Name of persons owning 10% or more (if not publicly traded)
  • Financial statement in according with 62-43-106
  • Certificate of Liability
  • Notarized statement stating whether the applicant sponsors a self-insured healt plan
  • Staff Leasing Guaranty Agreement
  • Notarized statement afirming that the PEO/Staff Leasing Company or Group does not maintain an office in this state, does not maintain a sales force or have a sales representative in this state, and does not directly solicit clients located or domiciled within this state
  • Notarized statement demonstrating that the applicant will lease no more than fifty (50) employees in this state without obtaining an unrestricted license in this state
  • Copy of current license to engage in PEO/Staff Leasing issued by the applicant's state of domicile or a notarized statement by the applicant stating that no license is required by the applicant's state of domicile to engage in PEO/Staff Licensing or a notarized statement by the applicant stating that it is not licensed in its state domicile or residence due to the fact that the applicant does not engage in staff leasing in that state (if out of state)

Tennessee Professional Employer Organization Registration - Single Restricted

Agency:Tennessee Department of Commerce & Insurance - Insurance Division
Law:

TN Code § 62-43-106

Eligible Entity Types:

  • Sole Proprietorship
  • Partnership
  • Corporation
Foreign Qualification is Prerequisite:Yes
Notes:

An applicant is eligible for a limited registration under this chapter if such applicant:

  • Submits a request for limited registration to the department;
  • Is domiciled outside this state and is licensed or registered as a professional employer organization in another state;
  • Does not maintain an office in this state or directly solicits clients located or domiciled within this state; and
  • Does not have more than 50 covered employees employed or domiciled in this state.
Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$100 application fee + $500 license fee

Notarization Required?:Not required
Required Attachments:
  • Articles of Incorporation
  • Proof of Tennessee Secretary of State registration
  • ACORD Form/Workers' Compensation certificate
  • Notarized self insurance health plan
  • Domicile licensure

Registration Renewal

Filing Method:

Online

Agency Fee:

$500

Due:

Biennially by the date of issuance.

Notarization Required?:Not required
Required Attachments:

  • Name of persons owning 20% or more (if publicly traded)
  • Name of persons owning 10% or more (if not publicly traded)
  • Financial statement in according with 62-43-106
  • Certificate of Liability
  • Notarized statement stating whether the applicant sponsors a self-insured health plan
  • Notarized statement afirming that the PEO/Staff Leasing Company or Group does not maintain an office in this state, does not maintain a sales force or have a sales representative in this state, and does not directly solicit clients located or domiciled within this state
  • Notarized statement demonstrating that the applicant will lease no more than fifty (50) employees in this state without obtaining an unrestricted license in this state
  • Notarized statement afirming that the PEO/Staff Leasing Company or Group does not maintain an office in this state, does not maintain a sales force or have a sales representative in this state, and does not directly solicit clients located or domiciled within this state
  • Notarized statement demonstrating that the applicant will lease no more than fifty (50) employees in this state without obtaining an unrestricted license in this state
  • Copy of current license to engage in PEO/Staff Leasing issued by the applicant's state of domicile or a notarized statement by the applicant stating that no license is required by the applicant's state of domicile to engage in PEO/Staff Licensing or a notarized statement by the applicant stating that it is not licensed in its state domicile or residence due to the fact that the applicant does not engage in staff leasing in that state (if out of state)

Tennessee Professional Employer Organization Registration - Single Unrestricted

Agency:Tennessee Department of Commerce & Insurance - Insurance Division
Law:

TN Code § 62-43-106

Eligible Entity Types:

  • Sole Proprietorship
  • Partnership
  • Corporation
Foreign Qualification is Prerequisite:Yes
Financial Requirements:

Applicants must maintain positive working capital at registration as reflected in the financial statements submitted to the department.

Insurance Requirements:

Evidence of workers' compensation coverage for covered employees in this state who are subject to the Tennessee Workers' Compensation Law

Bond Requirements:

An applicant that does not have positive working capital may provide a bond, irrevocable letter of credit or securities with a minimum market value equaling the deficiency plus $100,000.

Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$250 application fee + $2,000 license fee

Required Attachments:
  • Articles of Incorporation
  • Proof of Tennessee Secretary of State registration
  • Notarized self insurance health plan
  • Financial statements prepared in accordance with generally accepted accounting principles and audited by an independent certified public accountant and no older than 13 months from the date of application.

Registration Renewal

Filing Method:

Online

Agency Fee:

$2,000

Due:

Biennially by the date of issuance.

Required Attachments:

  • Name of persons owning 20% or more (if publicly traded)
  • Name of persons owning 10% or more (if not publicly traded)
  • Certificate of Liability
  • Notarized statement stating whether the applicant sponsors a self-insured health plan
  • Notarized statement afirming that the PEO/Staff Leasing Company or Group does not maintain an office in this state, does not maintain a sales force or have a sales representative in this state, and does not directly solicit clients located or domiciled within this state
  • Notarized statement demonstrating that the applicant will lease no more than fifty (50) employees in this state without obtaining an unrestricted license in this state
  • Copy of current license to engage in PEO/Staff Leasing issued by the applicant's state of domicile or a notarized statement by the applicant stating that no license is required by the applicant's state of domicile to engage in PEO/Staff Licensing or a notarized statement by the applicant stating that it is not licensed in its state domicile or residence due to the fact that the applicant does not engage in staff leasing in that state (if out of state)

Tennessee Third Party Administrator License

Agency:Tennessee Department of Commerce & Insurance - Insurance Division
Foreign Qualification is Prerequisite:Yes
Financial Requirements:

Must be no more than six (6) months older than the date of application submission.

Must be audited by a Certified Public Accountant or attested to by a company officer. If attested, the attestation must refer to the financial statements by date (i.e., “the balance sheet and income statement for the period ending December 31, 2008 are true and correct”). The attestation must bear original signatures and be notarized. Copies of attestations are not accepted.

Must be in the name of the TPA applicant seeking the Administrator license. We accept consolidated
statements if they state separately the amounts of the applicant.

Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$100

Due:

Upon successful review of the TPA application, the applicant will be issued a Certificate of Authority to act as an Administrator in the state of Tennessee for a one (1) year term. The license must then be renewed annually. The Department does NOT send renewal notices. If the license is not renewed beforethe expiration date, the Administrator will be removed from the list of Licensed Administrators and a new license application in its entirety will be required.”

Required Attachments:

Articles of Incorporation, proof of Fidelity BOnd, list of officers and directors with biogrpahical affidavits, written administrative services agreement with Tennessee licensesed insurance company, financial statements, and a list of states where applicant currently holds a TPA license. 

Registration Renewal

Filing Method:

Online

Agency Fee:

$50

Due:

Annually by date of issuance. 

Required Attachments:

Letter of intent to renew, proof of Fidelity Bond, financial statements, List of exact names of Insurance Companies Licensed in Tennessee (along with the NAIC Company Code number) that your company is administering for in the State of Tennessee, and any Amendments to the Previous License Filings. Please submit original NAIC Biographical Affidavits for any new officers or directors.
license

Tennessee Vehicle Protection Product Warrantor Registration

Agency:Tennessee Department of Commerce & Insurance - Insurance Division
Foreign Qualification is Prerequisite:No
Registered Agent (Special Agency) Required?No

Initial Registration

Form:

Warrantor's Initial Registration

Filing Method:

Mail

Agency Fee:

$515

Notarization Required?:Required

Registration Renewal

Form:

Warrantor's Registration Renewal

Filing Method:

Mail

Agency Fee:

$515

Due:

Annually by July 1

Notarization Required?:Required

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