CAPTIVE INSURANCE COMPANY LICENSING AND REGULATION

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CAPTIVE INSURANCE COMPANY LICENSING AND REGULATION

Captive Application and Fees

Captive Insurer - Forms

Captive Annual Statement (Blank) - 73K

State Filing Fees - Captive Check Remittance Form (Domestic) - 18K

Form 8301 - Individual Application - 309K

Captive Fees, Taxes and Capitalization - 156K

CI-501 Biographical Affidavit - 57K

CI-103 Captive Insurer Application - 32K

CI-140 - Confirmation Form for Captives - 102K

CI-130 - Captives - Irrevocable Letter of Credit - 22K

CI-120 - Captives - Application for Authorization as Independent CPA for Captive Insurance Business - 21K

CI-110 Captive - Application for Authorization to certify loss reserves and loss expense reserves for captives - 23K

CI-105 Captives - Coverage, Limits and Reinsurance - 12K

CI-150 - Captive RRG only - Direct Economic Impact of KY Captive During Current Reporting Year - 27K

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