044-4 Wyo. Code R. §§ 4-13 - License Renewal

(a) Each TPA licensed under section 12 shall file a license renewal application on or before June 30 of the renewal year, or within such extension of time as the commissioner for good cause may grant. The renewal application shall include an audited financial statement performed by an independent certified public accountant for the preceding two (2) fiscal years. An audited financial report prepared on a consolidated basis shall include a columnar consolidating or combining worksheet that shall be filed with the report and include the following:
(i) Amounts shown on the consolidated audited financial report shall be shown on the worksheet;
(ii) Amounts for each entity shall be stated separately; and
(iii) Explanations of consolidating and eliminating entries shall be included. The renewal application shall be in the form and contain such matters as the commissioner prescribes and shall be verified by at least two (2) officers of the TPA.
(b) The renewal shall include the complete names and addresses of all payors with which the TPA had agreements, and funds handled on behalf of Wyoming citizens for each during the two (2) preceding fiscal years.
(c) The renewal shall include the verification of the bond amount required by section 12 of this chapter and a copy of the bond itself.
(d) The renewal shall include an updated appointment verification for all payors with which the TPA has current agreements.
(e) At the time of filing its renewal, the TPA shall pay a filing fee as required by W.S. § 26-4-101.

Notes

044-4 Wyo. Code R. §§ 4-13
Amended, Eff. 11/2/2022.

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