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
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