Kansas Insurance Commissioner
Company Licensing
Company Licensing
- Retaliatory Statement (pdf)
- System for Electronic Rate and Form Filings (SERFF)
- Uniform Certificate of Authority Application - NAIC Forms
- Uniform Certificate of Authority Application - Kansas Forms
Risk Purchasing Group
- Registration Packet (pdf)
- Change Form (pdf)
Risk Retention Group
- Risk Retention Group Application (pdf)
- Consent to Service of Process Form (pdf, external link)
- Mailing/Contact:
Mark E. Owens
Kansas Insurance Department
420 SW 9th St.
Topeka, KS 66612
Phone: (785) 296-5350
Fax: (785) 291-3190
Email: commissioner@ksinsurance.org