PUBLIC PROTECTION
CABINET
PPC Agencies
PPC Services
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Leadership
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PPC News
Contribute to the Team Eastern Kentucky Flood Relief Fund at
TeamEKYFloodReliefFund.ky.gov
DEPARTMENT OF INSURANCE
Consumers
Licensees
Insurers
eServices
Resources
Contact the Department of Insurance
Agent Licensing Forms and Documents
Important Announcements
Agent Licensing Frequently Asked Questions
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Examination Schedule & Testing Sites
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Kentucky Education Provider Handbook
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Pharmacy Benefit Manager: Frequently Asked Questions
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PSI / DOI Presentation
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Online Licensing Services
NIPR Non-Resident Licensing Application/Registration
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NIPR Resident Licensing Application/Registration
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NIPR Resident License Renewal Application/Registration
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NIPR Non-Resident Licensing Renewal Application/Registration
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Adjuster/Apprentice Licensing
Adjuster Designation of Home State Form
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DOI Sponsoring Adjuster Form
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Examination Schedule & Testing Sites
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Examination Study Outline - Adjuster
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Examination Study Outline - Crop Adjuster
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Examination Study Outline - Workers' Comp Adjuster
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Fee Schedule
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Form 8301-BGC - Background Check ONLINE
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Form 8303 - Change of Address/Name (Form Only)
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Form 8304 - Exam Retake Form
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Form 8307-Request for Unlicensed Adjuster Representing and Insurer to Adjust Losses resulting from a Catastrophe
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Form VS - Voluntary Surrender of License
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Public Adjuster 806 KAR 9 400
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Public Adjuster Contract Checklist
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Public Adjuster HB 232
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Public Adjuster Intent to Contract letter
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Individual Licensing
Agent - Individual - Resident - Electronic
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Agent Licensing Frequently Asked Questions
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Form 8301-BE Application 2021
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Form 8301-BGC - Background Check ONLINE
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Form 8301- Individual Application 2021
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Form 8302- Appointment 2021
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Form 8302- Termination 2021
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Form 8303- Record Correction 2021
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Form for Travel Locations
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Form - Self-Service Storage Space Insurance Locations
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NAIC Uniform Individual Non-Resident Application
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Business Entity Licensing
Form 8301- Business Entity Application 2021
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Form 8301 – TPA Administrator Applicant Certification And Attestation
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Form 8302- Appointment
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Form 8302-TE Termination Form
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Form 8305 - Business Entity Designation or Termination of Designation Form
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Form for Travel Locations
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Form - Self-Service Storage Space Insurance Locations
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NAIC Uniform Business Entity Non-Resident Application
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PBM License Application 2021
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Pharmacy Benefit Manager Annual Report
Pharmacy Benefit Manager FAQ
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Pharmacy Benefit Manager Review Guide
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Education Provider Information
Affidavit Restrictions and Withdrawal Information
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Affidavit for Active Military Duty - Form MLW-01
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Education Course Application
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Education Instructor Application
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Form 304 - Affidavit For Exemption From Continuing Education
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KY Commission on Proprietary Education – New Providers
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Kentucky Education Provider Handbook
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Long-Term Care Partnership Frequently Asked Questions
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NAIC Education Reciprocity Application
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NAIC Uniform CE Course Approval Application
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PSI / DOI Presentation
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Laws, Administrative Regulations and Bulletins
Advisory Opinion 2004-07 Acting as Agent; Termination of Appointment (clarification of 2001-08)
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Bulletin 2001-8 -Acting as Agent Exception to Appointment Termination of Appointment
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Laws and Regulations
Licensing and General Information
Adjuster Designation of Home State Form
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Affidavit for Active Military Duty - Form MLW-01
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Agent Licensing Frequently Asked Questions
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Application for Written Consent to Engage in the Business of Insurance Pursuant to 18 U.S.C. 1033
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Certification/Clearance Request Form
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FI-02 Free Choice of Agent 2020
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Fee Schedule
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Form FI-03
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Form for Travel Locations
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Form 8301-RV - Rental Vehicle License Supplemental Application
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Form 8301-TPA - Administrator Applicant Certification and Attestation
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Form 8303 - Change of Address/Name (Form Only)
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Form 8304 - Exam Retake Form
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Form VS - Voluntary Surrender of License
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Loss of License
Loss of License - Military Active Duty
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Pre-Licensing and Examination Information
Examination Study Outline - Life & Health Consultant
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Examination Schedule & Testing Sites
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Examination Study Outline - Crop Adjuster
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Examination Study Outline - Crop Agent
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Agent Licensing Frequently Asked Questions
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Examination Study Outline - Adjuster
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Examination Study Outline - Casualty
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Examination Study Outline - Health
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Examination Study Outline - Life
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Examination Study Outline - Life Settlement (individuals not licensed as Life Agents)
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Examination Study Outline - Personal Lines
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Examination Study Outline - Property
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Examination Study Outline - Travel
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Examination Study Outline - Workers' Comp Adjuster
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Form 8304- Exam Retake
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Examination Study Outline - Property & Casualty Consultant
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VISIT OTHER PPC AGENCIES