RISK PURCHASING GROUPS

REGISTRATION

To register a risk purchasing group in the State of Wyoming, please complete the following steps:

1. Complete a Notice of Intent of Liability Purchasing Group to do Business*.

2. Obtain a certified letter from the state of domicile verifying domiciliary status.

3. Obtain a notification letter with an original signature or an officer of the insurer verifying that they will be the underwriters.

4. Complete a Registration of Appointment of Agent for Service of Process* in its entirety, with original signature and proper notarization. Include a Resolution of the Board of Directors.

5. Issue a check in the amount of  $200 for the registration fee, payable to the Wyoming State Treasurer.

6. Mail all of the above documentation to the address below. All required items must be submitted together. Incomplete registrations will be returned.

Wyoming Department of Insurance
ATTN: Risk Purchasing Group Registration
106 E. 6th Ave.
Cheyenne, WY 82002

Please note that if the group is selling through a producer or surplus lines broker the sales agents must be property licensed by the Department and, if a producer, appointed. Licensing information can be found on the Agents, Agencies, & Adjusters page.

An authorization letter will be sent when the risk purchasing group has be approved to do business in Wyoming.

Please direct all questions to Tammy Rathburn.

ANNUAL FILING INSTRUCTIONS

Wyoming requires all renewal forms to be submitted electronically through our Document Submission Portal↗. The company's license number or NAIC ID and PIN are located on your renewal notice.

***Annual Filings will not be accepted as complete/renewed without all forms and fees***

Please upload the following each year prior to March 1:

1. A completed Annual Statement Reporting Form*.

   • All underwriters must be listed, even if no premium has been written. Include an additional sheet if necessary.

   • It is imperative that name of the selling agent(s) is listed on the line provided on the form, including their NPN (national producer number). This is to ensure proper licensing and, in the case of Surplus Lines Brokers, proper reporting. Please attach additional sheets if necessary.

2. Annual renewal fee of $200. 

   • Wyoming requires electronic payments be made electronically via Sircon ↗. To use this service you must be a Sircon account holder. If you do not have a Sircon account you may establish one through their carrier signup page ↗.

ADDITIONAL REPORTING REQUIREMENTS

Chapter 15 of Wyoming Insurance Regulations requires that the commissioner shall be notified in writing within 30 days of any changes to the group. This includes any changes to the underwriters.

If you wish to withdraw your registration, please return the invoice with a letter of explanation, including the last date that any business dealings were in force in Wyoming.