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Dress: Phone Number: 4. Type of Proposed Captive: Association Pure Industrial Insured Risk Retention Sponsored 5. Organization Form: Stock Mutual Reciprocal 6. Principal Place of Business of Proposed Captive: 7. Resident Registered Agent: Address: 8. Location of Books and Records: 9. Capital and/or Surplus of Company (a) Initial Capital Initial Surplus Total (b) $ $ $ Location of Shares of Stock 10. Name(s) and Address(es) of Beneficial Owners (1) Name: Percent of Ownership %.

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Vermont Captive Fees ActivityRelated FeeInitial department licensure Initial department licensure (SPFI)$500 $5,000Actuarial application review Actuarial application review (SPFI)$6,000 $10,000Annual license renewal due April 1 Annual license renewal (SPFI) due April 1$500 $5,000

How to Get Your Vermont Insurance License Complete an Insurance Exam Prep Course. ... Pass Your Vermont Licensing Exam. ... Apply for a Vermont Insurance License. ... Plan to Complete Required Insurance Continuing Education (CE) Credits.

Captive Insurance Companies. Last Updated 4/3/2023. Issue: In its simplest form, a captive is a wholly owned subsidiary created to provide insurance to its non-insurance parent company (or companies). Captives are essentially a form of self-insurance whereby the insurer is owned wholly by the insured.

The Captive Insurance Division of the Vermont Department of Financial Regulation focuses on maintaining a regulatory system that attracts quality business to Vermont, promotes the state reputation in the industry, and safeguards the solvency of captive insurers while recognizing the special purpose for which they were ...

Vermont Insurance License FAQ The total cost for your insurance course, application, and exam will be about $375.

Resident Paper Application Submission The original score report showing passage of the Adjuster's Property and Casualty examination; Attachment #2 Certification print a hard copy, fill in; and, A license application fee of $30.00 and a license fee of $120.00. Checks may be made payable to VT Dept.

It can be done via email to dfr.producerlicensing@vermont.gov or fax to 802-828-1633.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232