DOI Pat Quinn Governor Andrew Boron, Director

Third Party Administrator License Application

Download Acrobat Reader The Adobe Acrobat Reader is required to access many of the documents on this site.
Click on the icon to download it for free.

Third Party Administrator License Application Form (PDF Format)
Third Party Administrator Bond Form (PDF Format)

Illinois Insurance Code, Chapter XXXI 1/4 ("Third Party Administrators"):

Sections 511.100 through 511.113 (PDF Format)