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Advisory or Rating Organization Form

Advisory or Rating Organization Form

Gov2Go
Introducing Gov2Go®!  Iowa Insurance Division is now offering Gov2Go® to give Iowans a more streamlined checkout process. Features include a shopping cart for multiple services, reminders, stored payments, and much more! 

Please note: Shopping cart will allow only one of this form to be submitted at a time.

“Advisory organization” means an entity, including its affiliates or subsidiaries, which either has two or more member insurers or is controlled either directly or indirectly by two or more insurers, and which assists insurers in ratemaking-related activities such as enumerated in sections 515F.10 and 515F.11. Two or more insurers having a common ownership or operating in this state under common management or control constitute a single insurer for purposes of this definition.

“Rating organization” means a workers’ compensation rating organization licensed pursuant to 515A.

If you are unsure of which application you should submit please contact the Division prior to submitting an application.


Service Fee: All payments have a $1.50 IOWAcess fee and a $.09 epayment fee.  Credit card payments have an additional credit card fee of 2.5% of the total. 
 
Once payment is processed, the fee is nonrefundable. If you have questions regarding this form or the amount of your fee, please contact producer licensing at 
producer.licensing@iid.iowa.gov or 515-654-6565.


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Company Physical Address Information
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Company Mailing Address Information
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Contact Information
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