Third-Party Administrator (TPA) Application Information

The Nevada Division of Insurance (Division) has provided the Third-Party Administrator Application Checklist, which summarizes all required parts of the application, and the Third-Party Administrator (TPA) – Application Instructions, which provides detail for each item of the Checklist, to assist with preparation of an administrator application.

Additional forms and instructions are available on the Division’s website at Forms for Third-Party Administrators.

Submit applications for a third-party administrator certificate of registration online at www.sircon.com. The $185 application fee will be due at the time of application and must be paid via Sircon as part of the application process.

All required documents must be in electronic form and attached to the Sircon application. Each attachment should be numbered and named to correspond to the requirement on the Third-Party Administrator Application Checklist.

The files uploaded to Sircon are limited to 10MB per document. Documents larger than 10MB will need to be separated into smaller files and labeled accordingly to allow upload to Sircon.

Please click on the links below to navigate the TPA website, or you may also use the links on the left menu below the Third-Party Administrator icon.

Contact Information
Mandatory Reporting
Voluntary Surrender