§ 19-14.8-5 - Application for registration – Form, fee and accompanying documents.
SECTION 19-14.8-5
§ 19-14.8-5 Application for registration– Form, fee and accompanying documents. – (a) An application for registration as a provider must be in a form prescribedby the director.
(b) Subject to adjustment of dollar amounts pursuant tosubsection 19-14.8-32(f), an application for registration as a provider must beaccompanied by:
(1) The fee established by chapter 19-14;
(2) The bond required by § 19-14.8-13;
(3) Identification of all trust accounts required by §19-14.8-22 and an irrevocable consent authorizing the director to review andexamine the trust accounts;
(4) Evidence of insurance in the amount of two hundred fiftythousand dollars ($250,000):
(A) Against the risks of dishonesty, fraud, theft, and othermisconduct on the part of the applicant or a director, employee, or agent ofthe applicant;
(B) Issued by an insurance company authorized to do businessin this state and rated at least "A" by a nationally recognized ratingorganization;
(C) With no deductible;
(D) Payable to the applicant, the individuals who haveagreements with the applicant, and this state, as their interests may appear;and
(E) Not subject to cancellation by the applicant without theapproval of the director;
(5) If the applicant is a foreign corporation, proof that theapplicant holds a certificate of authority to conduct affairs in this state, asrequired by chapter 7-6; and
(6) If the applicant is organized as a not-for-profit entityor is exempt from taxation, evidence of not-for-profit and tax-exempt statusapplicable to the applicant under the Internal Revenue Code, 26 U.S.C. §501, as amended.