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RPG Project Readiness Form

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RPG Project Readiness Form

This form is a prerequisite before initiating a Risk Purchasing Group (RPG) project request or engaging in discussions regarding a Risk Purchasing Group (RPG) licensing project. The data provided herein serves the sole purpose of evaluating whether ReSource Pro can proceed with the intended specialty licensing project. It is crucial to emphasize that this information is exclusively utilized to assess the readiness of the client to meet the criteria and regulatory standards essential for the desired RPG licenses. By completing this form, both parties can ascertain the feasibility of commencing the project without encountering obstacles due to unmet requirements, thereby optimizing time efficiency for all involved stakeholders.

Enter the Legal Name or the Proposed Name
State where formed or incorporated.
Which state(s) do you intend to do business?
States Continued (Please select all that apply)
• Company Name • NAIC Code • Domicile State • Address • Contact Name • Contact Phone • Contact Email
Specify the method by which, and the person(s) (if any), through whom insurance will be offered to its members in each state.

List of Required Items That May Be Needed:

  • List of carriers that insurance will be purchased from
  • List of types of liabilities intended to be purchased
  • UCAA Form 12 (Consent to Service of Process) specific to each state where applying

According to the NAIC Risk Purchasing Group Model Act, the definition of a Risk Purchasing Group is as follows:

“Purchasing group” means any group which (1) Has as one of its purposes the purchase of liability insurance on a group basis; (2) Purchases such insurance only for its group members and only to cover their similar or related liability exposure, as described in Paragraph (3); (3) Is composed of members whose businesses or activities are similar or related with respect to the liability to which members are exposed by virtue of any related, similar, or common business, trade, product, services, premises, or operations; and (4) Is domiciled in any state.

Drafting Note: The Product Liability RRA 1981 contained a very loose definition of “purchasing group.” RRA 1986 offers a more restrictive definition of those groups that can qualify as “purchasing groups.” A purchasing group must only offer liability insurance to its group members, and the insurance must cover their similar or related liability exposure. Further, the group members must have businesses or activities that are similar or related with respect to the liability to which group members are exposed. Finally, the purchasing group must be domiciled in one of the states of the United States, i.e., it cannot be domiciled offshore.

Your Name(Required)

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