| This page provides state-specific checklists, application forms and contacts for paper resident and non-resident licensing in the State of California. |
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Health insurance (Disability insurance) in California may be sold under Fire and Casualty Broker-Agent license or the Life Agent license |
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Corporations or LLCs: Include Certificate of Good Standing from the Secretary of State |
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General Partnerships: Submit copy of partnership agreement. If none, submit letter signed by all partners stating such. |
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| Appointment Requirements |
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Action Notices and Bonds,may be submitted after the license is issued for a Life Agent, Fire and Casualty Broker Agent and Personal Lines Broker-Agent . All other license types must continue to submit bonds or action notices prior to the issuance of their licenses |
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| Financial Responsibility |
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Fire/Casualty Brokers and Personal Lines Brokers: Must file a $10,000 Bond of Insurance Broker, Form 417-5, executed in California before transacting as a broker. (CA does not issue a life broker license) |
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LLC only: For purposes of satisfying the security requirements of Section 1647.5 of the California Insurance Code (CIC), all Limited Liability Companies must provide evidence of financial security compliance. If an error and omission liability insurance policy or policies are being maintained to meet the financial security requirements under Section 1647.5 CIC, the amount required is a minimum of five hundred thousand dollars ($500,000) which is at least one hundred thousand dollars ($100,000) multiplied by the number of licensees rendering professional services on behalf of the LLC. However, the maximum amount is not required to exceed five million ($5,000,000) dollars. For the purposes of satisfying this requirement, you are required to provide one of the following: Complete the Certification of Coverage (Form LIC CC1A) signed by a representative of the insurance company providing the E&O policy. If assets other than or in addition to the E&O liability insurance are being used to satisfy the security requirements, provide verification from the bank or escrow holder listing the type of asset and the current dollar amount. |
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| Other Requirements |
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Attach a check * or money order for $144 ** (per line of authority) + $24 (per Action Notice of Appt) + $24 (per Business Entity Endorsement).
* Checks payable to California Department of Insurance ** fee subject to retaliatory provisions |
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Include Letter of Certification (within 90 days of issuance) If your state
does not participate in the Producer Database. Letter of Certification is
not required if your resident state participates in the Producer Database. |
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Business name must be approved by the Commissioner before use in California *
* Refer to CA Ins Code Section 1724.5 & CA Code of Regulations, Title 10, Section 2050 to 2052.5 |
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If your Business Entity is engaged in any business or activity other than insurance, a statement detailing the nature of the business and the percentage of net income that is derived from that business must be signed by an officer of the Business Entity ( with an original signature ) and attached to the application. If 80 percent or more of your net income is derived from that business, you may be exempt from California name approval requirements. |
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Note:
1) Authority granted will never exceed the authority granted in the home state. Classes of insurance authorized are limited to the classes of insurance listed on the letter of certification.
2) Insurance Commissioner may require such other documents as will aid in determining whether the applicant meets the qualifications for a license. |
| LLC’s only download and complete Certification of Coverage |
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Certification of Coverage for Limited Liability Companies (Form LIC CC1A) |
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| Appointment Requirements |
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Action Notices, Endorsements and Bonds, may be submitted after the license is issued for a Life Agent, Fire and Casualty Broker Agent, Personal Lines Broker-Agent and Travel Agent license. All other license types must continue to submit bonds or action notices prior to the issuance of their licenses. |
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| Financial Responsibility |
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Applicants intending to act as a either a Fire/Casualty Broker or a Personal Lines Brokers: Must file a $10,000 Bond of Insurance Broker, Form 417-5, executed in California before transacting as a broker (CA does not issue a life broker license) |
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| Other Requirements |
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Attach a check * or money order for $144 ** (per line of authority) + $24 (per Action Notice of Appt) + $24 (per Business Entity Endorsement).
* Checks payable to California Department of Insurance; ** fee subject to retaliatory provisions |
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Must be 18 years of age |
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Submit NASD registration/screen-print with life application if certification letter does not show variable authority |
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Exam required if applicant's resident state, commonwealth or Canadian province of residence has no reciprocal agreement for waiving of examinations |
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Any assumed business name must be approved by the Commissioner before use in CA *
* Refer to CA Ins Code Section 1724.5 & CA Code of Regulations, Title 10, Section 2050 to 2052.5 |
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Continuing Education (CE) requirements are waived for all nonresident licensees whose home state has a CE requirement. However, any licensee that markets long-term care contracts is required to meet the specific training requirements for marketing such contracts. Additionally, effective 01/01/2005, any non-resident life agent who sells annuities in CA must complete an 8-hour training course, prior to selling annuity products. Persons representing insurers who are direct response providers are exempt from this requirement. For more information regarding these training requirements, please refer to the CA web site at www.insurance.ca.gov. |
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Sign application |
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All applicants who submit a non-resident Individual Application for Insurance License, will be required to file fingerprint impressions. Obtaining the fingerprint impressions at least three weeks prior to submitting your application will minimize the risk that the license issuance will be delayed while awaiting the results from both the California Department of Justice and the Federal Bureau of Investigations. These fingerprint impressions must be taken by either a law enforcement agency or a Live Scan vendor certified by the California Department of Justice, on a standard FBI fingerprint card, (Form FD 258), which is available from that agency. To ensure that your fingerprint impressions are properly recorded, the ORI number "A0042" must be written in the space designated on the fingerprint card. The Fingerprint cards along with a check in the amount of $65.95 made payable to IIS (Identix Identification Services), must be mailed directly to:
Identix Identification Services
Attention: Licensing Live Scan
1650 Wabash Ave Suite D
Springfield, IL 62704
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Note:
1) Authority granted will never exceed the authority granted in the home state. Classes of insurance authorized are limited to the classes of insurance listed on the letter of certification.
2) Insurance Commissioner may require such other documents as will aid in determining whether the applicant meets the qualifications for a license. |
California does not currently accept the NAIC Non-Resident Individual application.
Please go to State of California Department of Insurance website for the Non-Resident Individual Application for Insurance License. http://www.insurance.ca.gov/ |
| Wet Signature is currently required for the California Individual Application. |
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DISCLAIMER
The National Insurance Producer Registry ("NIPR") populates the State Matrix of Business Rules ("State Matrix") with information provided directly from participating state insurance departments. Participating states are encouraged to provide updated information when appropriate. NIPR does not guarantee the completeness, accuracy or adequacy of the information in the State Matrix. The information in the State Matrix does not constitute legal advice and use of this information is at user's own risk and responsibility. Any questions regarding the interpretation of the rules or the accuracy of the information should be directed to the appropriate state insurance department.
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Uniform Application for Business Entities
[PDF] [Word] |
Uniform Application for Individuals
[PDF] [Word] |
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