| This page provides state-specific checklists, application forms and contacts for paper resident and non-resident licensing in the State of Connecticut. |
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| Producer License Requirements |
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Sign Application. Application must be signed by an owner, partner, member, officer or director of the business entity. |
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Attach a check or money order for $65. Must be made payable to Treasurer, State of CT.
DESIGNATED RESPONSIBLE PRODUCER: Each Business Entity Producer application must name at least one Connecticut licensed producer, who will be responsible for the business entity’s compliance with the laws of the State of Connecticut. Such designee(s) must hold lines of authority equal to, or greater than, that of the business entity.
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| Registration of Assumed Name Requirements |
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Assumed Names (Trade Names/DBA Names) using the same Tax Identification Number as the licensed Business Entity do not require licensure in Connecticut. Registration is required and can be accomplished by submitting a Request for Change in License Information form available at www.state.ct.us/cid by clicking on Producer Information, then on the Change in License Information Form (Business Entities) link.
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No attachments required, unless there are "yes" answers to Background Information (page 3), and then follow instructions on page 3 of the application, regarding attachments. |
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Appointment Requirements After Licensing
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None required for producer licensure. Appointing Insurers must submit appointment requests in accordance with section 38a-702m of the Connecticut General Statutes. Appointments cannot be requested until an active Connecticut Producer license is in place. Notice of appointment must be filed with the Commissioner, not later than 15 days after the date the agency contract is executed or the first insurance application is submitted. |
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| Producer License Requirements |
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Application must be signed by applicant. |
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No attachments required, unless there are "yes" answers to Background Information (page 3), and then follow instructions on page 3 of the application, regarding attachments. |
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Attach a check or money order for $75 - New Licensees -those who have never been licensed as a Producer in Connecticut ; $65 - Reinstatements, Amendments . Must be made payable to Treasurer, State of CT. |
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| Registration of Assumed Name Requirements |
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Assumed Names (Trade Names/DBA Names) using the same Tax Identification Number as the licensed Individual do not require licensure in Connecticut. Registration is required and can be accomplished by submitting a Request for Change in License Information form available at www.state.ct.us/cid by clicking on Producer Information, then on the Change in License Information Request Form (Business Entities) link. |
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| Appointment Requirements After Licensing |
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None required for producer licensure.
Appointing Insurers must submit appointment requests in accordance with section 38a-702m of the Connecticut General Statutes. Appointments cannot be requested until an active Connecticut Producer license is in place. Notice of appointment must be filed with the Commissioner, not later than 15 days after the date the agency contract is executed or the first insurance application is submitted. |
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| Producer License Requirements |
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Application must be sign by an owner, partner, officer or director of the business entity. |
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Attach a check or money order for $65 (this amount represents a $25 filing fee and $40 license fee). Must be made payable to Treasurer, State of CT . |
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| Registration of Assumed Name Requirements |
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Assumed Names (Trade Names/DBA Names) using the same Tax Identification Number as the licensed Individual or Business Entity do not require licensure in Connecticut. Registration is required and can be accomplished by submitting a Request for Change in License Information form available at www.ct.gov/cid by clicking on Licensing, then on the Change in License Information(Request Form) link. |
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| Appointment Requirements After Licensing |
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Must be submitted by the appointing insurance company; not the licensee. Appointments cannot be requested until an active Connecticut Producer license is in place. Appointment filing fees are nonrefundable. |
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| Appointment Cancellation Requirements |
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No fee for canceling an appointment. Entities submitting appointment termination transactions must complete these transactions on-line through NIPR. Paper termination forms received in the Department after November 1, 2004 will be returned, with one exception: Appointment terminations for cause should still be sent on paper to the Department. |
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| Producer License Requirements |
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Attach o riginal prelicense education certificate and original examination score report. Applicants for Variable Life/Variable Annuities must include their CRD number under Question 3 and be currently active with a broker/dealer. |
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Original prelicense education certificate and original examination score report. Applicants for Variable Life/Variable Annuities must include their NASD number under Question 3 and attach a copy of a current CRD printout. |
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Attach a check or money order for $75 - New Licenses $65; Reinstatement /Amedments. Must be made payable to Treasurer, State of CT. |
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| Registration of Assumed Name Requirements |
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Assumed Names (Trade Names/DBA Names) using the same Tax Identification Number as the licensed Individual do not require licensure in Connecticut. Registration is required and can be accomplished by submitting a Request for Change in License Information form available at
www.ct.gov/cid by clicking on Licensing, then on the Change in License Information (Request Form) link. |
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| Appointment Requirements After Licensing |
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Must be submitted by the appointing insurance company (not the licensee). Appointments cannot be requested until an active Connecticut Producer license is in place. Appointment filing fees are nonrefundable. |
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| Appointment Cancellation Requirements |
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No fee for canceling an appointment.
Entities submitting appointment termination transactions must complete these transactions on-line through NIPR. Paper termination forms received in the Department after November 1, 2004 will be returned, with one exception: Appointment terminations for cause should still be sent on paper to the Department. |
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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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