- Business Entity Application for Administrator's Certificate, form LIC 441-12.
- Individual Application for Administrator's Certificate, form LIC CDI-182.
- Request For Live Scan Service, form LIC 442-39A.
Authorizing Act: Section 1759 of the California Insurance Code (CIC) reads, in part:
A Certificate of Registration as an administrator is issued to a person who collects any charge or premium from, or who adjusts or settles claims on, residents of this State in connection with life or health insurance coverage or annuities or coverage described in Section 740 of the CIC.
- Minimum Age: 18 years
- Residency: California residency is not required.
- Entity Types: Individual and Business Entity.
- Prelicensing Experience/Education: Not required
- Continuing Education: Not required
Filing Requirements: Resident and Non-Resident-Individual/Business Entity
- Fingerprint Impressions: Fingerprint impressions are required for unlicensed applicants.
- Fingerprint Processing: Fingerprint impressions are required for all unlicensed applicants who have not held a license issued by this Department within the last 12 months. All business entities are required to submit fingerprint impressions of one officer, partner, manager, or member of the business entity. The Non-resident Applicants to File Fingerprint Impressions Web page lists the procedures on how to submit the fingerprint impressions.
- Certification from resident state: Not required
- Examination: Not required
Additional Documents: The Insurance Commissioner may require such other documents as will aid in determining whether the applicant meets the qualifications for a license.
Fees-Resident and Non-Resident-Individual/Business Entity:
- License two year filing: $188
- Fingerprint fees: Please review Fingerprint Processing link for information on fingerprint fees.
- Renewal Fee: $188
Pursuant to Section 1630 of the California Insurance Code, licenses are issued for two year terms. Specifically, the term of the first license begins the date the license is issued and expires the last day of that same calendar month two years later. Any additional licenses issued at a later date will expire at the same time as the initial license.
Renewal of License:
CDI emails licensees a renewal notification to their email address on record. The email notification includes the license number, license term, license type and fee. You can update your e-mail address using Sircon.com - Change Address Online.
Individuals and business entities who do not receive the email notification must still renew their license online by following the prompts on CDI's Online Renewal Service at the following website link: Sircon.com - Renewal and Reinstatement Service.
CDI's online renewal service is also available to insurance agents, brokers, and adjusters who want to renew their licenses after the license expiration date has passed. Additionally, the online renewal service is available to insurance agents, brokers, and adjusters who previously used the online renewal service as an on-time renewal but were not able to renew their license because not all of the requirements to renew were met prior to the license expiration date. The online renewal service now allows these licensees, once their requirements have been met, to complete the renewal of their license by paying the 50 percent late penalty fee.
The online renewal service for late renewals is not available to bail agents, who by law must reapply as a new applicant if their license is not renewed prior to the expiration date. Any licensees that renew their licenses late will be required to pay a 50 percent penalty fee. "Late" is defined as any renewal for which the requirements to renew are not met until after the expiration date of the previous license term. Use this link Sircon.com - Renewal and Reinstatement Service to find out how to late renew your license.
Federal law (Title 18 United States Code Section 1033) prohibits anyone who has been convicted of a felony involving dishonesty or a breach of trust from conducting the business of insurance unless they have obtained the written consent of the Insurance Commissioner. It is a violation of this statute to conduct business of insurance without the Commissioners written consent. If you have been convicted of a felony involving dishonesty or a breach of trust then you must attach a copy of this consent. If you have not obtained this written consent you must do so by filing a 1033 Short Form Application for Written Consent prior to filing your application.
To obtain insurance licensing forms by mail, send an e-mail request to: Producer Licensing Bureau.
To obtain insurance licensing information, you may phone the Producer Licensing Bureau at (800) 967-9331.
All fees mailed to the Department must be addressed to:
Department of Insurance
P.O. Box 1139
Sacramento, CA 95812-1139
All filing fees submitted are not refundable, whether or not the application is acted upon or an examination taken.