Authorizing Act: Section 1759
Application for Administrator's Certificate, form LIC 441-12.
Request For Live Scan Service, form LIC 442-39A.
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
- Application: Application for Administrator's Certificate, form LIC 441-12.
- 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: $140 (effective March 17,2014; the fee will increase to $154).
- Fingerprint fees: Please review Fingerprint Processing link for information on fingerprint fees.
- Renewal Fee: $128 (effective 6/15/2013 this fee will be $140).
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:
Notice - Changes in Licensing Laws for 2010
Note: Administrators Individual and Business Entity insurance producers must submit their renewal filings to CDI electronically.
The California Department of Insurance (CDI) discontinued mailing renewal notices to individuals and business entities licensed through CDI's Producer Licensing Bureau. CDI now 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 CDI's Online Address Change service.
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: Free Application Online Renewal Service (FLRS).
Note: You cannot use the online renewal service for a late renewal at this time.
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 Late Renewal - What To Do 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.
Financial Security Requirements for Limited Liability Companies Notice Limited liability companies (LLC's) are required to provide proof of satisfying the security requirements of Section 1647.5 of the California Insurance Code when applying for an insurance license and once licensed, must also file with the Commissioner an annual confirmation of coverage demonstrating continued compliance with the financial security requirements. Additional information regarding the new requirements is contained in the public notice linked on this page.
For additional LLC application filing information, annual certification of coverage information, and links to forms that can be used as proof of fulfilling the security requirements please go to the following link: Business Entity Limited Liability Company Requirements.
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.
LIC 643-A (Rev. 03/2013)
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