Uniform Application for Business Entities
PDF | Word
Uniform Application for Individuals
PDF | Word
Click here to apply for a non-resident license electronically.
California accepts the Uniform Licensing Application for nonresident business entities.
California does not accept the Uniform Non-Resident Licensing Application for individuals. Please go to the California Department of Insurance website for the Non-Resident Individual Application for Insurance License.
California does not currently accept the NAIC Uniform applications for resident licensing.
Please go California Department of Insurance Web Site for information and forms.
California Department of Insurance Web Site
Mail Applications to:
California Department
of Insurance
P.O. Box 1139
Sacramento, CA 95812-1139
Non-Resident Contacts
Business and Individual
Producer Licensing Bureau
800-967-9331
This page provides state-specific checklists, application forms and contacts for paper resident and non-resident licensing in the State of California.
Health insurance (Disability insurance) in California may be sold under Accident and Health Agent license.
Applicants intending to act either as a Property and Casualty Brokers and Personal Lines Broker must file a $10,000 Bond of Insurance Broker, form LIC 417-5, executed in California before transacting as a broker. (CA does not issue a life broker license).
Applicants intending to act as a Surplus Line Broker must file a $50,000 Bond of Surplus Line Broker (SL) formLIC 447-31, executed in California before SL broker license can be issued. To transact as a Special Lines' Surplus Line Broker a $10,000 Bond of Special Lines' Surplus Line Broker formLIC 447-32 must be filed before SP broker license can be issued.
* Checks payable to California Department of Insurance
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 held in home state.
2) Insurance Commissioner may require such other documents as will aid in determining whether the applicant meets the qualifications for a license.
* Checks payable to California Department of Insurance;
Must be 18 years of age
Exam required if applicant's, commonwealth or Canadian province of residence has no reciprocal agreement for waiving of examinations.
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
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, any non-resident life agent who sells annuities in CA must complete an initial 8-hour training course, prior to selling annuity products and a 4-hour annuity training course each two year license term thereafter. 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.
Sign application
Fingerprints are not required from applicants who were previously fingerprinted as a condition of obtaining an insurance producer license in their resident state. For information on the fingerprint requirements you may select the following link: http://www.insurance.ca.gov/0200-industry/0200-prod-licensing/0100-applicant-info/0300-ca-fingerprint/index.cfm
As stated on the above link, to qualify for the exemption non-resident applicants must have been fingerprinted as a condition of obtaining their resident license in these states. Therefore, non-resident applicants who currently hold a resident license in these states but were never fingerprinted because they were licensed prior to the state implementing the fingerprint requirement will still need to be fingerprinted as a condition of obtaining a non-resident license in California.
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 $58.30 made payable to Accurate Biometrics must be mailed directly to:
Accurate Biometrics
8680 Greenback Lane, Suite 200
Orangevale, CA 95662
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 held in home state. 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 Paper Application.
Please go to State of California Department of Insurance website for the Non-Resident Individual Application for Insurance License or visit the website at http://www.insurance.ca.gov/
Wet Signature is currently required for the California Individual Application form LIC 441-9.
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.