California: Paper Licensing

Uniform Application for Business Entities
PDF | Word

Uniform Application for Individuals
PDF | Word

Non-Resident Licensing

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.

Resident Licensing

California does not currently accept the NAIC Uniform applications for resident licensing. 

Please go California Department of Insurance Web Site for information and forms.

Contact Information

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.

 

Non-Resident Licensing Checklist for Business Entities

Health insurance (Disability insurance) in California may be sold under Accident and Health Agent license.

Appointment Requirements

Financial Responsibility

Other Requirements

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.

LLC's only download and complete Certification of Coverage

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Non-Resident Licensing Checklist for Individuals

Appointment Requirements

Financial Responsibility

Other Requirements

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.

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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.