Reinsurance Intermediary Manager License, Firm - Initial

Applicable to: All business names. Description: Application for first-time license and reinstatement; fees; license requirements; miscellaneous forms and links. License to bind or manage all or part of the assumed reinsurance business of a reinsurer and to act as an agent for such reinsurer. Statute: CGS 38a-760 Transaction Type: Initial Duration: Biennial. License expires December 31 of even-numbered years.

Prerequisites: CT resident or equivalent license in any other state. A Producer license does not qualify one to act in this capacity. Required Documentation: Application, fee and documentation required based on a "yes" answer to a question. Nonresidents must provide evidence of equivalent license in any other state and Power of Atty form. If firm maintains office in CT, they are considered "resident". Other Information: All individuals acting on behalf of the firm in this capacity must be listed on the application (at least one is required). Such individuals do not require an individual Reinsurance Intermediary Manager license. Applications, Forms & Other: ONLINE APPLICATION (Adjusters, Appraisers, Consultants, Life Settlement Brokers, Resident Producers, Reinsurance Intermediaries, Surplus Lines Brokers) ONLINE CHANGE FORM (Update License Information) PAPER APPLICATION Reinsurance Intermediary Power of Attorney - Corporation (Must Accompany Application if a Nonresident Corporation) Reinsurance Intermediary Power of Attorney - Other than Corporation (Must Accompany Application if a Nonresident Business Entity Other than a Corporation) REQUEST FORM (Certification/Clearance Letter) REQUEST FORM (Duplicate License) STATUTES - Title 38a - Insurance

Application Fee: Eff Oct 1 2009 - $675 payable to Treasurer, State of CT Fee Exemptions: None

Agency: Department of Insurance Phone: (860) 297-3955 Mailing Address: State of Connecticut Insurance Dept, Licensing Division (Standard Mail: PO Box 816, Hartford, CT 06142-0816) (Overnight Mail: 153 Market St, 7th Fl, Hartford, CT 06103) Email Address: toby.sullivan@ct.gov Website:     www.ct.gov/cid Agency Notes: None

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