Reinsurance Intermediary Manager License, Individual - Initial

Applicable to: Individuals, at least 18 years of age and of good moral character. Application for first-time license and reinstatement; fees; license requirements; miscellaneous forms and links. Description: 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. CGS 38a-760. Statute: 22a-133v 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 individual maintains office in CT, they are considered "resident". Other Information: If employer is licensed in this capacity, individuals require written designation by an owner, partner, officer or director of the firm. An individual license is not required. Applications, Forms & Other: ONLINE APPLICATION - Individual (Adjusters, Appraisers, Consultants, Life Settlement Brokers, Resident Producers, Reinsurance Intermediaries, Surplus Lines Brokers) (ONLINE) Change Form (Update License Information) (PAPER) Reinsurance Intermediary, Individual License Reinsurance Intermediary Power of Attorney - Individual (Must Accompany Application if a Nonresident Individual) 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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