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Excess Line Broker License (Entity)

Permit Information

Permit ID:	INS-0069	Agency Code:	1300

Agency Name:	Financial Services, Department of (Insurance Industry)

Permit Name:	Excess Line Broker License (Entity)

Permit Description:	A license authorizing an entity (corporation, partnership or limited liability company) to procure policies from insurers which are not authorized to transact business in New York state.

Application Form:	Producer Application for Excess Line Broker's License under Section 2105 of the Insurance Law and Statement by Officer or Director
.
Form Number/Date:	EX-Entity.Orig (10/11), ProducerSupp Stmt (10/11)

Downloadable Application Form:	http://dfs.ny.gov/insurance/licensing/applications/el_entity.pdf, http://dfs.ny.gov/insurance/licensing/applications/el_entity.pdf

Apply Online:	Not Available

Authority

Fees and Requirements

Fees:	Type Amount Returnable
	1. License/Permit $200.00 Yes Comments: $400 or $200 if appliacnt maintains an office in or places insurance on risks located in any county in NY having a population of 100,000 or more. $50 or $25 in all other cases. 2. Renewal $200.00 Yes Comments:

Fee Payment Options:	Cash, Personal Check, Postal Money Order, Certified Check

Comments:	Checks made payable to Superintendent of Financial Services

Additional Documentation:	1. Bonding Always Required 2. Child Support Statement Always Required

Comments:

Supplemental Permits:	1. Agency: Financial Services, Department of (Insurance Industry) Permit: Property/Casualty Insurance Broker License (Corporation)--> 2. Agency: Financial Services, Department of (Insurance Industry) Permit: Approval/Reservation of Business Entity Name-->



Comments:

Special Requirements:	1. Must maintain an office in New York State Always Required 2. Approval for use of name required Always Required

Comments:

Additional Information:	1. Permit applications can be rejected by the agency without being approved or disapproved 2. The agency has an appeal process for a denied application

Comments:

Processing

Licensing/Application Inquiries