State Requirements

Applicant must not have an active resident state license on PDB in any state.

In order for an applicant to apply or reinstate through the No Home State initial application for a Casualty Adjuster or MVPD Appraiser, the applicant MUST NOT have an active nonresident Adjuster license on PDB (in any other state).

Applicant must provide either residence or business address that is not in the state of Connecticut.

The DRLP's provided on the application must cumulatively cover the Line of Authorities on the application.

Casualty Adjuster, Certified Insurance Consultant, Premium Finance

Company, Portable Electronics, Public Adjuster, Reinsurance Intermediary Broker, Reinsurance Intermediary Manager, Rental Car Agency Permits, Utilization Review, MVPD Appraiser, Medical Discount Plan, Pharmacy Benefit Manager, Preferred Provider Network, Life Settlement Provider, and Surety Bail Bond Agent

• Applicants cannot enter 'Doing Business As" (DBA) name.
• Cannot enter 'Doing Business As" (DBA) name.

Third-Party Administrator applicants must submit documentation to the Connecticut Insurance Department as required by Connecticut Public Act 11-58 38a-720. Surety bond amount is $500,000. Attachments for "Yes" responses to questions 1-5 should be attached to the NIPR Warehouse.

• Applicants must provide complaint contact information
• Please visit https://portal.ct.gov/CID/Licensing---Producers/Licensing-General-Information/Third-Party-Administrators for more information on required forms.

Life Settlement Broker

• Please visit https://www.cidverifylicense.ct.gov/CLIC/life-settlement-broker.html for more information on required forms.

Premium Finance Company

• Please visit https://www.cidverifylicense.ct.gov/CLIC/LicenseInfo.aspx?LT=PFC for more information on required forms.

Portable Electronics

• Please visit https://www.cidverifylicense.ct.gov/CLIC/portable-electronics.html for more information on required forms.

Reinsurance Intermediary Broker and Reinsurance Intermediary Manager

• Please visit https://www.cidverifylicense.ct.gov/CLIC/reinsurance-intermediary.html for more information on required forms.

Rental Car Agency Permits

Please visit https://www.cidverifylicense.ct.gov/CLIC/LicenseType.html for more information on required forms.

Surety Bail Bond Agent

• Please visit https://portal.ct.gov/CID/Fraud/Bail-Bonds-Regulation for more information on required forms.

Utilization Review

• Please visit https://www.cidverifylicense.ct.gov/CLIC/utilization-review-company.html for more information on required forms.

Life Settlement Provider

Please visit https://www.cidverifylicense.ct.gov/CLIC/life-settlement-provider.html for more information on required forms

Medical Discount Plan

• Please visit https://www.cidverifylicense.ct.gov/CLIC/medical-discount-plan.html for more information on required forms

Pharmacy Benefit Manager

• Please visit https://www.cidverifylicense.ct.gov/CLIC/pharmacy-benefit-manager.html for more information on required forms

Application information will be reviewed and processed by the Connecticut Insurance Department. Most applications will be processed within 7-10 business days. You will receive email notification from the State once the LICENSE has been APPROVED. Check for your approved license at:  www.ct.gov/cid. On the home page, select Licensing. On Licensing’s Home Page, select Verify and Print a License

If applicant responds "yes" to one of the background questions please submit supporting documents electronically via NIPR's Attachments Warehouse. The documents may also be submitted to the state via mail, email, or fax.