ORIGINAL AGENT/BROKER LICENSING IN NEW YORK ON-LINE NOT IN-LINE GO TO

2 ON THIS PAGE CLICK ON THE AGENTS&BROKERS BUTTON THIS IS THE FIRST PAGE OF THE DEPARTMENT’S WEB SITE

3 ON THIS PAGE CLICK HERE

4 IN ORDER TO USE THIS APPLICATION YOUR COMPUTER MUST MEET OR BE UPGRADED TO THE SPECIFICATIONS FOUND ON THIS PAGE YOU MAY BE ABLE TO MAKE THIS UPGRADE YOURSELF, CHECK WITH YOUR SYSTEM ADMINISTRATOR

5 THIS IS THE FIRST PAGE OF THE APPLICATION

6 A RED * MEANS THIS IS A REQUIRED FIELD

7 WE STRONGLY SUGGEST THAT YOU PROVIDE AN ADDRESS

8 IF THERE IS AN ERROR IN ENTERING INFORMATION THE SYSTEM WILL TELL YOU

9 THIS IS AN EXAMPLE OF AN ENTRY ERROR MESSAGE

10 THIS PAGE IS WHERE YOU CHOOSE THE TYPE OF LICENSE(S) AND THE LINE(S) OF AUTHORITY YOU WISH TO APPLY FOR

11 THIS PAGE SHOWS WHAT LICENSE(S) AND LINE(S) OF AUTHORITY YOU HAVE SELECTED YOU MUST CHECK THE CORRECT BOX(ES) TO CONFIRM YOUR SELECTION(S)

12 IF A YES ANSWER IS GIVEN TO ANY QUESTION AND THIS DEPARTMENT HAS ALREADY INVESTIGATED THE MATTER PLEASE INDICATE THE FILE NUMBER IN THE BOX PROVIDED

13 DEPARTMENT’S INVESTIGATION FILE NUMBER GOES HERE

14 AND HERE

15 AND HERE

16 IF THE ANSWER TO QUESTION 7 IS YES AND ALL OF QUESTIONS (a) THROUGH (d) ARE ANSWERED NO, A 6 MONTH LICENSE WILL BE ISSUED INSTEAD OF A FULL TWO YEAR LICENSE

17 INSERT PRE- LICENSING SCHOOL CODE(S) HERE ONE OF THESE BUTTONS MUST BE CHECKED

18 IF YOU ARE APPLYING FOR VARIABLE ANNUITY AUTHORITY AND DID NOT PROVIDE YOUR NASD NUMBER ON THE FIRST PAGE OF THE APPLICATION YOU MAY DO SO HERE

19 ON THIS PAGE YOU MAY LIST UP TO 10 COMPANIES TO WHICH YOU WISH TO BE APPOINTED IF YOU DON’T KNOW THE NAIC NUMBER CLICK HERE AGENTS MUST HAVE A COMPANY APPOINTMENT TO BE LICENSED

20 TO CHECK THE COMPANY DIRECTORY FOR THE NAIC NUMBERS CLICK HERE

21 OR CLICK HERE

22 SELECT THE TYPE OF COMPANY OR SEARCH BY COMPANY NAME

23 THIS IS AN ALPHABETIC LISTING OF COMPANIES BY TYPE

24 INSERT THE COMPANY(IES) NAIC NUMBER(S) HERE

25 THE COMPUTER WILL CONFIRM THE COMPANY(IES) SELECTED

26 AGENT APPOINTMENTS After you submit your application we will forward your appointment to the appropriate company via an electronic mailbox. The company may then process the appointment electronically. These appointments are processed overnight.

27 READ THIS PAGE AND INDICATE BELOW WHETHER YOU AGREE OR DISAGREE

28 IF YOU DISAGREE YOU WILL BE ABLE TO STATE WHY ON THE FOLLOWING PAGE CLICKING “I AGREE” IS EQUIVALENT TO SIGNING A PAPER APPLICATION

29 IF YOU CLICKED DISAGREE YOUR APPLICATION WILL BE HELD IN PENDING STATUS FOR REVIEW

30 THE COMPUTER WILL CALCULATE THE FEE YOU MAY PAY EITHER BY CHECK OR CREDIT CARD

31 THIS IS YOUR INVOICE WE SUGGEST THAT YOU MAKE A COPY FOR YOUR RECORDS IF YOU PAY BY CHECK YOU MUST SUBMIT A COPY OF THIS INVOICE WITH YOUR CHECK

32 THE REASON(S) FOR WHICH AN APPLICATION MAY BE HELD PENDING WILL BE INDICATED HERE ON YOUR INVOICE

FEE PAYMENTS If payment is made by check the license cannot be processed until the check is received If payment is made by credit card the license can be issued in 24/48 hours If the application is for an agent’s license it will not be processed until at least one company has approved the appointment.

34 Summary Original online applications may now be submitted on the Department’s Web site for resident individuals and T/B/A’s for the following classes: Life Agents Life Brokers Property/Casualty Agents Property/Casualty Brokers

35 QUESTIONS IF YOU HAVE ANY QUESTIONS YOU MAY CONTACT THE DEPARTMENT AT :

36 WHY WAIT? LICENSE