New York Department of Financial Services


Please Note

We are a service company that can help you file with the New York Department of Financial Services. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Physical address:
New York State Department of Financial Services
One State Street
New York, NY 10004

Phone: (800) 342-3736

Web: Home Name search Forms File online
Email: licensing@dfs.ny.gov

Licenses

We track the following licenses with the New York Department of Financial Services in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

A laptop placed on a desk with our License Manager software on display

New York Charitable Gift Annuity Registration

Agency:New York Department of Financial Services
Law:

NY ISC § 1110

Foreign Qualification is Prerequisite:Not Set
Organization Age Requirement:

10 years of continuous existence immediately preceeding licensure.

Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Agency Fee:

$0

Notes:

In order to apply for a charitable gift annuity permit, a charity must have tax exempt status and adopt a board resolution pertaining to annuities and naming the segregated trust. The application process includes submitting proof of tax exemption, financial reports showing segregation of assets, and other documents. New York also offers exemptions from the permit requirement for charities whose reserve fund requirement is less than $1,000,000.

Registration Renewal

Form:

There is no renewal form.

Agency Fee:

$0

Due:

Annually by March 1.

New York Excess Lines License - Non Resident

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:No
Exam Required?Not Set
Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

If issued for less than one year, $200. If issued for greater than one year $400

Registration Renewal

Filing Method:

Online

Agency Fee:

If issued for less than one year, $200. If issued for greater than one year $400

Due:

Biennially by the end of the licensee's birth month.

New York Excess Lines License - Non-Resident

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Online

Agency Fee:

$400

Registration Renewal

Filing Method:

Online

Agency Fee:

$600

Due:

Biennially by October 31.

New York Excess Lines License - Resident

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Online

Agency Fee:

$50

Registration Renewal

Filing Method:

Online

Agency Fee:

$50

Due:

Biennially by the end of the licensee's birth month.

New York Excess Lines License - Resident

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Online

Agency Fee:

$50

Registration Renewal

Filing Method:

Online

Agency Fee:

$75

Due:

Biennially by October 31.

New York General Consultant License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

Due:

By March 31 of odd-numbered years.

New York Independent Adjuster License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Yes
Bond Requirements:

$1,000

Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

Agency Fee:

$100 for full licensing period (applications submitted during odd-numbered years); $50 for half licensing period (applications submitted during even-numbered years).

Notes:

Ensure all application materials are clipped or stapled together. DFS may reject application materials as "submitted separately" if pages are not fastened.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.
Bond Amount:

$1,000

Registration Renewal

Form:

Adjuster (Independent or Public) (IA or PA)

Filing Method:

File by mail.

Agency Fee:

$100

Due:

January 1 of odd-numbered years.

Notes:

Ensure all application materials are clipped or stapled together. DFS may reject application materials as "submitted separately" if pages are not fastened.

Bond Amount:

$1,000

New York Insurance Agency License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

This section applies to insurance firms that are applying for a license in New York for the first time.

Agency:New York Department of Financial Services
Form:

http://www.dfs.ny.gov/insurance/faxappi.htm

Agency Fee:

Varies by insurance type. Baseline of $100

Registration Renewal

This section applies to insurance firms that are already licensed in New York and need to renew their license.

Agency:New York Department of Financial Services
Form:

http://www.dfs.ny.gov/insurance/faxappi.htm

Agency Fee:

Varies by insurance type. Baseline of $100

Due:

Biennially

New York Insurance Agent License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

This section applies to insurance agents that are applying for a license in New York for the first time.

Agency Fee:

From $0 to $7,500 depending on license type

Registration Renewal

Filing Method:

Online

Agency Fee:

Varies based on Retaliatory Fee

Due:

Biennially

New York Life and Accident/Health Agent License - Non-Resident

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:No
Exam Required?Not Set
Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

Fees vary by home state. See the Life/Accident and Health/Variable Annuity Agent Fee Schedule for details.

Registration Renewal

Filing Method:

Online

Agency Fee:

Fees vary by home state. See the Life/Accident and Health/Variable Annuity Agent Fee Schedule for details.

Due:

Biennially on the licensee's date of birth. If the licensee was born in an even-numbered year, their license must be renewed during even-numbered years. If the licensee was born in an odd-numbered year, their license must be renewed during odd-numbered years.

New York Life and/or Accident/Health Agent License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

Agency Fee:

$80 per sub-licensee if New York is your home state. If not, see the fee schedule retaliatory fee details.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

Agency Fee:

$80 per sub-licensee if New York is your home state. If not, see the fee schedule retaliatory fee details.

Due:

By June 30 of odd-numbered years.

New York Life Broker License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

Agency Fee:

$80 per sub-licensee if New York is your home state. If not, see the fee schedule retaliatory fee details.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

Agency Fee:

$80 per sub-licensee if New York is your home state. If not, see the fee schedule retaliatory fee details.

Due:

By October 31 of even-numbered years.

New York Life Broker License - Non-Resident

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:No
Exam Required?Not Set
Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

Fees vary by home state. See the Life Broker Fee Schedule for details.

Registration Renewal

Filing Method:

Online

Agency Fee:

Fees vary by home state. See the Life Broker Fee Schedule for details.

Due:

Biennially on the licensee's date of birth. If the licensee was born in an even-numbered year, their license must be renewed during even-numbered years. If the licensee was born in an odd-numbered year, their license must be renewed during odd-numbered years.

New York Life Consultant License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

Due:

By March 31 of odd-numbered years.

New York Life Settlement Broker License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

Due:

By June 30 of odd-numbered years.

New York Life Settlement Provider License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

New York Limited Rental License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

New York Property & Casualty Agent License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

Agency Fee:

$80 per sub-licensee if New York is your home state. If not, see the fee schedule retaliatory fee details.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

Agency Fee:

$80 per sub-licensee if New York is your home state. If not, see the fee schedule retaliatory fee details.

Due:

By June 30 of odd-numbered years.

New York Property & Casualty Agent License - Non Resident

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:No
Notes:
  • A property casualty agent or broker is licensed to sell, solicit or negotiate property and casualty insurance.
  • An individual can also be licensed as a personal lines agent who is authorized to sell, solicit or negotiate non-commercial insurance to individuals and families, rather than businesses and organizations.
  • A property casualty agent or personal lines agent represents New York authorized companies for which he/she has been appointed.  A company appointment is not required to obtain an agent license. However, a notice of appointment must be electronically submitted to the Department within fifteen (15) days from the date the agency contract is executed, or the first insurance application is submitted.
  • A property casualty broker represents the insured and can place business with any New York authorized company that will accept it. Some companies will only accept business from appointed age
Exam Required?Not Set
Registered Agent (Special Agency) Required?No

Initial Registration

Instructions:
  • To qualify for a license, the licensing candidate must meet the following prelicensing requirements:
    • complete a Department approved prelicensing education course totaling not less than 90 hours of instruction for the property casualty line of authority or not less than 40 hours for the personal lines authority. Visit the Prelicensing Provider/Course List on the portal for provider contact information.
    • pass, within 2 years of applying for the license, the licensing exam administered by PSI Services.  Visit the Exam Vendor Information page for registration and scheduling instructions.
  • Match the submission code numbers listed under the Resident or Non-Resident columns with the corresponding numbers on the Submission Requirements Chart to determine what must be submitted with the license application.
Filing Method:

Online

Agency Fee:

Non-residents, please see the fee chart to determine the licensing fee.

Penalties:

There is a $20 fee for any e-check or paper check returned by the bank for insufficient funds.

Registration Renewal

Filing Method:

Online

Agency Fee:

Non-residents, please see the fee chart to determine the licensing fee.

Due:
  • Licenses are issued for up to 2 years.  Individual/tba licenses will be issued with an expiration date determined by the applicant’s date of birth:
    • If born in an even numbered year, the license will expire on the birthday in an even numbered year.
    • If born in an odd numbered year, the license will expire on the birthday in an odd numbered year.

New York Property & Casualty Agent License - Resident

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:No
Notes:
  • A property casualty agent or broker is licensed to sell, solicit or negotiate property and casualty insurance.
  • An individual can also be licensed as a personal lines agent who is authorized to sell, solicit or negotiate non-commercial insurance to individuals and families, rather than businesses and organizations.
  • A property casualty agent or personal lines agent represents New York authorized companies for which he/she has been appointed.  A company appointment is not required to obtain an agent license. However, a notice of appointment must be electronically submitted to the Department within fifteen (15) days from the date the agency contract is executed, or the first insurance application is submitted.
  • A property casualty broker represents the insured and can place business with any New York authorized company that will accept it. Some companies will only accept business from appointed agents.
Exam Required?Not Set
Registered Agent (Special Agency) Required?No

Initial Registration

Exemption Eligible Organizations:
  • Exceptions from the prelicensing requirements:
    • A candidate for the either the agent or broker license who holds the Chartered Property Casualty Underwriter designation may waive the education requirement and may take the Property Casualty Laws and Regulations exam.
    • A candidate for the broker license may wave the education requirement if he/she were regularly employed by an insurance company, broker or agent for a period of not less than one year during the last three years in responsible insurance duties relating to the underwriting or adjusting of losses in any one or more of the following branches of insurance: fire, marine, liability and workers' compensation, fidelity and surety, property and casualty. A person serving with the Armed Forces may also qualify on the basis of such experience if the one-year period of employment was during the three years next preceding his/her entry into the Armed Forces, and he/she applies within one year after discharge.  The candidate must submit a signed and completed Statement of Employer with the license application.
Filing Method:

Online

Agency Fee:

For New York residents the full fee is $80, half fee is $40. Non-residents, please see the fee chart to determine the licensing fee.

Penalties:

There is a $20 fee for any e-check or paper check returned by the bank for insufficient funds.

Before you Apply:
  • To qualify for a license, the licensing candidate must meet the following prelicensing requirements:
    • complete a Department approved prelicensing education course totaling not less than 90 hours of instruction for the property casualty line of authority or not less than 40 hours for the personal lines authority. Visit the Prelicensing Provider/Course List on the portal for provider contact information.
    • pass, within 2 years of applying for the license, the licensing exam administered by PSI Services.  Visit the Exam Vendor Information page for registration and scheduling instructions.
  • Match the submission code numbers listed under the Resident or Non-Resident columns with the corresponding numbers on the Submission Requirements Chart to determine what must be submitted with the license application.

Registration Renewal

Filing Method:

Online

Agency Fee:

For New York residents the full fee is $80, half fee is $40. Non-residents, please see the fee chart to determine the licensing fee.

Due:
  • Licenses are issued for up to 2 years.  Individual/tba licenses will be issued with an expiration date determined by the applicant’s date of birth:
    • If born in an even numbered year, the license will expire on the birthday in an even numbered year.
    • If born in an odd numbered year, the license will expire on the birthday in an odd numbered year.
Penalties:

There is a $20 fee for any e-check or paper check returned by the bank for insufficient funds.

New York Property & Casualty Broker License - Non Resident

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:No
Notes:
  • A property casualty agent or broker is licensed to sell, solicit or negotiate property and casualty insurance.
  • Property insurance provides protection against property losses to a business, home or car and/or against legal liability to the insured resulting from injury or damage to the property of others.
  • Casualty insurance provides protection against liability as a result of bodily injury, property damage or other covered peril.
  • An individual can also be licensed as a personal lines agent who is authorized to sell, solicit or negotiate non-commercial insurance to individuals and families, rather than businesses and organizations.
  • A property casualty agent or personal lines agent represents New York authorized companies for which he/she has been appointed.  A company appointment is not required to obtain an agent license. However, a notice of appointment must be electronically submitted to the Department within fifteen (15) days from the date the agency contract is executed, or the first insurance application is submitted.
  • A property casualty broker represents the insured and can place business with any New York authorized company that will accept it. Some companies will only accept business from appointed agents.
Exam Required?Not Set
Registered Agent (Special Agency) Required?No
Qualifying Individual Requirements:
  • To qualify for a license, the licensing candidate must meet the following prelicensing requirements:
    • complete a Department approved prelicensing education course totaling not less than 90 hours of instruction for the property casualty line of authority or not less than 40 hours for tthe authority of the personal line Visit the Prelicensing Provider/Course List on the portal for provider contact information.
    • pass, within 2 years of applying for the license, the licensing exam administered by PSI Services.  Visit the Exam Vendor Information page for registration and scheduling instructions.

Initial Registration

Filing Method:

Online

Agency Fee:

See fee chart  to determine fee.

Notes:

Match the submission code numbers listed under the Resident or Non-Resident columns with the corresponding numbers on the Submission Requirements Chart to determine what must be submitted with the license application.

Registration Renewal

Filing Method:

Online

Agency Fee:

See the fee chart to determine the licensing fee.

Due:
  • Licenses are issued for up to 2 years.  Individual/tba licenses will be issued with an expiration date determined by the applicant’s date of birth:
    • If born in an even numbered year, the license will expire on the birthday in an even numbered year.
    • If born in an odd numbered year, the license will expire on the birthday in an odd numbered year.
Penalties:

There is a $20 fee for any e-check or paper check returned by the bank for insufficient funds.

New York Property/Casualty Broker License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

Agency Fee:

$80 per sub-licensee if New York is your home state. If not, see the fee schedule retaliatory fee details.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

Agency Fee:

$80 per sub-licensee if New York is your home state. If not, see the fee schedule retaliatory fee details.

Due:

By October 31 of even-numbered years.

New York Public Adjuster License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

Due:

By December 31 of even-numbered years.

New York Reinsurance Intermediary License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

Due:

By August 31 of even-numbered years.

New York Service Contract Registration License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

New York Title Insurance Agent License

Agency:New York Department of Financial Services
Foreign Qualification is Prerequisite:Not Set
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Filing Method:

Mail or online. Email licensing.applications@dfs.ny.gov to obtain a paper application and instructions.

How to Apply:

  1. Submit a request for name approval to licensing@dfs.ny.gov. Include the applicant’s name, the entity name, a mailing address and the type of license for which you are applying. A response will be sent in 4-6 weeks.
  2. Entites using a trade name must register the name and submit a filing receipt with the license application.
  3. Apply for a license through the online portal.

Registration Renewal

Filing Method:

Online

Due:

By June 30 of odd-numbered years.

New York Utilization Review Agent Report

Type of Review:

Medical Utilization Review

Agency:New York Department of Financial Services
Law:

New York Stat ISC § 4901

Foreign Qualification is Prerequisite:Yes
Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Form:

UR Agent Report Application and Attestation Form

Agency Fee:

$0

Required Attachments:
  • Set of UR policies and procedures, including UR plan, demonstrating Agent’s ability to carry out the relevant requirements of Insurance Law
  • Certificate of Incorporation in New York State or other documentation that the Agent has been approved by the Secretary of State to do business in New York State
  • Corporate organization chart demonstrating the position of the Agent, subsidiaries, and any parent organizations in the corporate structure (an internal organization chart is not required)
  • List of all insurers and/or municipal cooperative health benefit plans for which the Agent is performing utilization review in New York State and/or anticipated contract date
  • URAC Certificate (if applicable)
  • Template notice letters
  • External Appeal Standard Description and Application

Registration Renewal

Form:

UR Agent Report Application and Attestation Form (Renewal)

Agency Fee:

$0

Due:

Biennially by the registration anniversary date.

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