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Insurance Resources for the state of Connecticut

Consumer complaint form (pdf) (rtf fill-in format)
Verify a license
Insurance Fraud Report Instructions (pdf)
Insurance Fraud Report Form (pdf)
Insurance Guaranty Associations in Connecticut "The Consumer's Safety Net" (property/casualty; life/health) (pdf)
Connecticut Life & Health Insurance Guaranty Association (pdf)
External Appeal Consumer Guide
Applications and Forms (License Applications, Certification Letters, Clearance Letters, Duplicate Licenses, Change in License Information Requests)
Connecticut Partnership Certification Training (requires active Connecticut Accident & Health Producer license)
Workers' Compensation Requirements
Life Insurance Information for Military Personnel brochure (pdf)

Connecticut Insurance Department Regulations

List of Final Regulations Recently Adopted

List of Proposed Regulations

Forms

Medical Discount Plan License Application (rtf, pdf)

Preferred Provider Network License Application (rtf, pdf)

Utilization Review Company License Application (pdf)

Viatical Settlement Provider License Application (pdf)

Viatical Settlement Provider Renewal Application (pdf)

Consumer Complaint Form (rtf fill-in) (pdf)

Expedited Request Form (rtf) (pdf)

External Appeal Application Form (rtf) (pdf)

Infertility Treatment & Procedures Disclosure Form (pdf)

Surety Bail Bond Agent Complaint Form (rtf fill-in)

Fraternal Societies - Fraternal Agent Appointments:

Fraternal Agent License Application - Application serves as Appointment (for Fraternal Societies ONLY)

Appointment Cancellation Form (for Fraternal Societies ONLY) (rtf)

Insurers - Agent Appointments:

Appointment Requirements (for Insurance Companies ONLY)

Managing General Agent Agreement Notification (rtf)

Licensees & License Applicants:

Certification Letters, Clearance Letters (pdf)

Change in License Information - Individual (pdf)

Change in License Information - Individual (Online Form) (**Secured Server**)

Change in License Information - Business Entity (pdf)

Duplicate License Request (pdf)

Duplicate/Replacement License Request (Surety Bail Bond Agent Licensees ONLY) (rtf)

License Applications

Register an Assumed/DBA Name - Business Entity (for Producers ONLY) (pdf)

Surety Bail Bond Agent Prelicense Education Waiver Request (rtf)

Surplus Lines Licensing

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