California Code of Regulations › Title 10 - Investment › Chapter 5 - Insurance Commissioner › Subchapter 1 - Production of Insurance › Article 11 - Portable Electronics Insurance Agent Licensing Regulations › Section 2194.7 - Forms

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The specific forms required to be filed with the
					 Commissioner by license applicants and licensees are as follows:
(a) The written application for licensure
				  shall be made on Form 441-9 (Rev 01/2003) for individuals and on Form 441-11
				  (Rev 01/2003) for organizations.
(b) The initial certification of authorized
				  employees shall be made on form Lic. CV 1 (Rev 12/2002).
(c) The annual certification of authorized
				  employees shall be made on form Lic. CV 2 (Rev 12/2002).
(d) The insurer certification shall be made
				  on form Lic. CV 3 (Rev 9/2004).
(e)
				  Training materials submitted to the Commissioner shall contain all of the
				  elements set forth in form Lic. CV 4 (Rev 12/2002).
(f) The list of authorized endorsees shall be
				  made on form Lic. CV 5 (Rev 9/2004). The list shall be maintained in a format
				  capable of transmission to the Commissioner or a designee of the Commissioner
				  electronically and in hard copy or diskette, however requested by the
				  Commissioner or a designee of the Commissioner pursuant to Section
				  2194.6(c) above.
				  The electronic version shall be transmitted in commercial word-processing or
				  spreadsheet form. When requested, the list shall be updated to include
				  endorsees newly authorized up to thirty (30) days before the mailing date of
				  the request, and shall include the dates upon which each endorsee's
				  authorization began and, if relevant, terminated. It shall then be transmitted
				  as an attachment to e-mail or by regular mail in hard copy or diskette, as
				  requested. The appropriate e-mail and regular mailing addresses shall be posted
				  by the Department on its website at
http://www.insurance.ca.gov
.
(g) All forms set forth in this section are
				  incorporated herein by reference in their entirety and are available upon
				  request, by telephone or in writing, to the Department of Insurance or on the
				  website of the Department of Insurance at
www.insurance.ca.gov
.
1. New
					 section filed 7-11-2003 as an emergency; operative 7-11-2003 (Register 2003,
					 No. 28). A Certificate of Compliance must be transmitted to OAL by 11-10-2003
					 or emergency language will be repealed by operation of law on the following
					 day.
2. New section refiled 11-7-2003 as an emergency; operative
					 11-10-2003 (Register 2003, No. 45). A Certificate of Compliance must be
					 transmitted to OAL by 3-9-2004 or emergency language will be repealed by
					 operation of law on the following day.
3. New section refiled
					 3-8-2004 as an emergency; operative 3-9-2004 (Register 2004, No. 11). A
					 Certificate of Compliance must be transmitted to OAL by 7-7-2004 or emergency
					 language will be repealed by operation of law on the following
					 day.
4. New section refiled 7-7-2004 as an emergency; operative
					 7-7-2004 (Register 2004, No. 28). A Certificate of Compliance must be
					 transmitted to OAL by 11-4-2004 or emergency language will be repealed by
					 operation of law on the following day.
5. Certificate of Compliance
					 as to 7-7-2004 order, including amendment of subsections (d) and (f),
					 transmitted to OAL 11-2-2004 and filed 12-17-2004 (Register 2004, No.
					 51).
Note: Authority cited: Sections
						1758.6 and
						1758.693,
						Insurance Code. Reference: Sections
						1758.62 and
						1758.63,
						Insurance Code.