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MOTOR CLUB LICENSING FOR REGULATED STATES

7/6/2018 matrix FOR REGULATED MOTOR club STATESPage 1 of 9 AlabamaRESIDENTNON-RESIDENTRENEWALIf already licensed:If already licensed:12/31 AnnuallyCopy of resident Automobile club LicenseCopy of Non- resident Alabama Automobile club License$ Business EntityCopy of resident Business entity Automobile club LicenseCopy of Non- resident Alabama Business entity Automobile club License$ IndividualForm: Representative/Producer QuestionnaireForm: Representative/Producer QuestionnaireForm: Firm/Agency QuestionnaireForm: Firm/Agency Questionnaire$ Appointment Fee ($40 Ind. / $40 Bus.)$ Appointment Fee ($40 Ind. / $40 Bus.)To be licensed:To be licensed:Form: NAIC Uniform Application Individual ProducerBusiness must file with Secretary of StateForm: NAIC Uniform Application Business EntityForm: NAIC Uniform Application Individual Producer$ Individual License & Appointment FeeForm: NAIC Uniform Application Business Entity$ Business Entity & Appointment Fee$ Individual Non- resident License & Appointment F

7/6/2018 MATRIX FOR REGULATED MOTOR CLUB STATES Page 1 of 9 Alabama RESIDENT NON-RESIDENT RENEWAL If already licensed: If already licensed: 12/31 Annually Copy of Resident Automobile Club License Copy of Non-resident Alabama Automobile Club License $25.00 Business Entity Copy of Resident Business entity …

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Transcription of MOTOR CLUB LICENSING FOR REGULATED STATES

1 7/6/2018 matrix FOR REGULATED MOTOR club STATESPage 1 of 9 AlabamaRESIDENTNON-RESIDENTRENEWALIf already licensed:If already licensed:12/31 AnnuallyCopy of resident Automobile club LicenseCopy of Non- resident Alabama Automobile club License$ Business EntityCopy of resident Business entity Automobile club LicenseCopy of Non- resident Alabama Business entity Automobile club License$ IndividualForm: Representative/Producer QuestionnaireForm: Representative/Producer QuestionnaireForm: Firm/Agency QuestionnaireForm: Firm/Agency Questionnaire$ Appointment Fee ($40 Ind. / $40 Bus.)$ Appointment Fee ($40 Ind. / $40 Bus.)To be licensed:To be licensed:Form: NAIC Uniform Application Individual ProducerBusiness must file with Secretary of StateForm: NAIC Uniform Application Business EntityForm: NAIC Uniform Application Individual Producer$ Individual License & Appointment FeeForm: NAIC Uniform Application Business Entity$ Business Entity & Appointment Fee$ Individual Non- resident License & Appointment Fee$ Business Entity & Appointment FeeArkansasRESIDENTNON-RESIDENTRENEWALIf already licensed:If already licensed.

2 6/30 annuallyCopy of resident MOTOR club LicenseCopy of Non- resident MOTOR club License from resident state$ resident $ Individual resident Appointment Fee *NSD PAYS FEE*Copy of Non- resident MOTOR club License from Arkansas$ Non- resident $ Individual Non- resident Appointment Fee *NSD PAYS FEE*To be licensed:To be licensed:Form: Uniform Application for Arkansas Individual resident Insurance Producer LicenseForm: Uniform Application for Arkansas Individual resident Insurance Producer LicenseForm: Identification Bureau Individual Record Check$ Individual Non- resident LICENSING Fee$ Individual resident LICENSING Fee$ Individual Non- resident Appointment Fee *NSD PAYS FEE*$ Background Check Fee$ Individual resident Appointment Fee *NSD PAYS FEE* MOTOR club LICENSING FOR REGULATED STATESFor most STATES , LICENSING can be done online for Residents & Non-residents through or 1 of 97/6/2018 matrix FOR REGULATED MOTOR club STATESPage 2 of 9 MOTOR club LICENSING FOR REGULATED STATESFor most STATES , LICENSING can be done online for Residents & Non-residents through or already licensed:PerpetualCopy of Fire & Casualty or MOTOR club LicenseForm.

3 Action Notice of AppointmentMotor club appointments are perpetualForm: Business Entity EndorsementLicenses renew every 2 years$ Individual Endorsement$ Appointment Fee ($29 Ind. / $29 Bus.)To be licensed:Form: Individual ApplicationForm: Business Entity ApplicationForm: Business Entity EndorsementForm: Action Notice of AppointmentForm: Live Scan Service Request$ Individual resident LICENSING Fee$ Business Entity LICENSING Fee$ Individual Endorsement$ Appointment Fee ($29 Ind. / $29 Bus.)*If you hold a Fire & Casualty license, you can obtain a MOTOR club appointment*DelawareRESIDENTNON- resident RENEWALIf already licensed:Same requirements as ResidentNo appointments requiredCopy of Individual resident Limited Lines Producer LicenseCopy of Business Entity Limited Lines Producer License*Requires Automobile club Line of Authority*No feesNo appointments requiredOnly Residents can apply for a MOTOR club license.

4 Non-residents cannot apply for a MOTOR club licensePage 2 of 97/6/2018 matrix FOR REGULATED MOTOR club STATESPage 3 of 9 MOTOR club LICENSING FOR REGULATED STATESFor most STATES , LICENSING can be done online for Residents & Non-residents through or already licensed & need to add Automobile club LOA:Form: Request for Amendment$ Line of Authority Addition FeeTo be licensed:Form: Request for a Delaware Insurance License *Limited Lines Producer with Automobile club Line of Authority*Form: Request for Business Entity Insurance LicenseCriminal Background Check from Delaware State Police Dept.$ Individual resident License fee$ Business Entity License feeNo appointments requiredFloridaRESIDENTNON-RESIDENTRENEW ALNIU of FL, Products only:Same requirements as ResidentEvery 2 years from date of appointmentOnline processing for 253D Automotive Warranty License with the Florida Department of Financial Services$ : Please speak to a Marketing Representative or a LICENSING & Compliance Representative to obtain$ Initial LICENSING FeeKansasRESIDENTNON-RESIDENTRENEWALTo be licensed:Same requirements as Resident5/1 even yearsForm.

5 Application for Automobile club Agent Registration & Notice of Appointment$ must be notarized$ Individual resident Appointment FeeMarylandRESIDENTNON-RESIDENTRENEWALTo be licensed:Same requirements as Resident8/31 AnnuallyForm: Initial Application Form for MOTOR club Representative RegistrationMust be authorized to sell MOTOR club in their home state$ $ Submitted September 1st April 30th$ Submitted May 1st August 31stMassachusettsRESIDENTNON-RESIDENTREN EWALA pplications from STATES that do not participate in the PDB must submit a Letter of Certification within 90 days of issuancePage 3 of 97/6/2018 matrix FOR REGULATED MOTOR club STATESPage 4 of 9 MOTOR club LICENSING FOR REGULATED STATESFor most STATES , LICENSING can be done online for Residents & Non-residents through or already licensed.

6 Same requirements as Resident4/1 AnnuallyCopy of Individual resident Insurance License$ $ Individual resident Appointment FeeTo be licensed:Form: Automobile Notice of Employment & Application for club Agent$ Credit Check Fee$ Individual resident Appointment FeeMississippiRESIDENTNON-RESIDENTRENEWA LIf already licensed:Same requirements as Resident3/31 AnnuallyCopy of Individual resident Automobile club Agent License$ $ Individual resident Appointment FeeTo be licensed:Form: Automobile club Agent Application*We fill out the Endorsement section*$ Individual resident LICENSING FeeMontanaRESIDENTNON-RESIDENTRENEWALTo be licensed:Same requirements as ResidentPerpetual appointmentAll MOTOR club representatives are required to be licensed in the State of MontanaProcess license online at $ NIPR Processing License FeeNo appointments requiredNebraskaRESIDENTNON-RESIDENTRENE WALIf already licensed:Same requirements as Resident5/1 annuallyCopy of Individual resident Property & Casualty License$ : Representative/Producer QuestionnairePage 4 of 97/6/2018 matrix FOR REGULATED MOTOR club STATESPage 5 of 9 MOTOR club LICENSING FOR REGULATED STATESFor most STATES , LICENSING can be done online for Residents & Non-residents through or $ Individual resident Appointment FeeTo be licensed:Form.

7 NAIC Uniform Application Individual Producer$ Individual resident LICENSING Fee$ Individual resident Appointment FeeNevadaRESIDENTNON-RESIDENTRENEWALIf already licensed:7/31 AnnuallyCopy of Individual resident MOTOR club License$ of Business Entity MOTOR club LicenseMust verify Individual affiliation with Business Entity$ Business Entity Appointment FeeSame requirements as ResidentTo be licensed:Form: NAIC Uniform Application - Business EntityForm: NAIC Uniform Application Individual ProducerForm: Affiliation Modification$ Business Entity LICENSING Fee$ Individual resident LICENSING Fee$ Affiliation Fee for Individual$ Initial Background Check Fee (not including processing fee)

8 $ Business Entity Appointment Fee$ - Appointment Processing FeeNew HampshireRESIDENTNON-RESIDENTRENEWALP rocess license online at requirements as ResidentEvery 2 yearsIndividual & Business Entity must hold a ' MOTOR Vehicle Road Service' licenseIf your home state does not offer MOTOR club Licensure, then the State of Nevada will NOT grant you a MOTOR club Commissioner shall license only a MOTOR club agent if a resident of the State of Nevada, or a non- resident that can show proof of reciprocity to act as a MOTOR club Agent in their state of Page 5 of 97/6/2018 matrix FOR REGULATED MOTOR club STATESPage 6 of 9 MOTOR club LICENSING FOR REGULATED STATESFor most STATES , LICENSING can be done online for Residents & Non-residents through or $ - Individual license$ - Business Entity license$ - Transaction FeeNew MexicoRESIDENTNON-RESIDENTRENEWALTo be licensed:To be licensed:12/31 AnnuallyForm: NAIC Uniform Application Individual ProducerLetter of Certification from resident state$ to conduct a background investigation prior to applyingForm: NAIC Uniform Application Individual Producer$ Initial resident LICENSING & Appointment Fee$ Initial resident LICENSING & Appointment FeeNorth CarolinaRESIDENTNON-RESIDENTRENEWALIf already licensed:If already licensed.

9 4/1 AnnuallyCopy of Limited Representative License with MOTOR club Line of AuthorityCopy of Limited Representative License with MOTOR club Line of Authority$ ResidentForm: Representative/Producer QuestionnaireForm: Representative/Producer Questionnaire$ Initial Individual resident Appointment Fee$ Initial Individual resident Appointment FeeIf already licensed & need to add MOTOR club LOA:If already licensed & need to add MOTOR club LOA:Form: NAIC Uniform Application Individual ProducerForm: NAIC Uniform Application Individual Producer$ Adding Line of Authority & Appointment Fee $ Adding Line of Authority & Appointment Fee To be licensed:To be licensed:Form: NAIC Uniform Application Individual ProducerForm: NAIC Uniform Application Individual Producer$ Initial Individual LICENSING & Appointment FeeNo background check requiredOklahomaRESIDENTNON-RESIDENTRENE WAL*IMPORTANT*The State of Oklahoma will prorate the initial LICENSING fee based on your date of birth & the date applied for license.

10 Please contact Nation Safe Drivers prior to LICENSING for more information on feesAll Individuals to be licensed and appointed in the State of New Mexico for MOTOR club CANNOT already hold a Limited Lines license according to the State of New Mexico office of Superintendent of Insurance$ Initial Individual resident LICENSING & Appointment Fee (Includes $38 background check)The State of Oklahoma shall license only a MOTOR Service club Representative if a resident of the State, or a non- resident that can show proof of reciprocity to act as a MOTOR Service club Representative in their state of 6 of 97/6/2018 matrix FOR REGULATED MOTOR club STATESPage 7 of 9 MOTOR club LICENSING FOR REGULATED STATESFor most STATES , LICENSING ca


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