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.)

2 $ 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: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.

3 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: Action Notice of AppointmentMotor club appointments are perpetualForm: Business Entity EndorsementLicenses renew every 2 years$ Individual Endorsement$ Appointment Fee ($29 Ind.)

4 / $29 Bus.)To be licensed:Form: Individual ApplicationForm: Business Entity ApplicationForm: Business Entity EndorsementForm: Action Notice of AppointmentForm: Live Scan Service Request$ 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.

5 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.

6 $ 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: 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.

7 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: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.

8 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: NAIC Uniform Application Individual Producer$ Individual Resident LICENSING Fee$ Individual Resident Appointment FeeNevadaRESIDENTNON-RESIDENTRENEWALIf already licensed.

9 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)$ 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.

10 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:4/1 AnnuallyCopy of Limited Representative License with MOTOR club Line of AuthorityCopy of Limited Representative