What Are The Licensing Application Procedures?

For a Resident Agent license, you will need to submit to Agent Licensing:
  1. Form LA­3 (Revised 6/1997)
    Part I ­­ Completed by applicant; must be signed & notarized.
    Part II ­­ Completed and signed by Appointing Official for the insurance company.
    Acknowledgment of issuance of license will be mailed to the insurance company. License card will be mailed directly to the Agent's residence address. Self­addressed envelope must be submitted with every application.
  2. Original pre­licensing Course Completion Certificate (Form PL789E)
  3. Original testing service score report.
  4. Clearance letter(s) from any other state(s) applicant held resident license. If you have an approved Waiver (from pre­licensing education and part I of exam), submit the original approved Waiver form with your application.
  5. License fee ­­ $25.00 Checks made payable to WEST VIRGINIA INSURANCE COMMISSIONER

Residents applying for a Variable Annuity License must hold a life license or be applying for a life license and must submit:

Form LA­3 (Revised 6/1997)­­Part I completed and signed by Agent.
Part II completed and signed by Appointing Official.
Copy of NASD registration (Series 6 or Series 7 AND Series 63).
License fee­­$25.00 if applying for a Life license.
No fee if already licensed for Life and only applying for Variable Annuity.
No insurance department exam required.
Self­addressed envelope­­Acknowledgment will be mailed to requesting insurance company.

For individuals selling credit life/credit accident & sickness coverage through auto dealerships, financial institutions or any other business where credit life/credit accident & sickness is offered in connection with products offered by these facilities, no pre­licensing education or exam is required. Please submit:

Form CLA­1­­completed and signed by Agent and Company.
Affidavit regarding child support obligation.
License fee­­$25.00 per company.
Make check payable to WEST VIRGINIA INSURANCE COMMISSONER.
Self­addressed envelope­­Acknowledgment will be mailed to requesting insurance company.

The information on this page is meant to provide a general overview of the law. The laws in your state and/or city may deviate significantly from those described here. If you have specific questions related to your situation you should speak with a local attorney.

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