Massachusetts insurance license application

This page provides state-specific checklists, application forms and contacts for paper resident and non-resident licensing in the State of Massachusetts.

Non-Resident Licensing Checklist for Business Entities

The proper filing sequence is as follows:

STEP 1: NAME APPROVAL -Pursuant to M.G.L. c. 155, § 9, the name of any business entity formed for the purpose of acting as an insurance producer is subject to the prior written approval of the Commissioner of Insurance.

The following required documentation is to be submitted to:

MA Division of Insurance
Attn: Producer Licensing
1000 Washington Street Suite #810

Boston, MA 02118-6200

Non-Resident Corporations – Submit an unexecuted Foreign Corporation Certificate of Registration which you may download from the Secretary of the State's Corporate Division at http://www.sec.state.ma.us/cor/corpweb/corfor/forinf.htm. The Division of Insurance ('Division') will note the name approval by signing off on the unexecuted documentation and return all documents to you, for your filing with the Secretary of State's Office, Commonwealth of Massachusetts.

Non-Resident Limited Liability Companies – Submit an unexecuted Foreign LLC document and follow the guidelines provided by the Secretary of the Commonwealth at http://www.sec.state.ma.us/cor/corpweb/corfllc/fllcinf.htm. The Division will note the name approval by signing off on the unexecuted documentation and return all documents to you, for your filing with the Secretary of State's Office, Commonwealth of Massachusetts.

DBA Names- If a DBA is to be used or added on, an entity must first seek DBA name approval, from the Division; you will need to download the DBA attachment form from the Secretary of States' Corporate Division website at http://www.sec.state.ma.us/cor/corpweb/corfor/forinf.htm and submit them to the Division of Insurance for DBA name approval. Once DBA name has been approved, you will then submit a Business Certificate from the town or city in which the business entity will be operating its business in Massachusetts.

Non-Resident Partnerships - Together with said statements or applications, there shall be filed a duplicate original of the written partnership agreement signed by all the partners. Partnerships (Excluding LLP's)

STEP 2 : FILING WITH THE MA SECRETARY OF STATE'S OFFICE – Please see the instructions on the Corporate Division's website at http://www.sec.state.ma.us/cor/Functionality/walkinmail.htm

STEP 3: APPLICATION, ENCLOSURES AND FEES - Please include the following:

Please send Step 1 documents only, for name approval sign-off to:
MA Division of Insurance
Producer Licensing – Duncan Kayondo
1000 Washington Street, Suite #810
Boston, MA 02118-6300

Please send Step 3 documents to:
Division of Insurance
Attn: Producer Licensing
1000 Washington Street, Suite 810
Boston, MA 02118

Non-Resident Licensing Checklist for Individuals

Licensing fees are as follow :

Please send all non-online documents to:
Division of Insurance
Attn: Producer Licensing
1000 Washington Street, Suite 810
Boston, MA 02118

Resident Licensing Checklist for Business Entities

The proper filing sequence is as follows:

STEP 1: NAME APPROVAL -Pursuant to M.G.L. c. 155, § 9, the name of any business entity formed for the purpose of acting as an insurance producer is subject to the prior written approval of the Commissioner of Insurance.

The following documentation should first be submitted to:

MA Division of Insurance
Attn: Producer Licensing – Duncan Kayondo
1000 Washington Street Ste #810

Boston, MA 02118-6200

Resident Corporations – The unexecuted Articles of Organization for name approval which may be downloaded from the Corporate Division's website at; http://www.sec.state.ma.us/cor/corpweb/cordom/dominf.htm under the category, "Forms". . The Division will approve then send back to you so that you may file with the Secretary of State's Office. If the corporation is already incorporated and approved with the Secretary of State's office proceed to step #3;

Resident Limited Liability Companies – A unexecuted Certificate of Organization following the statutory guidelines provided by the Secretary of the Commonwealth at the following Corporate Division's website athttp://www.sec.state.ma.us/cor/corpweb/corllc/llcinf.htm , for name approval. The Division of Insurance ("Division") will note the name approval by signing off on the unexecuted documentation and return all documents to you, for filing with the Secretary of the Commonwealth. Please note, all corporations, LLC's and LLP's are required to file with the Secretary of the Commonwealth of Massachusetts.

DBA Names - If a DBA is to be used at a later date, an entity must seek DBA name approval first from the Division, and then once approved, submit a Business Certificate from the town or city in which the business entity will be operating business in Massachusetts.

Partnership Agreement, if not an LLP, is to be submitted, only if you are a Partnership as defined in M.G. L. Chapter 175 § 173.

STEP 2: FILE WITH THE MA SECRETARY OF STATE'S OFFICE – Please see the instructions on Corporate Division's website at http://www.sec.state.ma.us/cor/functionality/walkinmail.htm . Once you have completed this process, please request a Certified Articles of Organization or Certificate of Organization if an LLC, along with a Certificate of Existence, as these documents will be required in your final filing process.

STEP 3: APPLICATION, ENCLOSURES AND FEE - Please include the following:

Please send these documents to:
Division of Insurance
Attn: Producer Licensing
1000 Washington Street, Suite 810
Boston, MA 02118

Resident Licensing Checklist for Individuals

Fees are as follows :