Have you held a producer license with a life line of authority (LOA) for at least one year?
No	Yes
You cannot apply for this license. You must hold a producer license with a Life LOA for at least one year before you can obtain a life settlements broker license.	You may continue with the instructions below to apply for a life settlements broker license.

Apply using printable forms - application requirements

Uniform application for individual producer license (295 KB)

IMPORTANT: There are additional instructions for completing the uniform application in Washington state:

At the top of the, "Jurisdiction and Type of License Requested" page there is a key for abbreviations in the grid.

Just below these abbreviations, there are categories for Jurisdiction, License Type, Major Lines of Authority and Limited Lines of Authority.

Find the WA grid line in the, "Jurisdiction" column.
In the, "Limited Lines of Authority" section, on the WA grid line, please write, "Life Settlements" in the, "Other" column.

Affiliation notice form (59 KB)
- If you will be representing a business entity, you will need to submit this form with your application or
- have your business entity submit it.

Remember: You cannot transact business for your business entity until the affiliation is received and confirmed by our office.

Your fingerprint card.

IMPORTANT: This is only required if you are applying for a non-resident license and your home state does not require a fingerprint card in order for you to obtain your home state license.

Fee Schedule

Please make checks payable to: Washington Insurance Commissioner. You may combine all fees on one check.

License fee: $100
Filing fee: $5
Affiliation fee: $20 (Only include this fee if sending affiliation in with application)
Fingerprint processing fee: $45.25 (Do not include unless submitting a fingerprint card)

Questions?

Phone: 360-725-7144

Email: Licinfo@oic.wa.gov

Some files on this website require a free reader. Download a free reader.