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How to Obtain a Life and Health Insurance License in Florida - Flori…
iv. Submit a certificate of licensure from the state your license was issued. f. Section VI – Proof of Insurance. i. If you are applying for an “active status” license, you must have at least the minimum amount of insurance required, which is $300,000 general liability. g.
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[DOC File]STATE OF FLORIDA
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Individual Insurance Producer License/Registration. Jurisdiction and Type of License Requested Next to each jurisdiction, check the license type(s) and line(s) of authority for which you are applying. License Types: P – Producer A – Agent. B – Broker P - Producer SLP – Surplus Lines Producer Lines of Authority: V – Variable Life ...
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[DOCX File]Health Care Licensing Application - FL Agency for Health ...
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Attachment #10 Insurance verification - copy of insurance policy, certificate of insurance or. certificate of self-insurance showing limits of coverage, policy expiration date. and FAA number of each aircraft. Attachment #11 Pilot licensure - Copy of each pilot’s commercial license and current medical. certificate.
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[DOC File]FL Agency for Health Care Administration
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Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.
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[DOC File]NAIC Uniform Application for
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ACTION FEE TOTAL FEES License Fee Standard ALF (Initial, Renewal and Change of Ownership): License Fee Exemption (County or Municipal Government pursuant to section 429.07(5), F.S.)= $ 0.00 $64.96 per private pay bed x number of beds + $387.73 (not to exceed $14,253.64) $ Specialty License - Extended Congregate Care (ECC) $10.15 per bed x total ...
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State of Florida
A person who knowingly submits a false, misleading, or fraudulent application or other document when applying for licensure as a health care clinic, seeking an exemption from licensure as a health care clinic, or demonstrating compliance with part X of chapter 400, Florida Statutes, with the intent to use the license, exemption from licensure ...
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[DOCX File]HOMEOWNER APPLICATION - XS Brokers | Wholesale …
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If response is “YES” to any or all of questions 5 through 7 application with required attachments will need to be submitted to obtain a Managing General Agent license. Section 4 Jurisdictions Indicate State(s) the MGA is currently licensed (L) or applying (A) as a MGA. AL CT ID ME MT NC RI VA
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[DOC File]NAIC Uniform Application for
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I acknowledge that I understand and will comply with the insurance laws and regulations of the jurisdictions to which I am applying for licensure. For Non-Resident License Applications, I certify that I am licensed and in good standing in my home state/resident state for the lines of authority requested from the non-resident state.
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[DOC File]NAIC Uniform Application for
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“Involved” means having a license censured, suspended, revoked, canceled, terminated; or, being assessed a fine, placed on probation or surrendering a license to resolve an administrative action. “Involved” also means being named as a party to an administrative or arbitration proceeding which is related to a professional or occupational ...
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Applying for insurance license fl