Renew my ny insurance license

    • [DOC File]INSURANCE REGULATION IN A NUTSHELL

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      For example, a state insurance regulator may place on probation, suspend, revoke or refuse to issue or renew an insurance producer’s license or may levy a civil penalty or any combination of actions, for violating any insurance laws, or violating any regulation, subpoena or order of the state insurance regulator or of another state’s ...

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    • [DOCX File]ADDITIONAL LEGAL INFORMATION AND DOCUMENTATION …

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      Provide separate lists of any affiliations you or any relatives have had in the past 10 years, per the instructions below, as an owner, operator, voting officer, director or principal stockholder of any health care, adult care, behavioral or mental health facility, program or agency requiring licensure or certification in New York State and in ...

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    • [DOC File]PRACTICE INFORMATION AND LETTER AGREEMENT FORM

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      COMPLETE, SIGN AND RETURN TO:One Huntington Quadrangle Suite 1N09 Melville, NY 11747. PERSONAL DATA. Last Name First Name License Number Tax I.D. Number for Insurance Billing

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    • [DOCX File]DWELLING FIRE APPLICATION

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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]HOMEOWNER APPLICATION

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      NEW YORK OTHER THAN AUTOMOBILE FRAUD WARNING: 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 ...

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    • [DOC File]New York State Department of Health

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      If the child’s insurance policy, plan or benefit package IS a policy regulated by New York State Insurance Law and IS NOT Medicaid, Champus, or a self-insured plan or other plan not subject to New York State Insurance Law, please indicate the number of annual visits available for the covered services identified below (if no coverage is ...

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    • [DOCX File]Table of Contents - Government of New York

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      A)Form CE-200, Certificate of Attestation for New York Entities With No Employees and Certain Out of State Entities, That New York State Workers’ Compensation and/or Disability Benefits Insurance Coverage is Not Required, which is available on the Workers’ Compensation Board’s website (www.wcb.state.ny.us); (Reference applicable IFB/RFP ...

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