LIC 447-54T - California Department of Insurance - State of ... 2026

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  1. Click ‘Get Form’ to open the LIC 447-54T in the editor.
  2. Begin by entering the Insurer Name, FEIN, and NAIC # in the designated fields. Ensure accuracy as this information is crucial for processing.
  3. Select the appropriate Termination Type from the provided options. Only one termination type can be selected per line, so choose carefully.
  4. Fill in the License # and Effective date of termination. This ensures that your notice is processed correctly and timely.
  5. In the Name field, enter the name as shown on the license. This should match exactly to avoid any discrepancies.
  6. If applicable, attach a signed statement if you are terminating an appointment due to potential violations of the California Insurance Code.
  7. The Signature of Insurer must be completed by an authorized individual. Ensure that their official title is also included.
  8. Enter your contact information including Phone Number and E-mail for any follow-up communications.
  9. Calculate and enter the number of terminations to determine your total filing fee. Remember, it’s $32 per termination type.
  10. Once completed, review all entries for accuracy before submitting your Action Notice along with the filing fee to the California Department of Insurance.

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If you havent received your new DL after 60 days, call 1-800-777-0133 to check the status.
Consumers who feel they have been treated unfairly by an insurance company, agent or any licensee, are urged to contact the Departments toll-free Consumer Hotline at (800) 927-4357 or visit our web site: insurance.ca.gov.
Insurance is monitored and regulated by state insurance departments, and one of their primary objectives is protecting policyholders from the risk of a company in financial distress.
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Foremost a consumer protection agency, the number one priority is to protect insurance consumers by regulating the industrys practices and encouraging a healthy marketplace, which is one of the largest in the world.
Consumers who feel they have been treated unfairly by an insurance company, agent or any licensee, are urged to contact the Departments toll-free Consumer Hotline at (800) 927-4357 or visit our web site: insurance.ca.gov.
In California, health insurance is regulated by the California Department of Insurance (CDI).
All of CDIs functions, including overseeing insurer solvency, licensing agents and brokers, conducting market conduct reviews, resolving consumer complaints, and investigating and prosecuting insurance fraud, are to protect consumers.
Pursuant to Section 1630 of the California Insurance Code, licenses are issued for two year terms. Specifically, the term of the first license begins the date the license is issued and expires the last day of that same calendar month two years later.

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