LIC 417-31 - California Department of Insurance - State of California - insurance ca 2026

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Definition & Meaning

The LIC 417-31 form, issued by the California Department of Insurance, is an Action Notice of Solicitor Appointment or Termination. It serves as a formal notification to the Insurance Commissioner regarding the appointment or termination of solicitors by a Broker-Agent or Business Entity within California. This notification mandates the inclusion of specific details such as license numbers and the names involved in the transaction. The form ensures that the insurance regulator is kept informed about changes in representation within the industry.

How to Use the LIC 417-31 Form

The LIC 417-31 form is utilized for both appointing and terminating solicitors. Here’s how you can proceed with each scenario:

  1. Appointment of Solicitors:

    • Fill in sections specifying the details of the solicitor being appointed.
    • Include necessary license numbers and any relevant personal or business information.
    • Ensure accuracy to avoid processing delays.
  2. Termination of Solicitors:

    • Input details of the solicitor being terminated, including reasons for termination.
    • Provide evidence of compliance with termination clauses in any existing contracts.

How to Obtain the LIC 417-31 Form

To obtain the LIC 417-31 form, follow these steps:

  • Online Access: Visit the official website of the California Department of Insurance. The form is typically available for download in PDF format.
  • In-Person Requests: You can also visit local insurance offices that distribute state forms. Call ahead to ensure availability.
  • Mail Requests: Request a physical copy by contacting the department through mail, though this may take longer.

Steps to Complete the LIC 417-31 Form

  1. Gather Necessary Information:

    • Collect all personal and business details required for the form.
    • Verify that all information, such as license numbers, is up to date.
  2. Form Completion:

    • Accurately fill out each section of the form. Make sure to use clearly legible writing if filling out by hand.
    • For digital submissions, ensure compatibility with form-editing software like DocHub.
  3. Review and Verify:

    • Double-check all entries for errors or omissions.
    • Confirm that all mandatory fields, such as personal identifiers and license details, are completed.
  4. Submission:

    • Follow guidelines for submitting the form either online, by mail, or in person.
    • Include the required filing fee of $24, ensuring it’s processed with the form.

Who Typically Uses the LIC 417-31 Form

Primarily, the LIC 417-31 form is used by:

  • Broker-Agents: Individuals authorized to solicit, negotiate, or sell insurance policies within California.
  • Business Entities: Insurance agencies or firms looking to manage or alter their solicitor workforce.
  • Insurance Professionals: Companies or individuals who need to comply with regulatory changes impacting their insurance solicitation activities.
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Important Terms Related to LIC 417-31

  • Broker-Agent: A professional licensed to negotiate and sell insurance policies.
  • Solicitor: An individual authorized to act on behalf of a broker-agent in the solicitation of insurance.
  • Insurance Commissioner: The regulatory authority overseeing insurance practices in California.

Legal Use of the LIC 417-31 Form

This form is legally required to maintain transparency in the insurance industry and to uphold regulatory standards set by the state. Ensuring accuracy and timely filing can prevent non-compliance penalties and ensure that the changes in solicitation staff are well-documented.

Key Elements of the LIC 417-31 Form

  • Section for Solicitor Information: Detailed input fields for solicitor's personal and professional data.
  • Appointment/Termination Indication: Clearly marked sections to specify whether the action is an appointment or termination.
  • Signature and Verification: Mandatory fields for signatures to authenticate the submissions.

Form Submission Methods

  • Online Submission: Use platforms like DocHub for seamless form completion and submission. Ensure you have a secure internet connection when transmitting the form.
  • Mail Submission: Send completed forms to the address specified by the California Department of Insurance, ensuring that all accompanying documentation is included.
  • In-Person Delivery: Hand-deliver the completed form for prompt processing, if local guidelines allow.
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This form is to be used for general questions or inquiries only. If your inquiry is time-sensitive and you need immediate assistance, please contact the Consumer Hotline at 800-927-4357. If you want to file a complaint, please complete the Request for Assistance form.
It strives for the fair treatment of policyholders, claimants and the public through the regulation of company claim payments and sales practices, responses to consumer complaints, and the timely review of insurance company denials of coverage.
Its budget is primarily derived from funds generated by license fees, assessments, and Proposition 103 recoupment fees. The CDI licenses over 1,500 insurance companies and more than 320,000 insurance agents and insurance brokers in the state of California, United States.
How do I cancel or surrender my license? To cancel or surrender your license complete the License Cancellation Request form (LIC CC2). Follow the submission instructions on the form. Please allow seven to ten business days for processing.
We protect all Californians by regulating the insurance industry to ensure a competitive and sustainable market, investigating fraud, and advocating for consumers through awareness, public policy, innovation, and service.

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Be aware that when you file a formal complaint the CDI contacts your insurance company, tells them about your complaint, and gets their side of the story. The CDI will not adjudicate (act as a judge and issue a decision re: factual or legal disputes.
CDI enforces the insurance laws of California and has authority over how insurers and licensees conduct business in California. License fees, assessments, and Proposition 103 recoupment fees are the primary sources of funding for CDI.
Ricardo Lara is Californias 8th Insurance Commissioner since voters created the elected position in 1988. As leader of the nations largest state consumer protection agency he will protect Californians futures.

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