Appointments

• Certificate of Authority/Appointment Form
  • License Types
    • Insurance Producers
    • Limited Line Insurance Producers
    • Limited Line Credit Insurance Producers
    • Burial Agents
    • Exempt Agents (Mississippi Bar Licensed Title Attorneys and Fraternal Agents)
• Professional Bail Agent: Limited Surety Appointment Form

All insurance companies must secure and have on file current evidence of an agent's background investigation before the agent's appointment is requested. Fees are $25.00 for agents and general agents.

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Terminations

Companies are encouraged to electronically appoint/terminate their agents.

• Cancellation Form

All insurance companies must, upon termination of the appointment of any agent, notify the Commissioner within 30 days. There is no charge for termination.

Companies can no longer delete those individuals from the renewal list they do not wish to re-appoint. Terminations of agents have to be completed by March 15.

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Company Authorization of Individuals to Appoint/Terminate

All individuals who appoint/terminate agents, except officers of the insurance company, must be authorized by each insurance company before signing the appropriate forms.

• Company Authorized Signature Form