Appointment Forms:
1117B--Life, Health and Accident
LRS 22:1144 requires that no commissions shall be paid by any insurer to a producer until such time as notice of recordation of the appointment has been recorded by the Commissioner of Insurance
Companies should make appointments on the appropriate forms and the proper fees must be paid with the appointments. The list of forms for various types of appointments is given below and the fees are $20.00 per appointment.
| Type of Appointment | Proper Form # |
| Life, Health and Accident (including HMO) | 1117B |
| Variable Annuity | VA-3 |
| Property and Casualty (commissioned agents) | 1170 |
Appointments may be only be made by the authorized representative of a licensed insurance company.
All company appointments expire on April 30th of each year.
Renewal of company appointments is due on or before March 1 of every year. Each Company is sent an invoice and instructions for printing their company renewal list. The entire fee must be submitted. Renewal fee is $20 per appointment. Producers cannot be canceled from renewal list. Renewal lists received after March 1 will be charged a late fee of $10 per appointment.
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