Life Settlement Intermediary Application Forms

Guidance for the Filing of Life Settlement Intermediary Registration Applications in Accordance with Section 7804 of the New York Insurance Law

7802 (l) of the New York Insurance Law defines “life settlement intermediary” as a person who maintains an electronic or other facility or system, for the disclosure, through a forum of offers and counter offers, to sell or purchase a policy pursuant to a life settlement contract; and delivers to: a life settlement provider an offer from a life settlement broker or owner to sell a policy; or an owner or life settlement broker an offer from a life settlement provider to purchase a policy.

In accordance with Section 7804 of the New York Insurance Law, no person shall act as a life settlement intermediary in this state without having the authority to do so by virtue of a life settlement intermediary registration issued by the Superintendent of Financial Services.

Application Type # of pages

Life Settlement Intermediary Instructions and Application (PDF)

20 Pages

Instructions

Life Settlement Intermediary Registration Application Forms must be submitted IN DUPLICATE as follows:

An application, including all applicable attachments, should be sent to:

Life Bureau, New York State Department of Financial Services
One State Street
New York, New York 10004.

A duplicate original application, including all applicable attachments as well as:

  • a check in the amount of $7,500 made payable to "Superintendent of Financial Services";
  • evidence of electronic fingerprinting; or if applicable, completed fingerprint cards, accompanied by the applicable fingerprinting fees; and
  • an original set of biographical affidavits

should be sent to:

Licensing Bureau, New York State Department of Financial Services
One Commerce Plaza
Albany, NY 12257

Questions?

Questions regarding the registering of life settlement intermediaries may be directed to Fred Bodinger at (212) 480-4912.