Administrator Licensing Information
S.C. Code 38-51-10/120(Supp. 1995) requires insurance administrators
for life and health insurance and annuities to be licensed and
regulated by the Director of Insurance. This memorandum is intended
to set forth the Department's requirements of those persons making
application for an administrator's license.
Application for license is made on (Form No. 1030). The application
must be signed by the President if the administrators is a
corporation; a partner if the administrator is a partnership, and
the individual proprietor in the case of a sole proprietorship. The
information furnished on the application must be given under oath.
In addition, the items shown below must be furnished with the
application. They are as follows:
Request an application packet for a TPA license from the Department of Insurance
(SCDOI) at 803.737.6134.
Review Chapter 51 of the SC Code of Laws to determine if you are required to
register. If no, complete TPA exemption form (Form No#1200). If yes, go to Item#3
Complete Application (Form No#1030). Application must disclose a contact person.
List the names, addresses, and official titles of positions held by individuals
who are responsible for the conduct of the affairs of the Administrator.
Submit one copy of individual biographical affidavit (Form No# 1000c) on each
officer/director listed in item #5.
Indicate if the Administrator plans to utilize a fictitious or “d.b.a” name.
If so attach a certified copy of the Certificate from the Clerk of the Circuit
Court in the county where domiciled.
All inquires concerning the licensing matter of this application
should be referred to the Special Services Division, Post Office Box
100105, Columbia, South Carolina 29202-3105. Phone (803) 737-6134.