Cal. Code Regs. tit. 10, § 2548.27
State of California
Life Settlement Form Filing Cover Sheet California Insurance Code, Section 10113.2(c)
Name of Licensee:______________________________
Provide the Following (choose all that apply):
CA# or NAIC #______________________________
License Number:______________________________
FEIN Number:______________________________
Application No.:______________________________
Licensee is a:
Life Settlement Provider
Life Settlement Broker
Life Producer Transacting Life Settlement Business
Description of Form(s) and any Identifying Form Number(s):
Approximate Date Licensee will Commence Using Form(s):______________________________
Form Submitted by On Behalf of Licensee
______________________________
Name
______________________________
Title
______________________________
Phone Number
Note: Authority cited: Section 10113.35, Insurance Code; CalFarm Ins. Co. v. Deukmejian, 48 Cal.3d 805 (1989); 20th Century Ins. Co. v. Garamendi, 8 Cal.4th 216 (1994). Reference: Section 10113.2, Insurance Code.
1. New section filed 7-29-2010 as an emergency; operative 7-29-2010. Emergency regulation shall remain in effect, not to be repealed by the Office of Administrative Law, unless repealed by the Department of Insurance pursuant to Insurance Code section 10113.35 (Register 2010, No. 31).
2. Change without regulatory effect amending Note filed 1-24-2012 pursuant to section 100, title 1, California Code of Regulations (Register 2012, No. 4).
3. Renumbering of former section 2548.27 to section 2548.28 and renumbering of former section 2548.26 to new section 2548.27 filed 11-25-2014; operative 1-1-2015 (Register 2014, No. 48).