Life Settlement Providers - The attached list of providers have approved applications and may transact business in NH.

Licenses must be renewed each year by the anniversary date. Failure to pay renewal fees by the anniversary date will result in the expiration of the license.

The completed application package and filing fee should be directed to the New Hampshire Insurance Department, Financial Regulation Division.

If you have any questions, please contact Linda M. Zalinskie.

The following items need to be submitted to the address below to be considered for a License:

Please review RSA 408-D

• Application Form **life settlement contract forms and disclosure statement forms need to be submitted using SERFF at http://www.serff.com
• Surety Bond Form
• NAIC Biographical Affidavit Form
• Service of Process Form
• $1,000 application fee. **Fee is non-refundable.

**IMPORTANT** - 408-D:19 A life settlement provider or life settlement producer transacting business in this state may continue to do so pending approval or disapproval of the life settlement provider, or life settlement producer application for licensure if the application is filed with the commissioner within one month of the effective date of this chapter.

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**Life Settlement Producers**

The following items need to be submitted to the address below to be considered for a Life Settlement Producer License:

Please review RSA 408-D

• Life Settlement Producer Application
• Provider Appointment Form
• Life Settlement Renewal Application

Documentation is mailed to:

NH Insurance Department
21 South Fruit, Suite 14
Concord NH 03301

If you have any questions on the Producer forms, please contact Joan LaCourse.

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