State of Connecticut
Connecticut Insurance Department


FRATERNAL INSURANCE - Insurance provided by social organizations for their members.
FRATERNAL INSURANCE AGENT - License/appointment to solicit, negotiate or sell Life/AH insurance or annuities on behalf of a Fraternal Society. An appointment by the Fraternal Company is necessary.
FRATERNAL LIFE INSURANCE - Life insurance provided by fraternal orders or societies to their members.
FRATERNAL SOCIETY - A social organization that provides insurance for its members.
Applicable Statutes:
CGS §38a-800 - see Laws and Regulations
Initial: $130.00
Renewal: $80.00
No pro-rating, non-refundable $50.00 application fee
Two (2) years - Renews December 31th of every ODD year.
How to Apply:
Complete this application Fraternal Agent License/Appointment Application (Fraternal Society Use Only) and mail it to CID with a check. Application must be completed by the Fraternal Society.
How to Renew:
Form is emailed within 60 days prior to the expiration date. Return form with a check.
How to Amend Lines of Authority:
Not applicable
How to change License information: (ie: demographics)
Update your License Information
Print a copy of the license:
Search and print a license
Initial Education Requirements:
Not applicable
Waivers due to Designations:
Not applicable
Renewal CE Requirements:
Not applicable
Cancel the license:
Fraternal Agent License/Appointment Cancellation Notice (Fraternal Society Use Only)

Connecticut Insurance Department
About Licensing Unit
Phone: 860-297-3845