In order to add a Member(s) to a Business Entity's Producer License, please print and complete the following form pdf format of Member_form.pdf
and mail to the Division of Insurance with the total licensing fee of $75 per member to:
Division of Insurance
1000 Washington Street, Suite 810
Boston, MA 02118-6200
Attn: Producer Licensing Department

Please note that any member you may wish to add to your Business Entity Producer License must be licensed individually as a Producer in Massachusetts.

In order to delete a Member from a Business Entity's Producer License, please email the following information to

  • Business Entity Name
  • Business Entity FEIN #
  • Business Entity MA Producer License(s)#
  • Member Name(s)
  • Member(s) National Producer Number(s)#
  • Member MA Producer License(s)#

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