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Forms - Deemed Insurance Intermediary Licensees


The following application forms should only be used by a deemed licensee when it is applying for a new licence with the Insurance Authority (“IA”) with the same appointing principal(s).

A deemed licensee means an insurance intermediary which was registered with the three former Self-Regulatory Organizations immediately prior to 23 September 2019, which was automatically regarded as a licensed insurance intermediary under the new regulatory regime for the transitional period which runs from 23 September 2019 to 22 September 2022.

The cut-off dates for deemed licensees who have not yet submitted their new licence applications are as follows:

Licence Type Cut-off Date
Licensed insurance agency; or
Licensed insurance broker company
6:00 pm on 4 July 2022 (Monday)
Licensed individual insurance agent;
Licensed technical representative (agent);
or Licensed technical representative (broker)
6:00 pm on 8 August 2022 (Monday)

If deemed licensees submit their applications after the cut-off date, the IA will not be able to guarantee that the applications will be processed before the 22 September 2022 deadline. Please refer to the IA’s circular of 21 March 2022 for details.



Application Forms for Deemed Licensees

Form Form Details View
D1 For individual licence application (individual insurance agent/TR(A)/TR(B)).
A deemed licensee is encouraged to submit such licence application via IA’s e-portal, namely, Insurance Intermediaries Connect (“IIC”).


 
Please visit IA's Online Portal
A2 Online Portal – Insurance Intermediaries Connect 

Authorized insurers, licensed insurance agencies and licensed insurance broker companies are required to submit an originally signed Form A2 to apply for opening of a Supervisor Account of Insurance Intermediaries Connect for e-submission of applications for individual licence. For more information about the Insurance Intermediaries Connect, please refer to the following user guides:
  • User Guide of the Insurance Intermediaries Connect for Principals - Deemed Licensee Application (Principal Bulk Upload)
  • User Guide of the Insurance Intermediaries Connect for Individuals -Deemed Licensee Application (Principal Bulk Upload)
  • User Guide of the Insurance Intermediaries Connect for Principals – Deemed Licensee Application (Individual Upload)
  • User Guide of the Insurance Intermediaries Connect for Individuals – Deemed Licensee Application (Individual Upload)
  • Demonstration Video
  • IIC Leaflet
pdf Updatedpdf pdf Updatedpdf pdf video pdf
D3a Application for Approval of Responsible Officer of a Deemed Licensed Insurance Agency
Important Notes: Please read "Notes on Completion" before completing Form D3a.
 
pdf
pdf
D3b Application for Approval of Responsible Officer of a Deemed Licensed Insurance Broker Company
Important Notes: Please read "Notes on Completion" before completing Form D3b.
pdf



pdf
 
D4 Application for Insurance Broker Company Licence – By Deemed Licensee
Important Notes: Please read "Notes on Completion" before completing Form D4.
pdf


pdf
 
D5

 
Application for Insurance Agency Licence – By Deemed Licensee
Important Notes: Please read "Notes on Completion" before completing Form D5.
pdf

pdf


Supplemental Forms

Form Form Details View
S1 Supplemental Form – Information on Other Licence(s) pdf
S2 Supplemental Form – Information on Bankruptcy, Liquidation or Similar Proceedings pdf
S3 Supplemental Form – Information on Criminal Record  pdf
S4 Supplemental Form – Information on Disciplinary Action Record  pdf
S5 Supplemental Form – Information on Director/Controller (Individual) pdf
S6 Supplemental Form – Information on Director/Controller (Body Corporate)  pdf


Frequently Asked Questions

FAQ FAQ Details View
FAQ 1 Frequently Asked Questions – Application for New Licences by Deemed Licensees who are Licensed Insurance Agents pdf
FAQ 2 Frequently Asked Questions – Application for New Licences by Deemed Licensees who are Licensed Broker Companies / Responsible Officers (RO) / Technical Representatives (Broker) pdf