To limit the adverse effects of imperfect competition on the cost of insurance; and
To regulate insurance marketing practices in conformity with the general purposes of chs. 600
In chs. 600
, unless the context otherwise requires:
(1) Insurance marketing intermediaries. 628.02(1)(a)(a)
Activities constituting intermediary.
Except as provided under par. (b)
, a person is an “intermediary" if the person does or assists another in doing any of the following:
Solicits, negotiates or places insurance or annuities on behalf of an insurer or a person seeking insurance or annuities; or
Advises other persons about insurance needs and coverages.
The following persons are not intermediaries:
A regular salaried officer, employee, or other representative of an insurer or licensed intermediary, other than a risk retention group or risk purchasing group, who devotes substantially all working time to activities other than those in par. (a)
, and who receives no compensation that is directly dependent upon the amount of insurance business obtained.
A regular salaried officer or employee of a person seeking to procure insurance, other than for members of a risk purchasing group, who receives no compensation that is directly dependent upon the amount of insurance coverage procured, with respect to such insurance.
A person who gives incidental advice in the normal course of a business or professional activity other than insurance consulting if neither the person nor the person's employer receives compensation directly or indirectly on account of any insurance transaction that results from that advice.
A person who without special compensation performs incidental services for another at the other's request without providing advice or technical or professional services of a kind normally provided by an intermediary.
A holder of a group insurance policy, or any other person involved in mass marketing, with respect to administrative activities in connection with such a policy, if he or she receives no compensation therefor beyond actual expenses, estimated on a reasonable basis.
A person who provides information, advice, or service for the principal purpose of reducing loss or the risk of loss.
A person who gives advice or assistance without compensation, direct or indirect.
A vendor, as defined in s. 632.975 (1) (i)
, or an employee or authorized representative of a vendor selling or offering portable electronics insurance under s. 632.975
A person whose activities are limited to marketing, selling, or offering for sale a warranty contract, as defined in s. Ins 15.01 (4) (d)
, Wis. Adm. Code, maintenance agreement, as defined in s. 616.50 (5)
, or service contract, as defined in s. 616.50 (11)
(3) Insurance broker.
An intermediary is an insurance broker if the intermediary acts in the procuring of insurance on behalf of an applicant for insurance or an insured, and does not act on behalf of the insurer except by collecting premiums or performing other ministerial acts.
(4) Insurance agent.
An intermediary is an insurance agent if the intermediary acts as an intermediary other than as a broker.
(4g) Managing general agent.
An intermediary is a managing general agent if the intermediary does all of the following:
Manages all or a portion of the insurance business of an insurer.
Adjusts claims, negotiates reinsurance for the insurer or is affiliated or associated with a person who adjusts claims or negotiates reinsurance for the insurer.
(4m) Reinsurance broker.
A person is a reinsurance broker if the person solicits, negotiates or places reinsurance cessions or retrocessions on behalf of a ceding insurer.
(4p) Reinsurance manager.
A person is a reinsurance manager if the person has authority to bind, or manages, all or a portion of the assumed reinsurance business of an insurer.
(5) Surplus lines agent or broker.
A surplus lines agent or broker is one licensed to place insurance with unauthorized insurers, under s. 628.04 (2)
LICENSING OF INTERMEDIARIES
Requirement of license. 628.03(1)(1)
No natural person may perform, offer to perform, or advertise any service as an intermediary in this state, unless the natural person obtains a license under s. 628.04
, and no person may utilize the services of another as an intermediary if the person knows or should know that the other does not have a license as required by law. The licensing requirements of this subsection do not apply to a person who solely procures unauthorized insurance, as defined in s. 618.40 (11)
, that is not surplus lines insurance, as defined in s. 618.40 (10)
(1m) Risk purchasing groups.
No natural person may solicit, negotiate or obtain insurance on behalf of a risk purchasing group which does business in this state unless the natural person obtains a license under s. 628.04
. A risk purchasing group may not allow a natural person to solicit, negotiate or obtain insurance on its behalf if the risk purchasing group knows that the natural person is not licensed as required by this subsection.
The commissioner may by rule exempt certain classes of natural persons from the requirement of obtaining a license:
If the functions they perform do not require special competence or trustworthiness or the regulatory surveillance made possible by licensing; or
If other existing safeguards make regulation unnecessary.
(3) Validity of contract.
No insurance contract is invalid as a result of a violation of this section.
See also chs. Ins 45
and ss. Ins 6.50
, Wis. adm. code.
Issuance of license. 628.04(1)(1)
Conditions and qualifications.
Except as provided in s. 628.095
, the commissioner shall issue a license to act as an agent to any applicant who:
Shows to the satisfaction of the commissioner:
That if a natural person, the applicant has the intent in good faith to do business as an intermediary or, if a corporation, partnership or limited liability company, has that intent and has included that purpose in the articles of incorporation, certificate of limited partnership or general partnership agreement or limited liability company operating agreement;
That if a natural person, the applicant is competent and trustworthy, or that if a partnership, limited liability company or corporation, all partners, members, directors or principal officers or persons in fact having comparable powers are competent and trustworthy, and that it will transact business in such a way that all acts that may only be performed by a licensed intermediary are performed exclusively by natural persons who are licensed under this section; and
That the applicant intends to comply with s. 628.51
with reference to compensation for effecting insurance upon the applicant's own property or other risk; and
If a nonresident, executes in a form acceptable to the commissioner an agreement to be subject to the jurisdiction of the commissioner and the courts of this state on any matter related to the applicant's insurance activities in this state, on the basis of service of process under ss. 601.72
The commissioner may by rule require an applicant under sub. (1)
who is a resident and a natural person to provide fingerprints as an additional condition for the granting of a license to act as an agent. The commissioner may use the fingerprints, if required, to conduct a state criminal history background investigation of the applicant and a national criminal history background investigation of the applicant with the federal bureau of investigation.
(1m) Agent may act as broker.
A licensed agent may act as an agent or as a broker.
(2) Surplus lines agents or brokers.
Except as provided in s. 628.095
, the commissioner may issue a license as an agent or broker authorized to place business under s. 618.41
if the applicant shows to the satisfaction of the commissioner that in addition to the qualifications necessary to obtain a general license under sub. (1)
, the applicant has the competence to deal with the problems of surplus lines insurance. The commissioner may by rule require an agent or broker authorized to place business under s. 618.41
to supply a bond not larger than $100,000, conditioned upon proper performance of obligations as a surplus lines agent or broker.
(3) Classification and examination.
The commissioner may by rule prescribe classifications of intermediaries in addition to agent and surplus lines agent or broker, by kind of authority, or kind of insurance, or in other ways, and may prescribe different standards of competence, including examinations and educational prerequisites, for each class. The commissioner may by rule set prelicensing and annual continuing education standards, but may not require a licensed intermediary to complete a course of study requiring more than 30 hours, per license, of approved continuing education, including continuing education programs approved by the commissioner and presented by the insurers, in any 2-year period. The commissioner may approve courses or programs that an applicant for an intermediary's license may attend to fulfill a prelicensing education requirement, or that a licensed intermediary may attend to fulfill a continuing education requirement, and may approve organizations that may offer approved courses or programs. The commissioner may, by rule, exempt any class of intermediaries from the continuing education requirements. So far as practicable, the commissioner shall issue a single license to each individual intermediary for a single fee.
(4) Intermediaries representing nonprofit service plans.
Intermediaries dealing with or representing nonprofit service plans must be licensed under ss. 628.03
, and are subject to all provisions of this chapter.
(5) Managing general agents and reinsurance brokers and managers.
The commissioner may, by rule, require every managing general agent that is not a natural person, every reinsurance broker and every reinsurance manager to obtain a license in order to do business in this state or with an insurer doing business in this state. The commissioner may, by rule, prescribe classifications for reinsurance brokers and managers, exemptions from the license requirement for managing general agents that are not natural persons, reinsurance brokers and reinsurance managers and grounds for suspension or revocation of a license. The commissioner shall consider the applicable model acts adopted by the National Association of Insurance Commissioners before promulgating rules under this section.
See also chs. Ins 26
, and 47
, and s. Ins 6.59
, Wis. adm. code.
Licensing of town mutual agents. 628.05(1)(1)
Except as otherwise provided in sub. (2)
, or by rule promulgated by the commissioner, persons engaged in soliciting insurance exclusively for town mutuals are not subject to the licensing requirements of s. 628.03 (1)
(2) Agents soliciting insurance requiring reinsurance.
No person may solicit any application for a contract providing coverage of the kind specified in s. 612.31 (3)
unless the person first obtains a license to do so under this chapter. The license need be only for those coverages the town mutual is authorized to write and any examination of applicants shall be appropriately limited.
History: 1975 c. 371
; 2011 a. 224
Licensing of fraternal agents. 628.06(1)(1)
Subject to sub. (2)
, an agent of a fraternal is subject to the same licensing requirements as an agent for any other insurer doing the same lines of business, unless the agent was an agent for a fraternal immediately prior to October 2, 1963, and is still such an agent on June 19, 1976. The agent's authority under this exception ceases upon ceasing, for however short a period, to be an agent for a fraternal.
(2) Part-time fraternal agents.
An agent for one or more fraternals who devotes or intends to devote less than half-time to the solicitation of insurance business is not subject to the requirements of sub. (1)
. A person is presumed to have devoted half-time to the solicitation of insurance business if in the preceding calendar year the person procured life insurance contracts in a face amount in excess of $50,000, or, in the case of other kinds of insurance, on the persons of more than 25 individuals, and if the person received compensation therefor.
History: 1975 c. 373
Legislative Council Note, 1975: These subsections continue the general thrust of s. 208.21. The grandfather clause is considerably restricted. The part-time exception in sub. (2) reflects the informal and nonprofessional nature of some of the marketing methods of the smaller fraternals; some question may be raised about the merits of the exception, but it reflects strongly held views. It clearly permits nonprofessional solicitation of new members by existing members, when no compensation is involved. [Bill 643-S]
Licensing of nonresidents.
The commissioner shall waive any examination requirement for a nonresident applicant under s. 628.04
if the applicant's home state or state of residence has issued the applicant a license for which the qualifications are equivalent to the qualifications for a license issued by this state and if that license is in good standing at the time of application.
History: 1975 c. 371
; 2015 a. 90
Changes in status of intermediaries.
Every change in the members of a partnership or a limited liability company or the principal officers of a corporation licensed as an intermediary, every significant change in management powers in the entity, and so far as it relates to competency or trustworthiness as an intermediary, every change in the status and relationships of a natural person licensed as an intermediary, shall be reported to the commissioner promptly by the intermediary, in such detail and form as the commissioner by rule prescribes.
History: 1975 c. 371
; 1993 a. 112
Temporary licenses. 628.09(1)(1)
Issuance of license.
Except as provided in s. 628.095
, the commissioner may issue a temporary license as an intermediary for a period of not more than 12 months to the personal representative of a deceased or mentally disabled intermediary, or to a person designated by an intermediary who is otherwise disabled or has entered active duty in the U.S. armed forces, in order to give time for more favorable sale of the goodwill of a business owned by the intermediary, for the recovery or return of the intermediary, or for the orderly training and licensing of new personnel for the intermediary's business.
(2) Limitation on authority.
The commissioner may by order limit the authority of any temporary licensee in any way deemed necessary to protect insureds and the public. The commissioner may require the temporary licensee to have a suitable sponsor who is a licensed intermediary or insurer and who assumes full legal responsibility for all acts and omissions of the temporary licensee, may impose special bonding requirements and may impose other similar requirements designed to protect insureds and the public.
The commissioner may administer an examination as a prerequisite to the issuance of a temporary license.
(4) Duration of license.
The commissioner may by order revoke a temporary license if the interests of insureds or the public are endangered. A temporary license may not be extended beyond the initial period specified under sub. (1)
. A temporary license may not continue after the owner or the personal representative disposes of the business.
The fees for a temporary license are the same as for a permanent license.
(6) Status of temporary licensee.
A temporary licensee is a fully qualified intermediary for all purposes other than the process of licensing, the duration of the license and the limits imposed under sub. (2)
See also ch. Ins 42
, Wis. adm. code.
Social security and federal employer identification numbers on applications or at time of fee payment. 628.095(1)(1)
Required on applications.
An application for a license issued under this subchapter or subch. V
, or for registration under s. 628.92 (2)
, shall contain the applicant's social security number, if the applicant is a natural person unless the applicant does not have a social security number, or the applicant's federal employer identification number, if the applicant is not a natural person.
(2) Refusal to issue license or register.
The commissioner may not issue a license, including a temporary license, under this subchapter or subch. V
, or register a navigator entity under subch. V
, unless the applicant provides his or her social security number, if the applicant is a natural person unless the applicant does not have a social security number, or provides the applicant's federal tax identification number, if the applicant is not a natural person.
(3) Required when annual fee paid.
At the time that the annual fee is paid under s. 601.31 (1) (m)
, (nm) 2.
, or (np) 2.
, an intermediary or navigator who is a natural person shall provide his or her social security number unless the intermediary or navigator does not have a social security number, and an intermediary or navigator that is not a natural person shall provide its federal employer identification number, if the social security number or federal employer identification number was not provided on the application for the license or registration or previously when the annual fee was paid.
The commissioner shall disclose a social security number obtained under sub. (1)
to the department of children and families in the administration of s. 49.22
, as provided in a memorandum of understanding entered into under s. 49.857
The commissioner may disclose any information received under sub. (1)
to the department of revenue for the purpose of requesting certifications under s. 73.0301
and to the department of workforce development for the purpose of requesting certifications under s. 108.227
(5) If applicant or intermediary or navigator has no social security number.
If an applicant who is a natural person does not have a social security number, the applicant shall provide to the commissioner, along with the application for a license and on a form prescribed by the department of children and families, a statement made or subscribed under oath or affirmation that the applicant does not have a social security number. If an intermediary or navigator who is a natural person does not have a social security number, the intermediary or navigator shall provide to the commissioner, each time that the annual fee is paid under s. 601.31 (1) (m)
or (nm) 2.
and on a form prescribed by the department of children and families, a statement made or subscribed under oath or affirmation that the intermediary or navigator does not have a social security number.
Refusal to issue license; failure to pay support or to comply with subpoena or warrant; tax or unemployment insurance contribution delinquency. 628.097(1m)(1m)
For failure to pay support or to comply with subpoena or warrant.
The commissioner shall refuse to issue to a natural person a license, including a temporary license, under this subchapter or subch. V
if the natural person is delinquent in court-ordered payments of child or family support, maintenance, birth expenses, medical expenses, or other expenses related to the support of a child or former spouse, or if the natural person fails to comply, after appropriate notice, with a subpoena or warrant issued by the department of children and families or a county child support agency under s. 59.53 (5)
and related to paternity or child support proceedings, as provided in a memorandum of understanding entered into under s. 49.857