20 CSR 700-1.120
Certain Representatives of Prepaid Dental Corporations to be Licensed
PURPOSE: This regulation requires representatives of prepaid dental corporations who
solicit contracts on behalf of the corporation
to be licensed as insurance producers with
the Department of Commerce and Insurance
pursuant to section 354.721, RSMo.
(1) Any person who solicits membership contracts on behalf of prepaid dental corporations or offers or assumes to act in negotiation of the contracts, whether a salaried representative of the corporation or one whose
compensation is in part or in whole paid in
the form of commissions on the business
written, shall be duly licensed by this department as an accident and health insurance producer.
(2) No person shall act in this state as an
insurance producer for a prepaid dental corporation unless s/he is licensed by the director as provided in this regulation.
(3) Persons desiring to solicit contracts on
behalf of prepaid dental corporations shall
comply with 20 CSR 700-1.010 and 20 CSR
700-3.100 as the regulations relate to insurance producer’s examination and licensing
procedures and standards.
Exhibit A
Missouri Producer Service Agreement
1. The undersigned insured hereby engages the services of _______________, a licensed Missouri insurance producer, license
#___________, for the purpose of securing, negotiating and procuring the placement of the following described insurance coverages and to
assist the undersigned in the preparation of any and all applications, underwriting data, and other information required by an insurer for the
purposes of issuing an insurance policy within this state. The insurance coverage requested is: (Here describe in detail the coverage to be effected.)
2. The undersigned insured authorizes the insurance producer to commit to a maximum premium of not more than ____________
______________ for the above-stated coverage(s). (If multiple contracts of insurance are to be procured for the same insured or prospective
insured, a separate maximum may be stated for each contract covered by this agreement.)
The undersigned insured agrees to pay as compensation to the insurance producer, above and in addition to the commission received from
the insurer, for the various services of the insurance producer a fee of not more than $________________________. (If multiple contracts of
insurance are to be procured for the same insured or prospective insured, a separate producer fee may be stated for each contract covered by
this agreement.)
3. A brief description of those services performed and not described in paragraph 1. above is:_____________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
This agreement is in furtherance of section 375.116, RSMo, and Regulation 20 CSR 700-1.100.
Dated:____________________________________________________________________________________________________________________________
(Insured)
Dated:____________________________________________________________________________________________________________________________
(Insurance Producer)
(4) Persons desiring to solicit contracts on
behalf of prepaid dental corporations, in
addition, shall be subject to the provisions of
sections 375.016–375.022, 375.046–375.051
and 375.081, RSMo.
(5) The director may revoke or suspend, for a
period as s/he may determine, any license of
any insurance producer, if it is determined as
provided by sections 621.045–621.205,
RSMo, that the licensee or applicant has
violated, at any time, the provisions of section 375.141, RSMo.
AUTHORITY: sections 354.700–354.723 and
374.045, RSMo 2000.* This rule was previously filed as 4 CSR 190-12.110. Original
rule filed June 13, 1988, effective Oct. 27,
1988. Amended: Filed July 12, 2002, effective Jan. 30, 2003. Non-substantive change
filed Sept. 11, 2019, published Oct. 31, 2019.
*Original authority: 354.700, RSMo 1987, amended
1992; 354.702, RSMo 1987; 375.703, RSMo 1989;
354.704–354.707, RSMo 1987; 354.710, RSMo 1987,
amended 1990, 1992; and 354.712–354.723, RSMo 1987;
374.045, RSMo 1967, amended 1993, 1995.