US Insurance Distribution Law
Embedded Insurance for Marketplaces

Help your platform embed insurance without accidentally becoming a licensed producer. I map compliant operating models, structure compensation, and design UX that keeps regulated steps with the broker.

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⚖️
California
Bar #279869

Marketplaces embedding insurance purchase journeys often cross the line into "producer" activity without realizing it. The combination of intake forms, quote displays, and placement-based compensation creates licensing triggers in most US states.

This hub helps you identify which operating model fits your platform, structure compensation that survives regulatory scrutiny, and design the user journey so the licensed broker owns the regulated steps.

Quick Triage: What's Your Situation?

Answer these questions to find the right starting point.

Question 1
Where will you operate?
Question 2
Does your marketplace show quotes?
Question 3
How are you compensated?
✓ Likely Referral-Safe or Tech-Only

Based on your answers, your model may fit within a referral-only or tech-only structure that doesn't require producer licensing.

  • Keep quote displays and recommendations on the broker side
  • Maintain strict "no solicitation" boundaries
  • Ensure compensation isn't contingent on binding

Take the full Risk Assessment →

⚠️ Borderline - Needs Analysis

Your model includes elements that often trigger licensing requirements. You may need to either:

  • Redesign the UX to move quotes/recommendations to the broker
  • Restructure compensation away from placement contingency
  • Plan for producer licensing in target states

Take the full Risk Assessment →

Three Operating Models
Requires License
🏛️
Model A: Licensed Marketplace
Marketplace becomes a licensed producer (or operates under one). Full embedded experience preserved.
  • Embedded quote-to-bind journey
  • Placement-based commission allowed
  • Can recommend/rank products
  • Requires state-by-state licensing
  • Ongoing compliance obligations
Often No License
💻
Model C: Tech-Only Vendor
Marketplace provides software/integration to broker or insurer. No direct consumer insurance interaction.
  • SaaS / integration fee model
  • Broker-branded experience
  • Marketplace provides technology only
  • No insurance-related user support
  • Clear service agreement scope
Are You "Distributing" Insurance?
🚨 High-Risk Triggers (Push Toward Licensing)

These activities typically require producer licensing in most US states:

  • Embedded underwriting intake - Collecting detailed risk information on your platform that feeds quote generation
  • Displaying user-specific quotes - Showing premium amounts tied to the user's inputs, even if labeled "indicative"
  • Recommending or ranking products - "Best for you," "recommended," or ordering based on user criteria
  • Near-bind flows - Users can select coverage options, proceed to checkout, or reach binding steps on your platform
  • Coverage term discussions - Your staff (or chatbots) explaining policy terms, exclusions, or advising on coverage
  • Post-bind servicing - Handling claims, endorsements, renewals, or policy changes
🚨 Combination Trigger

Showing quotes on your marketplace + receiving placement-based compensation is the most common fact pattern that regulators treat as producer activity.

✅ Referral-Safe Zone

To stay in the referral-safe zone, your marketplace typically needs to:

  • Collect only basic contact info - Name, email, phone for referral purposes, not underwriting data
  • No quote output on marketplace - Or at most, marketing ranges ("starting at $X") not tied to user inputs
  • Early handoff - User redirected to broker before any quoting or coverage selection
  • No recommendations - Avoid "best," "recommended," or filtered/ranked product displays
  • Non-contingent compensation - Payment per lead, per click, or flat fee—not tied to whether a policy binds
  • Approved scripts only - Support staff cannot discuss coverage terms; must redirect to broker

The line between "mere referral" and "solicitation" is fact-specific. When in doubt, get a formal opinion for your specific flow.

💰 Compensation Architecture

How you're paid is strong evidence of your role:

  • Commission / revenue share contingent on placement - High-risk for unlicensed recipients. Regulators view this as evidence you're "in the business" of insurance.
  • Flat referral fee (not contingent) - Lower risk if paired with strict no-solicitation behavior. Payment should not depend on whether a policy binds.
  • Marketing fee per lead/click - Lower risk, but structure and documentation matter. Must align with actual role.
  • SaaS / tech integration fee - Lowest risk for unlicensed marketplaces. Payment for software services, not insurance outcomes.

Key principle: If your compensation goes up when more policies bind, regulators are more likely to view you as a producer.

See detailed compensation model analysis →

🐻 California Producer Licensing Rules

California Insurance Code § 1631 defines who needs a license:

  • "Solicit" - Attempting to sell insurance or asking/urging someone to apply
  • "Negotiate" - Acting as an intermediary between applicant and insurer on coverage terms
  • "Effect" - Completing a transaction that binds coverage

If your marketplace does any of these activities, you need a California producer license to operate there—regardless of where your company is incorporated.

Commission sharing: California generally prohibits paying commissions to unlicensed persons if they're involved in soliciting, negotiating, or effecting insurance. Referral fees may be permissible if the referrer does not solicit and the fee is not contingent on binding.

Read the full US licensing guide →

Hub Resources
Embedded Insurance Legal Services
Get your operating model, contracts, and compliance right.
Perimeter Analysis
$750 flat fee
Map your flow against producer licensing triggers
  • UX flow review
  • Compensation structure analysis
  • Target state licensing assessment
  • Written memo with risk tier
  • Recommended operating model
  • 30-min strategy call
Get Started
Ongoing Counsel
$1,000 / month
For scaling platforms with evolving needs
  • Unlimited agreement reviews
  • New state expansion support
  • Product/UX change reviews
  • Broker onboarding support
  • Regulatory inquiry guidance
  • Priority response time
Get Started
Questions About Your Embedded Insurance Model?
Book a call or send your questions directly.

owner@terms.law