Reinsurance Intermediary Individual License Application To apply for a Reinsurance Intermediary Individual license follow these directions: 1) Fill out the Reinsurance Intermediary Individual License Form on-line. 2) Select View Form to check the information for accuracy. 3) Select Print from the View Form preview window. 4) Mail form to this address: Department of Insurance and Securities Regulation Consumer and Professional Services Division 810 First Street, NE, Suite 701 Washington, DC 20002 Attention: Reinsurance Intermediary Licensing Click here to fill out a Reinsurance Intermediary Individual License Form now.