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Insurance Broker

An insurance broker is a person who arranges insurance on behalf of the buyer rather than on behalf of an insurer. Whether "broker" is a license category or just a description depends on the state, and the compensation almost always comes from the insurer either way.

Last reviewed by Steven Fox, CFP®, EA on

Quick Summary

  • The NAIC model licenses one thing. Its Producer Licensing Model Act defines an "insurance producer" as a person required to be licensed "to sell, solicit or negotiate insurance," and creates no separate agent or broker license.
  • Some states keep the two categories anyway. New York defines an insurance broker by statute as someone who places insurance "on behalf of an insured other than himself, herself or itself," and defines an insurance agent separately as an agent of an insurer.
  • The word survives in the model act for surplus lines and wholesale intermediaries, which the act excludes from its own scope except in two named sections.
  • Represents the buyer, paid by the seller. The NAIC's own consumer glossary says brokers "work on behalf of the customer" but that "commissions are paid by the company with which the sale was made."
  • A license "does not create any authority, actual, apparent or inherent, in the holder to represent or commit an insurance carrier," so who a producer represents turns on appointment and engagement rather than on the license.

Definition

An insurance broker is an insurance intermediary who acts for the buyer: someone who takes a client's requirements to the market, obtains quotes from insurers, and places the coverage, as opposed to an agent, who represents an insurance company. That is the working distinction everyone uses, and its legal force varies by state, which is the part worth understanding before choosing between the two.

The NAIC's Producer Licensing Model Act, which most states have adopted in some form, licenses a single thing. It defines an "insurance producer" as "a person required to be licensed under the laws of this state to sell, solicit or negotiate insurance," and creates no agent or broker categories. The word broker appears in it only for excess and surplus lines brokers, whom the act excludes from its own scope except in two named sections, and for wholesale intermediaries such as "a managing general agent, a sales manager, or wholesale broker." So in a state that follows the model, calling someone a broker describes their business rather than their license. But not every state follows it here. New York licenses both: section 2101(c) of its Insurance Law defines an "insurance broker" as a person who "acts or aids in any manner in soliciting, negotiating or selling, any insurance or annuity contract or in placing risks or taking out insurance, on behalf of an insured other than himself, herself or itself," while section 2101(a) defines an "insurance agent" as an authorized or acknowledged agent of an insurer. There the represents-the-buyer distinction is written into the statute.

Advanced Explanation

The tension inside the job, stated by the regulators' own association. The NAIC's consumer glossary defines a broker as "an individual who receives commissions from the sale and service of insurance policies. These individuals work on behalf of the customer and are not restricted to selling policies for a specific company, but commissions are paid by the company with which the sale was made." Both halves are in the definition. The broker's duty runs to the buyer and the money arrives from the seller, and that is not a scandal so much as the standing structure of insurance distribution: the compensation is built into the premium the buyer pays, and it reaches the intermediary through the insurer rather than as a separate invoice. It does mean that a buyer comparing two quotes is comparing two prices that each already contain a payment to the person presenting them, and that the size of that payment is not on the document.

Where a producer charges the customer a fee as well, the model act's compensation disclosure rules come into play, requiring documented acknowledgment and disclosure of the insurer-side compensation before the purchase. Those mechanics belong to the same model act's rules for independent insurance agents, and the short version for a buyer is that asking how someone is paid is a question the model act already anticipates.

Why the license does not settle representation. The Producer Licensing Model Act defines a license as a document authorizing a person to act as a producer for the listed lines of authority, and then adds a sentence worth quoting: "The license itself does not create any authority, actual, apparent or inherent, in the holder to represent or commit an insurance carrier." Authority to bind a carrier comes from an appointment and an agency contract, not from the state. That is why the practical question is never "are you an agent or a broker" but "which carriers are you appointed with, and are you acting for me or for one of them on this placement."

Excess and surplus lines is where the word does real work. Some risks no admitted insurer will write: an unusual exposure, a poor loss history, a property in a peril-concentrated location. Those are placed with non-admitted or surplus lines insurers through a specialist surplus lines broker, and the Producer Licensing Model Act says on its face that it "does not apply to excess and surplus lines agents and brokers licensed pursuant to" the state's own surplus lines statutes, except as provided in two of its sections. A separate surplus lines license therefore exists in its own right. Two consequences matter to a buyer, and both are written into statute.

The first is tax. Nonadmitted insurance is generally subject to a state premium tax, and federal law assigns it to a single state: 15 U.S.C. 8201(a) provides that "no State other than the home State of an insured may require any premium tax payment for nonadmitted insurance." The rate and the collection mechanics are the state's own. Section 1115 of Oklahoma's title 36 is representative in shape: it requires the licensed surplus lines broker to "collect and pay" a premium tax computed on gross premiums, sets that rate at six percent, and prohibits the broker "from rebating, for any reason, any part of the tax." So it is a real charge on top of the premium rather than something the intermediary absorbs, and the rate is not the same everywhere.

The second is the insolvency backstop. The NAIC's property and casualty guaranty association model act defines a "member insurer" as one that writes a covered kind of insurance and "is licensed to transact insurance in this State." A non-admitted insurer does not hold that license, so under the model act it is not a member insurer, and the guaranty fund standing behind an admitted carrier's policies does not stand behind its policies. Whether the home state has built any separate arrangement for surplus lines is a question for that state's insurance department, and it is worth asking before a placement rather than after a failure.

A wholesale broker sits between two producers, not between you and an insurer. The model act's compensation disclosure section carves out "a person licensed as an insurance producer who acts only as an intermediary between an insurer and the customer's producer, for example a managing general agent, a sales manager, or wholesale broker," and reinsurance intermediaries as well. A retail buyer who is told their broker is "going through a wholesaler" is being told there is a second intermediary in the chain, each compensated, and it is a reasonable thing to ask about on a placement that is hard to price.

What all of this leaves the buyer with. Three questions carry most of the value, and none of them turns on the word on the business card: which carriers can you actually approach for me, are you acting for me or for a carrier on this placement, and how are you paid for it. In a state that has adopted the model act the answers are about appointments and contracts. In a state such as New York they are partly about which license the person holds. In both, the state insurance department can confirm the license and its lines of authority before anything is signed.

How to Remember

Agent for the company, broker for the buyer, is the idea. Whether the state writes that into a license is a separate question from whether it is true of the person in front of you, and the money comes from the insurer in either case.

Used in a Sentence

“Because no admitted carrier would quote the vacant building, the insurance broker placed it with a surplus lines insurer and passed on the state's surplus lines tax.”

How It Works

  1. The buyer describes the risk and what they want covered, and the broker works out which insurers are realistic candidates.

  2. The broker submits the risk to those insurers, either directly where it is appointed or contracted, or through a wholesale intermediary where the risk needs a specialist market.

  3. Quotes come back and are presented, usually as premium plus terms. Every quoted premium already contains the distribution compensation.

  4. The buyer selects and the coverage is bound. The policy is issued by the insurer, and the insurer is the party that owes the claim.

  5. The broker is paid, in almost every case by the insurer out of the premium. Where a customer fee is also charged, the model act's disclosure requirements attach.

A hypothetical, showing where the compensation sits. A small manufacturer buys a commercial package policy with an annual premium of $12,000. Assume the carrier pays the placing intermediary a commission of 12 percent of premium. The commission is $12,000 × 0.12 = $1,440, and the business pays it, inside the $12,000, rather than as a separate bill. Nothing on the invoice says so.

Now suppose the same risk has to go to a surplus lines insurer, and the state levies a surplus lines premium tax the buyer pays on top. At an illustrative 3 percent, that is $12,000 × 0.03 = $360, bringing the buyer's outlay to $12,000 + $360 = $12,360 before any stamping or policy fee. The commission rate and the tax rate here are stipulated for illustration; both vary by state and by line, and the tax is a real, separately identified charge that a buyer can ask to see on the invoice.

Pros and Cons

Pros

  • Someone working for the buyer can shop several insurers on one set of requirements, which a single-carrier agent cannot.
  • A broker with surplus lines access can place risks the admitted market declines outright.
  • In states that license brokers separately, the duty to the buyer is written into the licensing statute rather than left to the terms of engagement.
  • The state insurance department can confirm the license and its lines of authority before anything is bought.

Cons

  • The compensation almost always comes from the insurer, so the person acting for the buyer is paid by the seller, which the NAIC's own definition states in a single sentence.
  • The amount is not disclosed on the policy or the invoice unless the state requires it or the buyer asks.
  • "Broker" is not a protected term in states that follow the NAIC model, so the word on the business card guarantees nothing about representation.
  • A broker reaches the markets it can access, which is not the whole market.
  • Surplus lines placements generally carry a state premium tax on top of the premium, and under the NAIC model act a non-admitted insurer is not a member insurer of the state guaranty fund, so the ordinary insolvency backstop does not stand behind the policy.
  • A wholesale intermediary in the chain adds another layer of compensation that is rarely visible to the buyer.

People Also Asked

Answers to the most frequently asked questions.

What is the difference between an insurance agent and an insurance broker?
In principle an agent represents an insurance company and a broker represents the buyer. Whether that distinction is legal or merely descriptive depends on the state. The NAIC's Producer Licensing Model Act licenses a single "insurance producer" and creates no agent or broker categories, so in a state following it the difference is about appointments and engagement terms. New York keeps both categories in statute and defines a broker as someone placing insurance on behalf of an insured other than themselves.
Who pays an insurance broker?
In almost every case the insurer, out of the premium the buyer pays. The NAIC's consumer glossary makes the point in its own definition: brokers "work on behalf of the customer" but "commissions are paid by the company with which the sale was made." Some producers also charge the customer a fee, and where they do, the model act requires documented acknowledgment and disclosure of the insurer-side compensation before the purchase.
Does a broker's license mean they can bind coverage with any insurer?
No. The Producer Licensing Model Act states that a license "does not create any authority, actual, apparent or inherent, in the holder to represent or commit an insurance carrier." Authority to bind comes from an appointment and an agency contract with a specific insurer. The useful question is which carriers the person can actually approach on your behalf, and the answer is a list.
What is a surplus lines broker?
A separately licensed intermediary who places coverage with non-admitted insurers for risks the admitted market will not write. The Producer Licensing Model Act expressly does not apply to excess and surplus lines agents and brokers except in two of its sections, so that license exists under a state's own surplus lines statutes. Two consequences for a buyer: the home state generally levies a premium tax on the placement, which the broker collects on top of the premium, and under the NAIC model act a non-admitted insurer is not a member insurer of the state guaranty fund, so the ordinary insolvency backstop does not stand behind the policy.
Can I find out what my broker is being paid?
You can ask, and in some circumstances the answer must be given. Where a producer takes compensation from the customer for a placement, the NAIC model act's compensation disclosure rules require documented acknowledgment and disclosure of the insurer-side compensation before the purchase. Outside that situation the commission is normally not itemized, and asking directly is the only route. State law varies, and the insurance department can say what applies where you live.

Sources

AdviceOnly maintains high editorial standards to improve the quality and accuracy of our educational content. Content is written with the assistance of artificial intelligence tools following a rigorous quality assurance process, and periodically reviewed by credentialed and experienced human financial advisors. References used include government data, academic papers, interviews with industry experts, and reputable primary sources. You can learn more about our efforts to produce accurate content in our editorial policy.

  1. National Association of Insurance Commissioners. "Consumer Insurance Glossary."
  2. New York State Department of Financial Services. "Agents and Brokers."
  3. New York Senate. "Insurance Law § 2101 — Definitions."

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