Applicant's name, Tax ID, license number, and state of residence must match current Producer Database (PDB) record for resident state.
Applicant must provide a valid country code, mailing address, business email, and business phone number.
At least one (1) Designated Responsible Licensed Producer (DRLP) must be listed on the application with the exception of the following classes; navigator, pre-need seller, agency-portable electronics, agency-rental car, utilization review agent, reinsurance intermediary broker, reinsurance intermediary manager and independent review organization licenses.
Each Designated Responsible Licensed Producer listed must have an active resident or non-resident license in Nebraska.
All applications for the Managing General Agent license class must provide proof surety bond to the state.
All applications for the Navigator license class must pass federal administered exam and provide certificate of proof and notify the state of the entity Navigator with which he or she is affiliated.
Applicants for the utilization review agent license and independent review organization license must provide proof of an approval or accreditation by URAC or NCQUA to the state.
Consultant-Corporate applicants must list at least one Designated Responsible Licensed Producer (DRLP) that holds an active Consultant-Individual license with Life & Health or Property & Casualty line of authority in Nebraska.
Applicants applying for Travel Insurance Business Entity license class must submit their Retail Locations form to Nebraska. The form can be found on the Nebraska website – http://www.doi.nebraska.gov/license/index.html – select the Travel Retailer Form within the Agency License section. Instructions are provided on the form.
NE will allow reinstatement of a license through the non-resident licensing application with additional fee if the license is 31 days to one year past expiration date.
If applicant responds "yes" to one of the background questions please submit supporting documents electronically via NIPR's Attachments Warehouse. The documents may also be submitted to the state via mail, email, or fax.
Please check Announcements for any last minute notifications about the states to which you are applying.