State Requirements

Pennsylvania / Contact Change Request / Individual

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State Fee

  • Fee: $0.00

NIPR Fee

  • Fee: $0.00

Applicant Can

  • Submit contact change request for any license on NIPR's Producer Database (PDB)
  • Submit Email Changes
  • Submit Phone number Changes
  • Submit change to state code of residence address for non-residents only. Address must match respective resident/home state license address.
  • Submit change to state code of business address for non-residents only. Address must match respective resident/home state license address.
  • Submit change to state code of mailing address for non-residents only. Address must match respective resident/home state license address.

Applicant Cannot

  • Submit DHS contact change request (no resident state license on PDB).
  • Tracks counties
  • Submit change to state code of residence address for residents
  • Submit change to state code of business address for residents
  • Submit change to state code of mailing address for residents

Business Rules

  • P.O. Box allowed for and mailing addresses.
  • P.O. Box not allowed for business and residence addresses.
  • Applicant’s Pennsylvania license record must be in active status on PDB.

Contact Information

Mailing Address

Pennsylvania Insurance Department
1326 Strawberry Square
Harrisburg, PA 17120
United States

Frequently Asked Questions

Online printing information can be found by going to NIPR's license print page and selecting the state.

One Year from the passing date

PSI- or (800-733-9267)

PA does not track the owners, officer, partners, directors, etc. of a business entity unless the individual is a DRLP.

Reapplication is required.  Please contact the state at 717-787-3840, option 3, or ra-in-producer@pa.gov for guidance on the change of home state process.

For resident individual producers who need to obtain a clearance letter or surrender their license for change of home state purposes, a clearance letter request form can be obtained here

For non-resident individual producers, the license may simply expire by disregarding the renewal invoice.  DO NOT submit a clearance letter request form, as it will be returned.

To cancel a line of authority, please contact the state at 717-787-3840, option 3, or ra-in-producer@pa.gov  for guidance.