State Requirements

Alaska/ Name and Contact Change Requests / Individual & Business Entity

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  • Date calculations will use calendar days.

State Fee

  • Fee: $0.00

State Fee

  • Fee: $50.00
  • Fee Disclaimers: Submitted 31-90 days after move date

State Fee

  • Fee: $100.00
  • Fee Disclaimers: Submitted 91-150 days after move date

State Fee

  • Fee: $200.00
  • Fee Disclaimers: Submitted 150 days or more from the move date

Applicant Can

  • Submit contact change request for any license on NIPR's Producer Database (PDB)
  • Submit DHS contact change request (no resident state license on PDB)
  • Submit Email Changes
  • Submit Phone number Changes
  • Submit change to state code of residence address (Non-resident only)
  • Submit change to state code of business address (Non-resident only)
  • Submit change to state code of mailing address (Non-resident only)

Applicant Cannot

  • Submit change to state code of residence address (Resident only)
  • Submit change to state code of business address (Resident only)
  • Submit change to state code of mailing address (Resident only)

Business Rules

  • Non-Resident Licensee: Address must match respective resident/home state license address.
  • P.O. Boxes are allowed for mailing addresses.
  • P.O. Box is not allowed for:
    • Business or Residence addresses.
  • Alaska does not track counties.

Contact Information

Mailing Address

Alaska Division of Insurance
P.O. Box 110805
Juneau, AK 99811-0805
United States

Phone: (907) 465-2515
Fax: (907) 465-3422
Email: insurancelicensing@alaska.gov

Go to State Website

Frequently Asked Questions

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

One Year

Alaska licensees can submit primary name changes electronically through NIPR. Please access the following link: https://pdb.nipr.com/my-nipr/frontend/identify-licensee

 

 

 

Alaska licensees can submit primary name changes electronically through NIPR. Please access the following link: https://pdb.nipr.com/my-nipr/frontend/identify-licensee

Applicants may submit DRLP through NIPR electronically. Please click here to be directed to the DRLP update informational page. 

 

 

 

Alaska only tracks owners, officers, partners, and directors for Third Party Administrators, Pharmacy Benefits Managers, and Managing General Agents. Alaska does not track this information for producer entities. Licensees may provide an updated list by free form letter via email to insurancelicensing@alaska.gov. Alaska will attach the letter to the file and remove outdated information, but new information will not be added.

 

Licensees can cancel their license by completing our cancellation form which can be located at: Request to Cancel License Form

NIPR is currently working with Alaska to make access to Continuing Education (CE) transcript data available via MYNIPR. 

 

Click here to be directed to MyNIPR application.