State Requirements

Applicant must include business fax number and business email.

All submitted phone numbers must be exactly 10 digits.

Applicant must be licensed in applicant's home state.

Applicant must hold an active renewable license in Alaska.

Any changes to the lines of the authority (LOAs) on the license being renewed must be made directly with the Alaska Division of Insurance.

Applicants must renew all classes/LOAs appearing as active on Producer Database (PDB) associated with applicant license class.

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.

Applications not completed within four (4) months from the date filed will be considered withdrawn and new application forms and fees will be required pursuant to Alaska Statute 21.27.040(f).

Third-Party Administrator (TPA) Applicant Requirements

• All third party administrator renewal applicants must submit or be aware of the following requirements. Documents can be submitted using the mailing address referenced in the State Contact Information section.
• Certified financial statements for the prior two (2) years prepared by an independent certified public accountant that establishes that the TPA is solvent and that the TPA’s system of accounting, internal procedure, and control in operating effectively to provide reasonable assurance that the money is promptly accounted for and paid to the person entitled to the money.
• Attach a list of current insurers under contract.
• A list of key employees that manage or supervise the TPA’s business in this state.