State Requirements

Applicants must provide a valid Hawaii residence and business address. Address may not contain a P.O. Box.

Applicant must provide a valid United States business address, mailing address, email address, and phone number.

A licensee shall apply to the Department of Commerce and Consumer Affairs (”DCCA”) and the Insurance Commissioner for approval of the use or change of a trade name.

Licensees must have a General Excise Tax License, as required under the tax laws for the State of Hawaii. Please contact the Hawaii Department of Taxation for more information.

• Applicants are required to be fingerprinted prior to submitting a license application for initial license or license reactivation.
• To obtain fingerprints, contact our fingerprinting vendor, FieldPrint, to schedule an appointment. All applicants must enter “HI-DCCA-INS”, the code that identifies the Insurance Division as the intended recipient of your fingerprint result, when scheduling an online appointment with FieldPrint. Fees for fingerprinting (including state and federal submission fees) are collected by FieldPrint.
• Voluntary Surrender applicants who are reinstating within one (1) year are exempt from fingerprint requirement.

Reinsurance Intermediary Brokers, Reinsurance Intermediary Managers, Life Settlement Brokers, and Managing General agents must actively hold an Insurance Producer license. They can only apply for the reciprocal LOA they maintain on their Insurance Producer license.

Applicant may not enter the following address as the residence or business address:

                                               350 Ward Ave., Suite 106

                                                   Honolulu, HI 96814

• Limited Lines Self-Service Storage Producer
• Crop Adjuster
• Independent Adjuster
• Insurance Producer
• Limited Lines Producer Car Rental
• Limited Lines Producer
• Public Adjuster
• Surplus Lines Broker
• Third-Party Administrators
• Workers’ Compensation Adjuster (Exam required if a license is reactivated after one year of inactivation.)
• Life Settlement Broker
• Life Settlement Provider
• Managing General Agent
• Independent Bill Reviewer
• Reinsurance Intermediary Broker
• Reinsurance Intermediary Manager     
• Pharmacy Benefit Manager

All additional documents are required to be attached via NIPR's Attachment Warehouse within 7 days of submitting the application.

• An appointment form does not need to be submitted with the application. However, to §431:9A-114 Appointments: (a) an Insurance Producer shall not act as an agent of an insurer unless the Insurance Producer becomes an appointed agent of that insurer. All Producers will need to be appointed directly through an Insurance Company and appointment termination can only be submitted by an Insurance Company.

Variable applicants must supply HAWAII FINRA CRD number on application. If you need to verify your CRD number, you may use the Broker Search feature found on FINRA’s website. Applicants must verify that they are registered in Hawaii with FINRA before they can apply for Variable Life & Variable Annuity. Applicants are required to register for Broker “Agent” with FINRA in Hawaii.

• Go to https://cca.hawaii.gov/ins/producers/forms/ and open TPA CHECKLIST form. Check appropriate boxes on the form and complete the checklist to assure completion of application filing.  A completed checklist and all documents required on the checklist must be submitted via NIPR's Attachments Warehouse.
• Third Party Administrator applicants must enter a valid United States business and mailing address.
• All applications for Third Party Administrator will defer to the state for review.

•  Pass the Hawaii insurance adjuster examination for resident and non-resident applicants.

• Go to Hawaii Revised Statute §431:9-223 for bond requirements. Applicant must submit a valid $10,000 Surety Bond via NIPR's Attachments Warehouse.

• Applications for Public Adjuster will defer to the state for review.

• Pass the Hawaii Workers Compensation Insurance Adjuster examination for resident and non-resident initial applications AND renewals.

• Submit a valid, unexpired, Crop Adjuster Proficiency Program ("CAPP") card via NIPR's Attachments Warehouse for resident and non-resident initial applications AND renewals. There is no exam required for resident or non-resident applicants.

• Pass the Hawaii insurance adjuster examination for resident and non-resident applicants.

Surplus Lines Brokers (SLB) – In order for the license to be issued, the business entity must submit “Form List of SLB(s)”.  Go to https://cca.hawaii.gov/ins/producers/forms/ find and submit the “Form List of SLB(s)” via NIPR's Attachments Warehouse.

Independent Bill Reviewer (IBR) - In order for the license to be issued, the applicant must submit credentials as a Certified Professional Coder granted by the American Academy of Professional Coders or American Health Information Management Association via NIPR's Attachments Warehouse.

Life Settlement Broker (LSB) - Must be licensed as a resident Insurance Producer with a Life line of authority in Hawaii for at least one (1) year to be eligible to apply for a Life Settlement Broker license. In order for the registration to be issued, the individual must submit Anti-Fraud Plan via NIPR's Attachments Warehouse.

Life Settlement Provider (LSP) - In order for the license to be issued, the individual must submit “Anti-Fraud Plan” and “Detailed Plan of Operation” and “All Forms and Advertisement" (If applicable). The individual must submit documents via NIPR's Attachments Warehouse.

If an applicant is not a United States citizen, a copy of a valid work permit or permanent resident card must be submitted via NIPR's Attachments Warehouse. 

If applicant responds "yes" to one of the background questions, please submit supporting documents electronically via NIPR's Attachments Warehouse.

• Pharmacy Benefit Manager, Services Contract Provider, and Vehicle Protect Product Warrantor do not need to submit supporting documents if you answer "yes" to any background questions on the application.