State Requirements

Applicant's name, Tax ID, license number, and state of residence must match current Producer Database (PDB) record for resident state.

Applicant may not apply for a license in their own resident state.

Business Entity Producer applicants with the exception of Motor Vehicle Extended Services Contract, will be allowed to late-renew their license electronically for up to one year past license expiration date. 

Applicant must not have a status of suspended, revoked, or tax compliance.

Utilization Review applications must be submitted by the Owner, Partner, Officer or Director.

Portable Electronics Small is 10 locations or less. Portable Electronics Large is more than 10 locations.

Navigator applicants are required to submit supplemental documentation. Please submit the form located at (https://stateofmissouri.wufoo.com/forms/q1dxmja31tfidpe/).

General Bail Bond applications are sent to the state for review for Bond information. Please submit the form located at (https://stateofmissouri.wufoo.com/forms/q91rcu716safef/).

Organizational Credit applicants are required to submit supplemental documentation. Please submit the form located at (https://stateofmissouri.wufoo.com/forms/qshciua1j15ula/).  You must be in good standing with the Missouri Secretary of State for approval of application.

Portable Electronics Insurance Small applicants are required to submit supplemental documentation. Please submit the form located at (https://stateofmissouri.wufoo.com/forms/qgux3u30itxsy0/). You must be in good standing with the Missouri Secretary of State for approval of application.

Portable Electronics Large applicants are required to submit supplemental documentation. Please submit the form located at (https://stateofmissouri.wufoo.com/forms/qbd8xtd0xvv6ha/). You must be in good standing with the Missouri Secretary of State for approval of application.

Utilization Review applicants are required to submit supplemental documentation. Please see the form at (https://stateofmissouri.wufoo.com/forms/q10m36f90fvoizf/).

• A written statement summarizing the details of each incident.
• A copy of the petition, complaint or other document that commenced the lawsuit, arbitration, or mediation proceedings.
• A copy of the official document, which demonstrates the resolution of the charges or any final judgment.

• Organizational Documents
  • Foreign Corporations, Limited liability companies or limited liability partnerships; Attach a copy of the Certificate of Good Standing, Certificate of Incorporation, or a Certificate of Organization. The Certificate must be dated within the past year and issued by the state granting the authority to conduct business as a corporation or limited liability company or by the Missouri Secretary of State. If the business entity has an office in the state of Missouri, the certificate must be issued by the Missouri Secretary of State. In lieu of a Secretary of State document, we will accept a letter of certification dated within the past 6 months from your home state insurance department.
  • Partnerships: Attach a copy of the Registration of Fictitious Name.
  • Sole Proprietorship: A Registration of Fictitious Name is not required.

• List all Missouri licensed insurance producers conducting business on behalf of the business entity producer. Include the producer’s legal name and Missouri license number. The business entity producer must have at least one Missouri licensed producer at each location conducting Missouri business. The application will be returned if this listing is not attached.
• Attach a list of all branch offices conducting Missouri business.

If application is submitted electronically, all organizational documents and other requirements must be emailed to licensing@insurance.mo.gov Attn: Online Transactions.

Applicant's name, Tax ID, license number, and state of residence must match current Producer Database (PDB) record for resident state.

• Applicant may not apply for a license in their own resident state.
• Business Entity Producer applicants with the exception of Motor Vehicle Extended Services Contract, will be allowed to late-renew their license electronically for up to one year past license expiration date. 
• Applicant must not have a status of suspended, revoked, or tax compliance.
• Utilization Review applications must be submitted by the Owner, Partner, Officer or Director.
• Portable Electronics Small is 10 locations or less. Portable Electronics Large is more than 10 locations.
• Navigator applicants are required to submit supplemental documentation. Please submit the form located at (https://stateofmissouri.wufoo.com/forms/q1dxmja31tfidpe/).
• General Bail Bond applications are sent to the state for review for Bond information. Please submit the form located at (https://stateofmissouri.wufoo.com/forms/q91rcu716safef/).
• Organizational Credit applicants are required to submit supplemental documentation. Please submit the form located at (https://stateofmissouri.wufoo.com/forms/qshciua1j15ula/).  You must be in good standing with the Missouri Secretary of State for approval of application.
• Portable Electronics Insurance Small applicants are required to submit supplemental documentation. Please submit the form located at (https://stateofmissouri.wufoo.com/forms/qgux3u30itxsy0/). You must be in good standing with the Missouri Secretary of State for approval of application.
• Portable Electronics Large applicants are required to submit supplemental documentation. Please submit the form located at (https://stateofmissouri.wufoo.com/forms/qbd8xtd0xvv6ha/). You must be in good standing with the Missouri Secretary of State for approval of application.
• Utilization Review applicants are required to submit supplemental documentation. Please see the form at (https://stateofmissouri.wufoo.com/forms/q10m36f90fvoizf/).
• If applicant responds "yes" to one of the background questions please submit supporting documents electronically via NIPR's Attachments Warehouse. The following documents may also be submitted to the state via mail, email, or fax:
  • A written statement summarizing the details of each incident.
  • A copy of the petition, complaint or other document that commenced the lawsuit, arbitration, or mediation proceedings.
  • A copy of the official document, which demonstrates the resolution of the charges or any final judgment.
     
• Licensing Requirements for Entities Domiciled Outside of Missouri - Checklist
  • Organizational Documents
    • Foreign Corporations, Limited liability companies or limited liability partnerships; Attach a copy of the Certificate of Good Standing, Certificate of Incorporation, or a Certificate of Organization. The Certificate must be dated within the past year and issued by the state granting the authority to conduct business as a corporation or limited liability company or by the Missouri Secretary of State. If the business entity has an office in the state of Missouri, the certificate must be issued by the Missouri Secretary of State. In lieu of a Secretary of State document, we will accept a letter of certification dated within the past 6 months from your home state insurance department.
    • Partnerships: Attach a copy of the Registration of Fictitious Name.
    • Sole Proprietorship: A Registration of Fictitious Name is not required.
  • Other Requirements
    • List all Missouri licensed insurance producers conducting business on behalf of the business entity producer. Include the producer’s legal name and Missouri license number. The business entity producer must have at least one Missouri licensed producer at each location conducting Missouri business. The application will be returned if this listing is not attached.
    • Attach a list of all branch offices conducting Missouri business.

• If application is submitted electronically, all organizational documents and other requirements must be emailed to licensing@insurance.mo.gov Attn: Online Transactions.