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 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
1209 Strawberry Square
Harrisburg, PA 17120
United States

Phone: (717) 787-3840
Fax: (717) 787-8553
Email: ra-in-producer@pa.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 from the passing date

PSI- or (888-818-5822)

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

Reapplication is required. See Licensing FAQ here. Please contact the state at 717-787-3840 or ra-in-producer@pa.gov if additional guidance is needed.

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

For non-resident individual producers or business entities, the license may simply expire by disregarding the renewal invoice. If early surrender is required, a request form can be obtained here.

See Licensing FAQ here. Please contact the state at 717-787-3840 or ra-in-producer@pa.gov if additional guidance is needed.