National Insurance Producer Registry

This page provides state-specific checklists, application forms and contacts for paper resident and non-resident licensing in the State of New Hampshire.

Non-Resident Business Entities must submit applications electronically via NIPR.

Specific Questions? Please contact:
Licensing (603) 271-0203
fax (603) 271-7029
Website: www.nh.gov/insurance
Email: ProducerQuestions@ins.nh.gov

Requirements

All business entities must register with the NH Secretary of State PRIOR to filing for licensing.

All affirmative responses to background questions require a written explanation and attachment of corresponding legal documents.

All Entities filing electronically are required to submit this information to the NH Insurance Department, either by fax or mail. Please reference name , FEIN, and NIPR transaction #.

The designated producer(s) is required to hold an active NH license and cumulatively hold all lines requested on the application.

For Electronic applications requiring additional documents, send documentation to :
NH Insurance Department
Attn Electronic Producer Applications
21 South Fruit Street Suite 14
Concord, NH 03301

(please include name/fein and transaction number)

All documentation required for Electronic applications must be received within 30 days or license application will be denied.

The company must submit a Producer Appointment Form within 15 days of initiating a contract with an individual and or business entity holding a producer license. The NIPR PIN process is NHID's preferred method of appointments and terminations.The fee for both is $25. In addition, be aware that an appointment is a registration of an existing contract, and have no inherent rights or privileges. A producer license in good standing must pre-exist to issue appointments or terminations.

NH only accepts electronic applications processed through NIPR.

Specific Questions? Please contact:
Licensing (603) 271-0203
fax (603) 271-7029
Website: www.nh.gov/insurance
Email: ProducerQuestions@ins.nh.gov

Documents to be Submitted

All affirmative responses to background questions require a written explanation and attachment of corresponding legal documents. Submit this information to the NH Insurance Department either by fax or mail. Please reference name, SSN, and transaction # on all documentation.

For Electronic applications requiring additional documents, send documentation to :
NH Insurance Department
Attn Electronic Producer Applications
21 South Fruit Street Suite 14
Concord, NH 03301
OR
fax, or e-mail as above

All documentation required for individual applications must be received within 30 days. Applications pending receipt of documentation for over 30 days will be denied.

Company Appointment Requirements

The company must appoint a Producer within 15 days of initiating a contract with an individual and or business entity holding a producer license. The NIPR PIN process is NHID's method of appointments and terminations. The fee is $25. In addition, be aware that an appointment is a registration of an existing contract, and has no inherent rights or privileges. A producer license in good standing must pre-exist to issue appointments or terminations.

NH accepts paper applications mailed to the Department and Electronic Applications Submitted via SBS (Link from Department Website)

Specific Questions? Please contact:
Licensing (603) 271-0203
fax (603) 271-7029
Website: www.nh.gov/insurance
Email: ProducerQuestions@ins.nh.gov

Documents to be Submitted:

All business entities must register with the NH Secretary of State PRIOR to filing for licensing. NH Secretary of State 603-271-3244 or www.sos.nh.gov/corporate

All affirmative responses to background questions require a written explanation and attachment of corresponding legal documents. Attachments may be uploaded to the electronic application or sent via mail, e-mail, or fax to contacts above.

Other Requirements:

For Paper Applications: Attach $210 non-refundable application and license fee. Checks payable to “NH Insurance Department”

Application must be signed by an owner, officer, director, or partner. Designated responsible Licensed Producer(s) must hold an active NH license and cumulatively hold all lines requested on the application.

For Paper Applications: Download and Fill Out Application:

Uniform Application for Business Entities [PDF] [Word]

Mail Application (w/ required items) to: 21 South Fruit Street, Suite 14 Concord, N.H. 03301

Appointment Requirements:

The company must submit a Producer Appointment Form within 15 days of initiating a contract with an individual and or business entity holding a producer license. The NIPR PIN process is NHID's preferred method of appointments and terminations. The fee for both is $25. In addition, be aware that an appointment is a registration of an existing contract, and have no inherent rights or privileges. A producer license in good standing must pre-exist to issue appointments or terminations.

NH accepts paper applications mailed to the Department and Electronic Applications Submitted via SBS (Link from Department Website)

Specific Questions? Please contact:
Licensing (603) 271-0203
fax (603) 271-7029
Website: www.nh.gov/insurance
Email: ProducerQuestions@ins.nh.gov

Documents to be Submitted:

Completed Individual Uniform application.

All individuals applying for the line of Variable Annuity must hold the Life Line of Authority and supply the department with their CRD number.

All affirmative responses to background questions require a written explanation and attachment of corresponding legal documents

For Paper Applications: Attach check for $210 non-refundable application and license fee. Checks payable to “NH Insurance Department”.

Uniform Application for Individual License / Registration - ( Word | PDF

Mail Application (w/ required items) to: 21 South Fruit Street, Suite 14 Concord, NH 03301

Appointment Requirements:

The company must appointment producers electronically within 15 days of initiating a contract with an individual and or business entity holding a producer license. The NIPR PIN process is our only method of appointments and terminations. The fee for both is $25. In addition, be aware that an appointment is a registration of an existing contract, and have no inherent rights or privileges. A producer license in good standing must pre-exist to issue appointments or terminations.

DISCLAIMER

The National Insurance Producer Registry ("NIPR") populates the State Matrix of Business Rules ("State Matrix") with information provided directly from participating state insurance departments. Participating states are encouraged to provide updated information when appropriate. NIPR does not guarantee the completeness, accuracy or adequacy of the information in the State Matrix. The information in the State Matrix does not constitute legal advice and use of this information is at user's own risk and responsibility. Any questions regarding the interpretation of the rules or the accuracy of the information should be directed to the appropriate state insurance department.

Uniform Application for Business Entities
[PDF] [Word]

Uniform Application for Individuals
[PDF] [Word]