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

Applicants for a Business Entity North Dakota non-resident insurance producer license must apply electronically through the National Insurance Producer Registry (NIPR). Paper applications will only be accepted when computer programming will not support the submission of an electronic application. Please contact the Department before submitting a paper application .

Organizational Documents
 
 
To ensure compliance with North Dakota corporate law, business entities should contact the North Dakota Secretary of State's office by telephone 701-328-4284; email – sosbir@nd.gov; or website – www.nd.gov/sos
License Requirements
 
 
Business entity must have at least one Designated Responsible Producer with an active North Dakota license for the same line(s) of authority.
Surplus Lines Licensing
 
 

Applicants for a surplus lines insurance producer license must have an active insurance producer license. If applying for both the producer license and the surplus lines license at the same time, you can submit one paper application (NAIC Uniform application form) for both licenses. Attach a check or money order payable to North Dakota State Insurance Department in the amount of $110 ($100 for the insurance producer license and $10 for the surplus lines insurance producer license). If already licensed as an insurance producer, submit a paper application and the $10 fee to apply for the surplus lines producer license.

 
If your resident surplus lines license information is not available on the NAIC Producer DataBase (PDB), include Letter of Certification* (within 90 days of issuance).
Appointment Requirements
No initial appointment with the application is required.
 
The appointing insurer shall file the notice of appointment within 30 days from the later of the date the agency contract is executed or the first insurance application is submitted
 
The appointment fee is $10.00 for each company appointment
 

Unless there are compelling reasons to submit on paper, companies should file agent appointments and terminations electronically through the National Insurance Producer Registry (NIPR).

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Applicants for an individual North Dakota non-resident insurance producer license must apply electronically through the National Insurance Producer Registry (NIPR). Paper applications will only be accepted when computer programming will not support the submission of an electronic application. Please contact the Department before submitting a paper application .

License Requirements
 
 
Applicants must hold a like resident license in your home state and be in compliance with the continuing education requirements in your home state
 

Provide NASD CRD number if applying for variable life/annuity (applicant must be a licensed North Dakota Securities Salesperson)

 

If your resident license information (including surplus lines license) is not available on the NAIC Producer DataBase (PDB), include Letter of Certification* (within 90 days of issuance)

Surplus Lines Licensing
 
 

Applicants for a surplus lines insurance producer license must have an active insurance producer license. If applying for both the producer license and the surplus lines license at the same time, you can submit one paper application (NAIC Uniform application form) for both licenses. Attach a check or money order payable to North Dakota State Insurance Department in the amount of $110 ($100 for the insurance producer license and $10 for the surplus lines insurance producer license). If already licensed as an insurance producer, submit a paper application and the $10 fee to apply for the surplus lines producer license.

 
If your resident surplus lines license information is not available on the NAIC Producer DataBase (PDB), include Letter of Certification* (within 90 days of issuance).
Appointment Requirements
No initial appointment is required.
 
The appointing insurer shall file the notice of appointment within 30 days from the later of the date the agency contract is executed or the first insurance application is submitted
 
The appointment fee is $10.00 for each company appointment
 

Unless there are compelling reasons to submit on paper, companies should file agent appointments and terminations electronically through the National Insurance Producer Registry (NIPR).

Privacy Statement

"Pursuant to North Dakota Century Code § 26.1-26-30, the disclosure of the individual's social security number on the Uniform Application for Individual Non-Resident License is mandatory.  The individual's social security number is used for identifying purposes in the processing of the license application. The North Dakota Department of Insurance will provide the social security number to the National Association of Insurance
Commissioners and the National Insurance Producer Registry for inclusion in their respective  producer databases."

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Applicants for a Business Entity North Dakota resident insurance producer license are encouraged to apply electronically through the National Insurance Producer Registry (NIPR).
Organizational Documents
 
 
To ensure compliance with North Dakota corporate law, business entities should contact the North Dakota Secretary of State's office by telephone 701-328-4284; email – sosbir@nd.gov ; or website – www.nd.gov/sos .
License Requirements
 
 

Business entity must have at least one Designated Responsible Producer with an active North Dakota license for the same line(s) of authority.

Surplus Lines Licensing
 
 

Applicants for a surplus lines insurance producer license must have an active insurance producer license. If applying for both the producer license and the surplus lines license at the same time, you can submit one paper application (NAIC Uniform application form) for both licenses. Attach a check or money order payable to North Dakota State Insurance Department in the amount of $110 ($100 for the insurance producer license and $10 for the surplus lines insurance producer license). If already licensed as an insurance producer, submit a paper application and the $10 fee to apply for the surplus lines producer license.

Appointment Requirements
No initial appointment is required with the application.
 
 

The appointing insurer shall file the notice of appointment within 30 days from the later of the date the agency contract is executed or the first insurance application is submitted.

 
The appointment fee is $10.00 for each company appointment.
 
Unless there are compelling reasons to submit on paper, companies should file agent appointments and terminations electronically through the National Insurance Producer Registry (NIPR).
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Applicants for an individual North Dakota Resident insurance producer license are encouraged to apply electronically through the National Insurance Producer Registry (NIPR).
License Requirements
 
 

Individuals must pass the appropriate exams for each line of authority requested on the application.

 
Provide NASD CRD number if applying for variable life/annuity (applicant must be a licensed North Dakota Securities Salesperson)
Surplus Lines Licensing
 
 

Applicants for a surplus lines insurance producer license must have an active insurance producer license. If applying for both the producer license and the surplus lines license at the same time, you can submit one paper application (NAIC Uniform application form) for both licenses. Attach a check or money order payable to North Dakota State Insurance Department in the amount of $110 ($100 for the insurance producer license and $10 for the surplus lines insurance producer license). If already licensed as an insurance producer, submit a paper application and the $10 fee to apply for the surplus lines producer license.

Appointment Requirements
No initial appointment is required with the application.
 
The appointing insurer shall file the notice of appointment within 30 days from the later of the date the agency contract is executed or the first insurance application is submitted.
 
The appointment fee is $10.00 for each company appointment.
 
Unless there are compelling reasons to submit on paper, companies should file agent appointments and terminations electronically through the National Insurance Producer Registry (NIPR).
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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]
Click here to apply for a non-resident license electronically.
North Dakota accepts the Uniform Licensing Application for nonresident business entities and individuals.
Business Checklist
Individual Checklist
North Dakota accepts the Uniform Licensing Application for resident business entities and individuals.
Business Checklist
Individual Checklist
North Dakota Web Site
Mail Applications to:
North Dakota Insurance Dept
600 E. Blvd, Dept 401
Bismarck, ND 58505-0320

Non-Resident Contacts

Business and Individual
Peggy Brintnell
701-328-3548

Resident Contacts

Business and Individual
Peggy Brintnell
701-328-3548

 
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