| This page provides state-specific checklists, application forms and contacts for paper resident and non-resident licensing in the State of Oregon. |
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| Other Requirements |
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Application Fee is $30, plus $45 License Fee ( Make check payable to the Department of Consumer and Business Services or DCBS) |
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Oregon does not require a designated/responsible licensed producer to be an officer, director, or partner of a business entity |
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Business entities are required to have a licensed and affiliated agent. Submit Form #2139, Firm or Corporation Affiliation of Agent, Adjuster or Insurance Consultant http://www.cbs.state.or.us/external/ins/docs/licensin/licensing_form-numeric.htm |
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Appointment Requirements After Licensing
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Appointment must be received within 30 working days of effective date of contractual agreement with company. |
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| Other Requirements |
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Application Fee is $30, plus $45 License Fee (Make check payable to the Department of Consumer and Business Services or DCBS) |
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Surplus lines applicants must hold a property and casualty license.
The state of Oregon is now accepting producer applications for surplus lines licensing from all states, except Washington. We apologize for any inconvenience to Washington producers, but must note that Washington is the only state in the country that imposes a second examination requirement on surplus lines producers who are licensed as resident producers in Oregon and already have passed an examination in Oregon. We are attempting to work out a solution to this situation that is mutually beneficial to Oregon and Washington. |
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Variable life applicants must have passed the NASD series 6 or 7 and be registered to an Oregon securities dealer. |
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An affiliation is required if an individual is representing an agency. Form #2139, Firm or Corporation Affiliation of Agent, Adjuster or Insurance Consultant needs to be filed within 30 days of acting on behalf of an agency. http://www.cbs.state.or.us/external/ins/docs/licensin/licensing_form-numeric.htm |
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| http://www.nipr.com/html/nrlWelcome.html |
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| Organizational Documents and Other Requirements |
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Producer license fee is $75. Make check payable to Department of Consumer and Business Services |
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Surplus lines business entities must also be licensed for property and casualty. |
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Businesses located in Oregon must register their business name with the Secretary of State Corporation Division. |
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Business entities are required to have a licensed and affiliated agent. Submit Form #2139, Firm or Corporation Affiliation of Agent, within 30 days of the effective date of hire. |
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| Other Requirements |
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Producer license fee $75 payable to the Department of Consumer and Business Services. |
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Fingerprint card, Form #FD258 |
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Surplus lines applicants must also apply for property and casualty, if not already licensed for these. |
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| https://www.nipr.com/erl/ |
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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.
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Uniform Application for Business Entities
[PDF] [Word] |
Uniform Application for Individuals
[PDF] [Word] |
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