State Requirements

Business Rules

• Hawaii Memo
  • Commissioner's Memorandum 2021-2LIC
  • Commissioner's Memorandum 2021- 3LIC
  • Commissioner's Memorandum 2021-6LIC

• Applicant must provide a valid business email, address, and business phone number.

• A licensee shall apply to the Department of Commerce and Consumer Affairs (”DCCA”) and the Insurance Commissioner for approval of the use or change of a trade name.

• Applicant may not enter the following address as the residence or business address:

                                        6140 S Gun Club Rd, STE K6
                                                 Aurora, CO 80016

• Reinstatements may be submitted online at www.nipr.com
   
• Reinsurance Intermediary Brokers and Reinsurance Intermediary Managers and Managing General agents must actively hold an Insurance Producer license. They can only apply for the reciprocal LOA they maintain on their Insurance Producer License.

• Insurance Producer and Surplus Lines 
  • An appointment form does not need to be submitted with the application. However, to §431:9A-114 Appointments: (a) an Insurance Producer shall not act as an agent of an insurer unless the Insurance Producer becomes an appointed agent of that insurer. All Producers will need to be appointed directly through an Insurance Company and appointment termination can only be submitted by an Insurance Company.

• Variable applicants must supply HAWAII FINRA CRD number on application. If you need to verify your CRD number you may use the Broker Search feature found on FINRA’s website. If you need to verify your CRD number you may use the Broker Search feature found on FINRA’s website.   Applicants must verify that they are registered in Hawaii with FINRA before they can apply for Variable.

• Surplus Lines Broker applicants must apply for both Property and Casualty.

• Third Party Administrator applicants are required to:
  • All applications for Third Party Administrator will defer to the state for review. Go to http://cca.hawaii.gov/ins/producers/forms/ and open TPA CHECKLIST form. Check appropriate boxes on the form and complete the checklist to assure completion of application filing.  A completed checklist must be accompanied with all documents required on the checklist and submitted through the Attachment Warehouse.
  • Third Party Administrator applicants must enter a valid United States business and mailing address.

•  If an applicant is not a US citizen, a copy of a valid work permit or permanent resident card must be submitted via NIPR's Attachments Warehouse. 

• If applicant responds "yes" to one of the background questions please submit supporting documents electronically via NIPR's Attachments Warehouse. The documents may also be submitted to the state via mail, email, or fax.

  • Pharmacy Benefit Manager, Services Contract Provider and Vehicle Protect Product Warrantor do not need to submit supporting documents if you answer "Yes" to any background questions on the application.  

• Reinsurance Intermediary Broker (RIB) and Reinsurance Intermediary Manager (RIM) – In order for the license to be issued, the business entity must submit “Form List of RI(s)”.  Go to https://cca.hawaii.gov/ins/producers/forms/ find and submit the “Form List of RI(s)” via NIPR’s attachment Warehouse
   
• Limited Lines Self-Service Storage Producer (SSS) – In order for the license to be issued, the business entity must submit “Form DP for SSS”  Go to https://cca.hawaii.gov/ins/producers/forms/ find and submit the “Form DP for SSS” via NIPR’s attachment Warehouse
   
• Independent Bill Reviewer (IBR) - In order for the license to be issued, the applicant must submit credentials as a Certified Professional Coder granted by the American Academy of Professional Coders or American Health Information Management
           Association via NIPR’s Attachment Warehouse.
   
• Pharmacy Benefit Manager (PBM) – In order for the registration to be issued, the business entity must submit “Form DP for PBM”  Go to https://cca.hawaii.gov/ins/producers/forms/ find and submit the “Form DP for PBM” via NIPR’s attachment Warehouse

• Life Settlement Broker – applicant must be actively licensed for ‘Life’ line of authority (LOA) for at least one year in their resident/home state.

• If an applicant is not a US citizen, a copy of a valid work permit or permanent resident card must be submitted via NIPR's Attachments Warehouse. 
   
• If applicant responds "yes" to one of the background questions please submit supporting documents electronically via NIPR's Attachments Warehouse.