To: The Insurance Agency Addressed
AGENCY RENEWAL PROCESS
Your agency license will expire April 30, 2011.
Non-resident agency renewals are available online at www.nipr.com.
Agencies may also be renewed by returning the following to the Department no later than March 15, 2011:
- A check in the amount of the license fee (refer to the renewal form for the amount due).
- The enclosed renewal form. IMPORTANT: The form may be faxed or mailed but DO NOT do both. This could result in the credit card being processed twice. The fax number is 402-471-4610.
- Form 9002A, if you are adding a new designated producer to the agency license.
AGENCIES LICENSED UNDER DOING BUSINESS AS (DBA) NAME
If an agency has been licensed under a DBA name, hereafter the agency license will be issued in the agency’s current legal name.
If a single corporation owns more than one agency, then all agencies will be licensed under the same legal name.
If you desire to operate an agency under a DBA name, then the DBA name will be listed on the license in addition to the legal name. The DBA name will appear directly below the legal name.
Please be sure to clarify the proper legal and/or DBA name to be associated with your agency license on the renewal notice.
ADDING OR DELETING A DESIGNATED PRODUCER FOR AN AGENCY
Adding a Name:
If you wish to add a name to the license, Form 9002A must be submitted with the renewal form. The person added must hold a Nebraska producer license and, in addition, meet the following requirements to be a designated producer of the agency. A designated producer shall be either an officer or a member of the agency and shall have either (1) more than a nominal financial interest in the agency, or (2) be an active participant in the management of the agency. Any individual associated with a licensed agency who solicits insurance shall be a licensed producer. No agency shall pay any commission to anyone other than a licensed producer, if that producer is involved in the selling, soliciting, or negotiating of the insurance contract.
Deleting a Name:
To delete a name from the agency license, cross the name off the renewal form.
CHANGE OF AGENCY NAME
If the agency has changed its name, you must submit a new agency application
CHANGE OF ADDRESS
If the agency address has changed, you may change the address on the renewal form. However, for each licensed producer associated with the agency, Form 9110 must be submitted to change the individual’s business address.
Forms may be obtained through the Department’s website at www.doi.ne.gov, click on the “Producer” drop-down box, and then click on “Forms.”
Form 3107
