Send all Surplus Lines correspondence to:
Nebraska Department of Insurance
PO Box 82089
Lincoln, NE 68501-2089
Street Address (UPS/FedEx):
NE Department of Insurance
941 O Street, Suite 400
Lincoln, NE 68508
Quarterly Report Form - (No Annual Report is required)
If you have a license, either individual or agency, you will be required to file a quarterly Report for each license separately, even if no business is written. Failure to file is subject to administrative action. No Annual Report is required.
- Quarterly Report of Surplus Lines Business (Excel spreadsheet format with calculations)
- Quarterly Report of Surplus Lines Business (Adobe pdf format for manual preparation)
- Nebraska Supplemental Surplus Lines Reporting Form (Excel spreadsheet format with calculations)
- Nebraska Supplemental Surplus Lines Reporting Form (Adobe pdf format for manual preparation)
These rates are being provided as a good faith effort to provide agents/brokers with the applicable rates by other states. Such amounts pertain to taxes only and do not include fees and assessments. Agents/brokers are encouraged to use the most current and accurate information available when completing the quarterly filing.
Refer to Press Releases & Notices for recent and past information on important changes to surplus line issues.