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
1135 M Street, Suite 300
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. If you need a multi-state form to record return premiums to coverage in effect prior to January 1, 2017 please send an email requesting a copy to Doi.SurplusLines@nebraska.gov.
- Quarterly Report of Surplus Lines Business (Excel spreadsheet format with calculations)
- Quarterly Report of Surplus Lines Business (Adobe pdf format for manual preparation)
Refer to Press Releases & Notices for recent and past information on important changes to surplus line issues.