New Hampshire: Paper Licensing

Uniform Application for Business Entities
PDF | Word

Uniform Application for Individuals
PDF | Word

Non-Resident Licensing

New Hampshire accepts the Uniform Licensing Application for nonresident business entities and individuals.

Resident Licensing

New Hampshire accepts the Uniform Licensing Application for resident business entities and individuals.

Contact Information

New Hampshire Web Site

Mail Applications to:
New Hampshire Insurance Department
21 South Fruit Street, Suite 14
Concord, N.H. 03301

 

Non-Resident Contacts

Business and Individual
Licensing
603-271-0203
Fax 603-271-7029

 

Resident Contacts

Business and Individual
Licensing
603-271-0203
Fax 603-271-7029

 

NIPR Licensing

This page provides state-specific checklists, application forms and contacts for paper resident and non-resident licensing in the State of New Hampshire.

 

Non-Resident Licensing Checklist for Business Entities

Non-Resident Business Entities must submit applications electronically via NIPR.

Specific Questions? Please contact: 
Licensing (603) 271-0203
fax (603) 271-7029
Website: www.nh.gov/insurance
Email: ProducerQuestions@ins.nh.gov

Requirements

For Electronic applications requiring additional documents, send documentation to : 
NH Insurance Department 
Attn Electronic Producer Applications 
21 South Fruit Street Suite 14
Concord, NH 03301

(please include name/fein and transaction number)

All documentation required for Electronic applications must be received within 30 days or license application will be denied.

The company must submit a Producer Appointment Form within 15 days of initiating a contract with an individual and or business entity holding a producer license. The NIPR PIN process is NHID's preferred method of appointments and terminations.The fee for both is $25. In addition, be aware that an appointment is a registration of an existing contract, and have no inherent rights or privileges. A producer license in good standing must pre-exist to issue appointments or terminations.

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Non-Resident Licensing Checklist for Individuals

NH only accepts electronic applications processed through NIPR.

Specific Questions? Please contact: 
Licensing (603) 271-0203
fax (603) 271-7029
Website: www.nh.gov/insurance
Email: ProducerQuestions@ins.nh.gov

Documents to be Submitted

For Electronic applications requiring additional documents, send documentation to : 
NH Insurance Department 
Attn Electronic Producer Applications 
21 South Fruit Street Suite 14
Concord, NH 03301 
OR
fax, or e-mail as above

All documentation required for individual applications must be received within 30 days. Applications pending receipt of documentation for over 30 days will be denied.

 

Company Appointment Requirements

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Resident Licensing Checklist for Business Entities

NH accepts paper applications mailed to the Department and Electronic Applications Submitted via SBS

Specific Questions? Please contact: 
Licensing (603) 271-0203
fax (603) 271-7029
Website: www.nh.gov/insurance
Email: ProducerQuestions@ins.nh.gov

Documents to be Submitted:

For Paper Applications: Download and Fill Out Application:

Uniform Application for Business Entities [PDF] [Word]

Mail Application (w/ required items) to: 21 South Fruit Street, Suite 14 Concord, N.H. 03301

Appointment Requirements:

 

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Resident Licensing Checklist for Individuals

NH accepts paper applications mailed to the Department and Electronic Applications Submitted via SBS

Specific Questions? Please contact: 
Licensing (603) 271-0203
fax (603) 271-7029
Website: www.nh.gov/insurance
Email: ProducerQuestions@ins.nh.gov

Documents to be Submitted:

Mail Application (w/ required items) to: 21 South Fruit Street, Suite 14 Concord, NH 03301

Appointment Requirements:

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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.