Arkansas: NIPR Paper Licensing

Arkansas: Paper Licensing

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

Non-Resident Licensing Checklist for Business Entities

Organizational Documents

Attach completed application for each agent to be licensed under the agency

Other Requirements

Attach a check* or money order for $35** (this includes Agency Administration Fee)
*Checks payable to Arkansas Ins Dept Trust Fund
**License fee (must be paid by the agent)
Add a $35 fee for each agent on the agency that is not already licensed in AR as a non-resident agency has more than one agent listed, an additional $30.00 is required for each additional agent.
Include Letter of Certification (within 90 days of issuance)

Appointment Requirements After Licensing

Appointments are requested by the appointing insurance company after the license is issued.
Click here for I-48 Form

Social Security Number Disclosure

We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.
We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.

IF YOU DO NOT AGREE TO THE USE OF YOUR SOCIAL SECURITY NUMBER AS DESCRIBED IN PARAGRAPH 2, YOU MUST SO ADVISE THE DEPARTMENT IN WRITING TO THE ADDRESS BELOW.

Arkansas Insurance Department
Licensing Division
1200 W. Third St.
Little Rock, AR 72201

Non-Resident Licensing Checklist for Individuals

Other Requirements

A $70 administrative fee must be paid by applicant with personal or agency check (both agent and broker).
All Checks are made payable to the Arkansas Insurance Department Trust Fund.
Sign application

Appointment Requirements After Licensing:

Appointments are requested by the appointing insurance company after the license is issued.
Click here for I-48 Form
Attach a check* or money order.

Social Security Number Disclosure

We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.
We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.

IF YOU DO NOT AGREE TO THE USE OF YOUR SOCIAL SECURITY NUMBER AS DESCRIBED IN PARAGRAPH 2, YOU MUST SO ADVISE THE DEPARTMENT IN WRITING TO THE ADDRESS BELOW.

Arkansas Insurance Department
Licensing Division
1200 W. Third St.
Little Rock, AR 72201

Resident Licensing Checklist for Business Entities

Limitations

Arkansas only licenses business entities for partnerships, corporations, limited liability companies and limited liability partnerships. Arkansas does not license sole-proprietors.

Organizational Documents

Corporations, LLC, and LLP's must have articles of organization or articles of membership.

Producers

All producers who will be producing business for the agency must be added to the agency license.

Fees

$35.00 license fee
$15.00 if property/casualty line of authority is requested for agency (not needed for life and health).
$10.00 for each producer added to the license (we do not charge for the first producer

Payment

Checks must be made payable to the Arkansas Insurance Department Trust Funds. All check must be imprinted with the name of the account---we cannot accept temporary or counter checks.

Social Security Number Disclosure

We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.
We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.

IF YOU DO NOT AGREE TO THE USE OF YOUR SOCIAL SECURITY NUMBER AS DESCRIBED IN PARAGRAPH 2, YOU MUST SO ADVISE THE DEPARTMENT IN WRITING TO THE ADDRESS BELOW.

Arkansas Insurance Department
Licensing Division
1200 W. Third St.
Little Rock, AR 72201

Resident Licensing Checklist for Individuals

Other Requirements

Attach company check, cashier's check, certified check or money order made payable to Promissor.
1 producer exam $82.00
2 producer exams (multiple lines) $-94.00

Mail complete uniform application and fee to Promissor at:
Promissor
1123 S. University Ave, Suite 915
Little Rock AR 72204

Affirmative answers to questions 36 (1,2,3,4,5, 6, 7) must have documentation attached to the application. Failure to submit documentation will cause the application to be returned unprocessed.

Once the exam permit is issued the applicant must call Promissor at 888-204-6259 to set the place and time of the exam. Exam sites are located in Memphis, TN, Texarkana AR/TX, Springdale, AR and Little Rock, AR.

Applicants must bring proof of completion of pre-licensing education at the time of the exam. If the certification of pre-license completion is not presented at the time of the exam, the applicant will not be allowed to sit for the exam.

Exam fees are non-refundable.

Social Security Number Disclosure

We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.
We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.

IF YOU DO NOT AGREE TO THE USE OF YOUR SOCIAL SECURITY NUMBER AS DESCRIBED IN PARAGRAPH 2, YOU MUST SO ADVISE THE DEPARTMENT IN WRITING TO THE ADDRESS BELOW.

Arkansas Insurance Department
Licensing Division
1200 W. Third St.
Little Rock, AR 72201

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.

Uniform Application for Business Entities

PDF

WORD

Uniform Application for Individuals

paper_licensing_uniform_app_individuals.pdf

paper_licensing_uniform_app_individuals.docx

NON-RESIDENT LICENSING

Click here to apply for a non-resident license electronically.

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

RESIDENT LICENSING

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

CONTACT INFORMATION