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

Non-Resident Licensing Checklist for Business Entities

Other Requirements

• The biennial license fee for a Business Entity Producer is $100.00.
  The LOA's assigned to the Business Entity can be no greater than the LOA of the Designated/ Responsible Licensed Producer (DRLP) listed on the application.
• In reference to question 25 on the application the District of Columbia Department of Insurance and Securities Regulation (DISR) does not require that the Designated/Responsible Licensed Producer be an Officer, or Partner of the Business Entity. The individual must hold a current District of Columbia Producer License prior to submitting an application for the Business Entity (BE).
• Must comply with the requirements of DC Department of Consumer and Regulatory Affairs (DCRA), Corporation Division, www.dcra.dc.gov, filing as a foreign corporation or other legal entity operating in the District of Columbia.
• LOA Qualification PDB Verified.

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Non-Resident Licensing Checklist for Individuals

Other Requirements

• The biennial license fee for an Individual Licensee is $100.00. License fees are the following:
  
  1. One hundred dollars ($100.00) for one or more of the following lines of insurance:
     
     1. Life b) Accident and Health or Sickness
     2. Accident and Health or Sickness
     3. Variable Life and Variable Annuity products, or 
     4. limited lines of Credit, Surety, Crop, Car Rental and Travel
  2. One hundred dollars ($100.00) for one or more of the following lines of insurances;
     
     1. Property
     2. Limited lines of Credit, Surety, Crop, Car Rental and Travel
• LOA Qualifications PDB Verified.
• Resident Producers – Attach Examination Score.
• Surplus Lines Authority – Maintain Proof of $20,000.00 Surety Bond.
• Sign Application.

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Resident Licensing Checklist for Business Entities

Other Requirements

• The biennial license fee for a Business Entity Producer is $100.00.
  The LOA's assigned to the Business Entity can be no greater than the LOA of the Designated/ Responsible Licensed Producer (DRLP) listed on the application.
• In reference to question 25 on the application the District of Columbia Department of Insurance and Securities Regulation (DISR) does not require that the Designated/Responsible Licensed Producer be an Officer, or Partner of the Business Entity. The individual must hold a current District of Columbia Producer License prior to submitting an application for the Business Entity (BE).
• Must comply with the requirements of DC Department of Consumer and Regulatory Affairs (DCRA), Corporation Division, www.dcra.dc.gov, filing as a foreign corporation or other legal entity operating in the District of Columbia.
• LOA Qualification PDB Verified.

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Resident Licensing Checklist for Individuals

Other Requirements

• The biennial license fee for an Individual Licensee is $100.00. License fees are the following:
  
  1. One hundred dollars ($100.00) for one or more of the following lines of insurance:
     
     1. Life b) Accident and Health or Sickness
     2. Accident and Health or Sickness
     3. Variable Life and Variable Annuity products, or 
     4. Limited lines of Credit, Surety, Crop, Car Rental and Travel
  2. One hundred dollars ($100.00) for one or more of the following lines of insurances;
     
     1. Property
     2. Limited lines of Credit, Surety, Crop, Car Rental and Travel
  3. Two hundered dollars ($200.00) for Surplus Lines Authority
• LOA Qualifications PDB Verified.
• Resident Producers – Attach Examination Score.
• Surplus Lines Authority – Maintain Proof of $20,000.00 Surety Bond.
• Sign Application.

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Uniform Application for Business Entities

PDF

WORD

Uniform Application for Individuals

paper_licensing_uniform_app_individuals.pdf

paper_licensing_uniform_app_individuals.docx

• Business Checklist
• Individual Checklist

• Business Checklist
• Individual Checklist

District of Columbia Web Site

Mail Applications to:
Department of Insurance and Securities Regulation
Consumer and Professional Services Division
PO Box 92180
Washington, DC 20002

Non-Resident Contacts

Business and Individual
Sheila Johnson-Parker 
(202) 442-7795
sheila.parker@dc.gov 
Fax: (202) 354-1084

LuCynthia Jordan 
(202) 442-7813
lucynthia.Jordan@dc.gov;

Willie Hicks
(202) 442-7814
willie.hicks@dc.gov

Marcus Murphy
202-442-7815
Marcus.Murphy@dc.gov

Resident Contacts

Business and Individual
LuCynthia Jordan 
(202) 442-7813
lucynthia.Jordan@dc.gov;

Willie Hicks
(202) 442-7814
willie.hicks@dc.gov

Marcus Murphy
202-442-7815
Marcus.Murphy@dc.gov

Sheila Johnson-Parker
202-442-7795
Sheila.Parker@dc.gov

NIPR Licensing