This page provides state-specific checklists, application forms and contacts for paper resident and non-resident licensing in the State of Maine.
Non-Resident Licensing Checklist for Business Entities
* Question #25: The responsible individual must hold a Maine license. Please name only one responsible individual.
* Question #26: Maine law requires a list of all affiliated producers, state of domicile, and Maine license # (or SSN) be provided, in addition to a list of owners, partners, officers and directors.
* Question #27: If license type is to be other than a Producer Business Entity, please be sure to specify whether the entity is an adjusting firm or a consulting firm.
Other Requirements
- Checks should be made payable to Treasurer, State of Maine.
- Sign application - Application must be signed by the Responsible Individual
- A business entity establishing more than one place of business must register each branch location by submitting a branch registration and fee. Registrations can be submitted electronically or by paper via the Bureau’s website at [Agencies | PFR Insurance (maine.gov)|https://www.maine.gov/pfr/insurance/licensees/individuals-business-enti…]
Non-Resident Licensing Checklist for Individuals
Other Requirements
- Checks should be made payable to Treasurer, State of Maine.
- If an individual works for a business entity, the business entity will also need to apply for a license in Maine. This can be done separately or simultaneously.
- Submit NASD U-4 status report or CRD printout if applying for variable contracts authority.
- Please be sure that a business entity name is included in any business address submitted.
- Sign application
Resident Licensing Checklist for Business Entities
* Question #25: The responsible individual must hold a Maine license. Please name only one responsible individual.
* Question #26: Maine law requires a list of all affiliated producers, state of domicile, and Maine license # (or SSN) be provided, in addition to a list of owners, partners, officers and directors.
* Question #27: If license type is to be other than a Producer Business Entity, please be sure to specify whether the entity is an adjusting firm or a consulting firm.
Other Requirements
- A business entity establishing more than one place of business must register each branch location by submitting a branch registration and fee. Registrations can be submitted electronically or by paper via the Bureau’s website at [Agencies | PFR Insurance (maine.gov)|https://www.maine.gov/pfr/insurance/licensees/individuals-business-enti…]
- Checks should be made payable to Treasurer, State of Maine. Fee Schedule | PFR Insurance (maine.gov).
- Sign application
Resident Licensing Checklist for Individuals
Other Requirements
- Available limited lines in Maine are Credit, Auto Rental Supplemental Liability, Mechanical Breakdown, Title, and Travel & Baggage.
- Checks should be made payable to Treasurer, State of Maine. Fee Schedule | PFR Insurance (maine.gov).
- Submit NASD U-4 status report or CRD printout if applying for variable contracts authority
- Sign application
- If an individual works for a business entity, the business entity will also need to apply for a license in Maine. This can be done separately or simultaneously.
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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. |
Uniform Application for Business Entities
BE Producer App - PDF
BE Producer App - DOCX
Uniform Application for Individuals
Maine accepts the Uniform Licensing Application for nonresident business entities and individuals.
Maine accepts the Uniform Licensing Application for resident business entities and individuals.
Mail Applications to:
Maine Bureau of Insurance
34 State House Station
Augusta, ME 04333
Contact:
Email: insurance.pfr@maine.gov
Phone: 207-624-8475