| Applications |
| Producer and Surplus Lines Broker |
| Residents |
Nonresidents |
| NAIC Uniform Application |
Electronic Filing |
| |
NAIC Uniform Application (for paper filings) |
| Individual Instruction Form |
Individual Instruction Form |
| Firm Instruction Form |
Firm Instruction Form |
Adjuster
|
| Trainee Adjuster |
| Unlicensed Adjuster |
| Limited Lines Licensees (Credit, Travel, Crop) |
| Limited Lines Licensees (Title - individuals affiliated with a firm ONLY) and Bail Bond |
| Title (individuals and firms ONLY) |
Managing General Agent License Forms
|
| Managing General Agent Exemption Form |
Reinsurance Intermediary Manager or Broker Forms
|
| Third Party Administrator Application Form |
| Third Party Administrator Exemption Form |
Viatical Settlement Representative or Broker Forms
|
Viatical Settlement Provider Forms
|
| |
1033 Consent Requirements
Bulletin B98-05
(For individuals seeking licensure who
have a felony conviction involving dishonesty or breach of trust.) |
1033 Consent Application |
| Individuals NOT seeking licensure who have a felony conviction involving dishonesty or breach of trust must still apply for and receive the Director's written consent prior to working in the insurance business. Please contact the division for assistance. |
| |
| Miscellaneous Application Forms |
| Application Forms |
| Business Transction Form |
| Business Transaction Form for Adjuster |
| Change Form |
| Company Termination Form (for cause only) |
| Fee Schedule |
| Flood Insurance Training |
| NIPR ACR (Address Change Request) |
| Producer Address Change Request Sign In |
| |
| Adjuster Information |
| Applications |
| Individuals |
Individual in a Firm |
Firm |
| Adjuster Study Material. Please note: this is a very large pdf document, it may take a while to download. |
| Business Transaction Form for Adjuster |
| Unlicensed Adjuster Single Loss or Catastrophe Form |
| |
| Changes to License
|
| To make the following change, click on the identified section on the Alaska Change Form and follow the instructions under that specific section. |
1. |
Termination of Employment – for licensees who hold an individual or compliance officer in a firm license who are no longer employed by the firm |
2. |
Cancellation of License – to cancel your license |
3. |
Records Information – notification to our office that identifies where your Alaska insurance records will be maintained after your license is no longer active in this state |
4. |
Residence Address Change – to change your residence physical or mailing address, telephone, or fax number |
5. |
Business Address Change – to change your business physical or mailing address, telephone, or fax number |
6. |
Change of Name - if the name reflected on your license has changed, you must notify our office of your new name. If you hold a firm license and the firm has changed its name, you may only use this form if the federal identification number of the firm has NOT changed |
7. |
Change in State of Residency – for licensees who have changed their home state of residency |
8. |
Employment – for licensees who hold an individual or compliance officer in a firm license who have changed firms (employers) |
9. |
Change in Lines of Authority – a licensee who elects to add/delete lines of authority to their existing license |
10. |
Change in License Type (Individual, Individual in a Firm, Compliance Officer) – a licensee who elects to add/delete a license type to their license |
11. |
Change in License Class (i.e. Producer, Surplus Lines Broker, Adjuster, etc.) – a licensee who elects to add/delete a license class to their license |
12. |
Change in Designated Responsible Person (Compliance Officer) |
13. |
Notification of Criminal Prosecution or Administration Action by Another state or Jurisdiction |
| Change Form (Use this form to make changes to an existing license or notify our office of any changes as required under our laws.) |
| Electronic Address Change – residents and nonresidents (you will be directed to the National Insurance Producer Registry (NIPR) web site to file the electronic changes with our office). |
| NIPR ACR (Address Change
Request) |
| |
| Company Appointments |
“Effective June 24, 2005, the statutory requirement for insurers or managing general agents to file company appointment with our office has been eliminated. But, insurers, managing general agents (MGAs), and producers are required to maintain a list of all of their appointments, and must be able to respond within three working days to an inquiry made by the director regarding an appointment (Alaska Statute 21.27.100). As of June 24, 2005, the division no longer maintains active records of any appointments. |
| |
| Continuing Education |
| Bulletins |
| Continuing Education Advisory Committee Recruitment |
| Bulletin B99-10 |
| Bulletin B96-10 |
| Bulletin 98-02 |
| Continuing Education Reporting Form |
| Frequently Asked Questions |
| Regulations |
| |
| Credit |
| Applications |
| Individual |
| Firm (Word document) |
| Bulletins |
| B02-01 |
| B04-17 |
| Test Content Outline for Credit |
| |
| Exemption Forms |
| Third Party Administrator Exemption Filing Form |
| Managing General Agent (MGA) Exemption Filing Form |
| Exemption from Licensure Under AS 21.27.010(j) |
| |
| Fingerprinting |
| Fingerprint Flyer |
| Fingerprint Processing Fee Change |
| Notice – reduction in fees |
| Waiving Certain License Application Requirements for Nonresidents to Achieve Reciprocity |
| |
| Flood Insurance Information |
| |
General Information |
| |
Mandatory Purchase of Flood Insurance Guidelines - The primary resource on the NFIP for lending institutions |
| |
NFIP Community Status Book - Provides listings, by state, of communities that are in the NFIP and communities on Probation or Suspension |
| |
NFIP Summary of Coverage - understanding a flood insurance policy |
| |
NFIP Claims Handbook - filing and appealing a claim |
| |
NFIP Information for Insurance Agents |
| |
| Motor Vehicle Rental Car Licensing |
| Application Forms |
| Representatives of the Agency |
| |
| Reinsurance Intermediary Manager and Broker Information |
| License Forms |
| |
| Surplus Lines Broker Information |
| Application Forms |
| Surplus Lines Monthly Premium Report Forms |
| |
| Testing |
| Adjuster Study Material. Please note: this is a very large pdf document, it may take a while to download. |
| Candidate Handbook |
| Changes to Property and Casualty Insurance Testing |
| Content Outlines, see page S1 |
Examination Changes
The Fairbanks site offers testing on the 1st and 3rd Wednesday of the month. The reporting address is below:
North Star Computing, Inc.
815 2nd Avenue, Suite 100
Fairbanks, AK 99701
The center is open from 8:30am to 1:00pm. The exams are scheduled based on seat availability which is determined by allotted exam times. |
| List of Publishers Providing Study Materials |
| Petition Testing - Candidate Handbook, see pages 6 |
| Pearson Vue |
| Schedule an Examination - Candidate Handbook, see pages 5 |
| Study Material - Candidate Handbook, see page 9 |
| |
| Third-Party Administrator Information |
| Third Party Administrator Application Form |
| Third Party Administrator Exemption Form |
| Third Party Administrator Quarterly Filing Form |
| ERISA Annual Exemption Filing Form |
| |
| Viatical Settlement Representative, Broker and Provider Information |
| Bond Form for Viatical Settlement Provider |
| Company Appointment/Termination form |
| Provider Annual Filing Form |
| Viatical Settlement Regulations |
| Viatical Settlement Representative or Broker Application |
Viatical Settlement Provider Application |
| |
| Miscellaneous Information |
| Alaska Statutes |
| Alaska Administrative Code (Regulations) |
| Business Transaction Form |
| Business Transaction Form for Adjuster |
| Check Your License Status |
| Electronic Address Change – residents and nonresidents (you will be directed to the National Insurance Producer Registry (NIPR) web site to file the electronic changes with our office). |
| Frequently Asked Questions |
| NIPR ACR (Address Change Request) |
| Order License Forms |
| Producer Address Change Request Sign In |
| Requirements for Certifications for Other States |
| |
