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For Companies > Licensing and Approvals for Prospective Companies > Applications > Exception and Exemption
Third Party Administrator Exception and Exemption Applications
 

The following items need to be submitted to the address below to be considered for a Third Party Administrator Exception or Exemption:

Please review RSA 402-H and Ins 2300.

The Exemption application has been modified to reflect changes in the law. There are now two different applications - Exemption Application and Exception Application. Please review both applications and submit only one application depending on which item the entity qualifies for.

  • Exemption Application Adobe Acrobat Reader Symbol
  • Exception Application Adobe Acrobat Reader Symbol
  • A written business plan describing the planned or expected business activity in New Hampshire must also be included.
  • State the name(s) of the owner(s) of the administrator.

The completed application package should be directed to the New Hampshire Insurance Department, Financial Regulation Division.

If you have any questions, please contact Diane Cygan.

Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.

 
 

New Hampshire Insurance Department | 21 South Fruit Street, Suite 14 | Concord, NH 03301
Phone 603.271.2261 | Fax 603.271.1406 | Consumer Hotline 1.800.852.3416

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