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For Companies > Currently Licensed or Approved Companies > Renewal Applications > Reinsurance Intermediary
Reinsurance Intermediary Renewal Application
 

Please review RSA 402-F, Reinsurance Intermediaries current statute, for information and guidance in properly completing the renewal application.

The following are filing requirements to apply for a Reinsurance Intermediary license:

  • Application form Adobe Acrobat Reader Symbol
  • $250.00 application fee (Non-refundable), make check payable to: Treasurer, State of New Hampshire.
  • Copy of the current producer license from the state of Incorporation.
  • Copy of the current producer license from New Hampshire.
  • The Reinsurance Intermediary must have a written contract between the parties before placing business with an insurer. A copy of the contract must be submitted as soon as available to the address below. (RSA 402-F:3)

Send all documents listed above to the New Hampshire Insurance Department Financial Regulation Division.

If you have any questions, please contact Diane Cygan.


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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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