Insurance Producer Resident Business Entity

Resident Business Entities - All resident business entities must obtain name approval from the Pennsylvania Insurance Department and then register with the Pennsylvania Department of State.

Sircon (resident business entities only)
National Insurance Producer Registry (NIPR)
Submit a Fictitious/Business Entity Name to the Insurance Department
Registering with Department of State

Application 

Renewal Documents:

Business Entity Renewal Form
Business Entity Lapsed License Renewal Form 

Initial Fee:  $55
Timely Renewal Fee:  $55
Lapsed License Renewal Fee:  $165
Amended License Fee:  $25