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STATE OF NEBRASKA DEPARTMENT OF INSURANCE LICENSING DIVISION www.DOI. Nebraska.surplus LINES AGENCY AFFILIATION FORM Business Entity NameLicense Number corporate surplus lines license shall list all
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How to fill out surplus lines agency affiliation

01
Research and understand the requirements for surplus lines agency affiliation in your state.
02
Apply for a surplus lines license if required by the state.
03
Contact surplus lines carriers to establish agreements for agency affiliation.
04
Provide necessary documentation and financial information to the carriers.
05
Complete any training or certification requirements as needed.
06
Maintain compliance with state regulations and reporting requirements.
07
Stay informed about changes in the surplus lines market and adapt as necessary.

Who needs surplus lines agency affiliation?

01
Insurance agents or agencies looking to provide coverage for hard-to-place or specialized risks.
02
Individuals or businesses seeking insurance coverage that is not available through standard admitted insurers.
03
States that allow surplus lines insurance as an alternative for hard-to-place risks.
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Surplus lines agency affiliation refers to the relationship between a surplus lines agency and an insurance company that allows the agency to sell insurance policies that are not available through licensed insurers.
Surplus lines agencies are required to file surplus lines agency affiliation.
Surplus lines agency affiliation can typically be filled out online through the state insurance department's website or portal.
The purpose of surplus lines agency affiliation is to ensure that surplus lines agencies are properly affiliated with authorized insurance companies.
Surplus lines agency affiliation typically requires information such as the agency's name, address, contact information, and the insurance companies with which they are affiliated.
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