How to amend an insurance license

To update your contact info-

Individuals must update their info electronically on NIPR’s website (select “Change Contact Information”).  Contact info includes: mailing address, home address, home phone, business address, business telephone, business fax, business e-mail, business web site.

All appointments and termination of appointments, must submit electronically via NIPR’s Gateway.

To add or remove a class of insurance on your license, you must submit electronically on NIPR’s web site.

To add a Designated Representative on your insurance agency license, submit Form ADR (obtain at https://cca.hawaii.gov/ins/producers/forms/).

To remove a Designated Representative on your insurance agency license, submit Form RDR (obtain at https://cca.hawaii.gov/ins/producers/forms/).

To change your name or trade name on your insurance license, submit Form NTA (obtain at https://cca.hawaii.gov/ins/producers/forms/). Please go to https://cca.hawaii.gov/ins/producers/instructions_insurance_license/ and learn how to apply for the use or change of a trade name on the license.

To voluntarily surrender your license, submit Form VS (obtain at https://cca.hawaii.gov/ins/producers/forms/).

To request a Letter of Certification, submit Form LC (obtain at https://cca.hawaii.gov/ins/producers/forms/). A Letter of Certification is issued to an individual or agency who needs to submit evidence that they currently hold a resident insurance license in Hawaii.

To request a Letter of Clearance, submit Form LC (obtain at https://cca.hawaii.gov/ins/producers/forms/). A Letter of Clearance is issued to an individual or agency who needs to submit evidence that they previously held a resident insurance license in Hawaii and it was in good standing at the time of inactivation.

All paper forms above may be submitted to the Hawaii Insurance Division – Licensing Branch via e-mail or fax. No fees are required.