Surplus Line Broker (Effective through 10/31/2010)

To qualify for a Surplus Line Broker license, the applicant:

  1. Must be at least eighteen years of age;
  2. Any person who is engaged in the business of insurance or who is about to engage in the business of insurance in this State and who has been convicted of any felony shall request the commissioner’s written consent to engage in the business of insurance as required in §431:2-201.3;
  3. Has paid the applicable fee;
  4. An individual must hold an active Producer’s License, under §431:9A;
  5. A corporation must hold an active Producer’s License with a Designated Representative who also holds an active Producer’s License, under §431:9A; and
  6. In addition, Nonresident applicants must comply with §431:9A-108(a)(1-4), as follows:
    1. A nonresident applicant shall receive a nonresident producer license if:
      1. The applicant is currently licensed as a resident and is in good standing in the applicant’s home state;
      2. The applicant has submitted the proper request for licensure and has paid the fees required;
      3. The applicant has submitted or transmitted to the commissioner the application for licensure that the applicant submitted to the applicant’s home state, or in lieu of the same, a completed uniform application; and
      4. The applicant’s home state awards a non-resident producer license to a resident of this State on the same basis.

A complete application for a Surplus Line Broker license includes:

  1. For Individual applicants:
    1. FORM HPL (PDF) – one original ;
    2. Individual must be a licensed producer in this State. Attach a copy of the individual’s producer license; and
    3. Applicable license fees.

      Click here for FEE SCHEDULE (PDF) for “Resident and Nonresident Surplus Lines Broker”.

      Check payable to DEPARTMENT OF COMMERCE & CONSUMER AFFAIRS .

  2. For Business Entity applicants:
    1. FORM BEPL (PDF) – one original ;
    2. Business Entity must be a licensed producer in this State. Attach a copy of the business entity’s producer license;
    3. Attach a copy of the Designated Representative’s individual’s Surplus Line Broker license;
    4. Corporate License Requirements:
      1. Evidence of approved registration with state Department of Commerce & Consumer Affairs Business Registration Division;
    5. Applicable license fees.

      Click here for FEE SCHEDULE (PDF) for “Resident and Nonresident Surplus Lines Broker”.

      Check payable to the DEPARTMENT OF COMMERCE & CONSUMER AFFAIRS .

IMPORTANT: All of the items listed above must be submitted together as an application packet. Incomplete applications will be returned to you.

For more information on surplus line broker licensing, refer to the Hawaii Revised Statutes:

§431:8-310

Visit the Hawaii State Legislature website at www.capitol.hawaii.gov and click on “Status and Documents” to search and view the Hawaii Revised Statutes.

Surplus Lines Tax:
Surplus Line Brokers are required to pay a premium tax on Surplus Lines insurance transacted. Please visit the Surplus Lines tax website at www.hawaii.gov/dcca/areas/ins/other_ins/surplus_lines_tax/ or call Gale Miyazaki at (808) 586-8151.

General Excise Tax:
Licensees are reminded to secure a General Excise Tax License, as required under tax laws of the State of Hawaii. Please contact the Hawaii Department of Taxation at (808) 587-4242 or call Toll Free at 1-800-222-3229, for more information.