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Renewal applications should be received between June 1 and July 31st in order to be processed in a timely manner.
1. Non-Resident TPA application. Each application question must be answered completely. Each "Yes" response must have supporting documentation attached. If supporting documentation has been previously submitted, please indicate what year it was submitted.
2. Renewal fee of $50. (checks made payable to IDOI) (Renewals will be invoiced after June 30th each year)
3. A letter of good standing from one of the states listed below. The letter of good standing must be issued no later than six (6) months prior to the date of the application.
Arizona Idaho Nebraska Oklahoma Tennessee Alaska Louisiana Nevada Ohio Utah Delaware Michigan New Jersey Oregon West Virginia Florida Missouri North Carolina Rhode Island Georgia Mississippi North Dakota South Carolina
The completed application and information requested above should be sent to the following:
*Note - All materials must be sent postal mail, faxed or emailed items will not be accepted.*
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787
Renewal licenses will not be mailed until after June 1st.