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Reinsurance Intermediary Broker or Manager

IC 27-6-9 and 760 IAC 1-51

Please refer to the application for further instructions.  Once the application and materials are approved, a license will be mail to the Reinsurance Intermediary.

Reinsurance Intermediary Application    Broker Manager

Broker Checklist 

Manager Checklist

Uniform Consent to Service of Process

Biographical Affidavit

Please submit application documents to:

Admission Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, Indiana 46204-2787