Portable Electronics Vendor/Agent License Application: Business Entity
The following are requirements for a business entity applying to become a portable electronics insurance vendor. The requirements apply to both, businesses that have the principal business address within Arizona (resident) and businesses that have the principal business address in another state (nonresidents), except as otherwise noted:
NOT EVERYONE QUALIFIES FOR AN INSURANCE LICENSE
The Department can deny a license for any cause listed in Arizona Revised Statutes ("ARS") § 20-295. You should review this statute before deciding to spend the time, effort and money (fees are nonrefundable) to apply for a license. If you apply for a license, you must truthfully and completely answer questions asked on the application, and you may need to provide additional documentation.
PAY REQUIRED (NON-REFUNDABLE) FEE
- You can pay with a credit card if you submit your application online through the National Insurance Producer Registry.
- You can pay by check or money order, made payable to "Insurance Licensing Section" if you send or deliver your payment with your license application and other required materials to the Department of Insurance.
SUBMIT A LICENSE APPLICATION
Submit your license application (Form L-LTD).
AFTER WE HAVE REVIEWED YOUR APPLICATION...
We will review your application and you will receive one of the following:
- A notice telling you that your application was approved. Use License Search to view your license on our web site to ensure that your license information appears correctly. Use the National Insurance Producer Registry (NIPR) to correct or update information.
- A notice telling you that your renewal application was denied. The notice will tell you the reason for the denial and will provide you with instructions concerning your right to appeal the decision.
- A notice telling you that your renewal application was deficient. This notice will be emailed to you. You must provide the Department with any additional materials identified in the deficiency notice or accompanying instructions. You must cure all identified deficiencies or we may deny your license and you will forfeit the fees you paid.
NOTE: We do not produce paper license certificates. Licenses are accessible online through the LICENSE SEARCH option on our web site's main menu.
VIEW YOUR LICENSE
Your license will be available from the License Search option on this web site as soon as the Arizona Department of Insurance verifies you meet all license requirements. You will not receive a printed license certificate.
License applications can take up to one month to process. You must not conduct insurance business until you are licensed.
FORM L-193: CERTIFICATE OF ASSUMED NAME
Use this form for each name, other than your genuine legal name, that you intend to use in conjunction with your insurance business. If you have established a business entity and want to use the name of the business entity in conjunction with your insurance transactions, the business entity must also hold an insurance license.
All insurance professionals (both residents and nonresidents) can apply for licenses, renew licenses, and update addresses and phone numbers online through the National Insurance Producer Registry (NIPR), at www.nipr.com.
NIPR license and renewal applications are easy to complete, and we can usually process them faster than applications that are mailed to us. NIPR charges a small transaction fee (around $5 to $7) to process a license application and fee payment. Many people have found that overall, the added convenience plus the time and postage savings are worth paying the fee.
USE NIPR FOR FREE to change an address, e-mail address or phone number!
ARS § 41-1030(G) requires most Arizona government agencies to prominently print the provisions of ARS § 41-1030(B), (D), (E) and (F) on all license applications. The following is the language in ARS § 41-1030(B), (D), (E) and (F):
B. An agency shall not base a licensing decision in whole or in part on a licensing requirement or condition that is not specifically authorized by statute, rule or state tribal gaming compact. A general grant of authority in statute does not constitute a basis for imposing a licensing requirement or condition unless a rule is made pursuant to that general grant of authority that specifically authorizes the requirement or condition.
D. This section may be enforced in a private civil action and relief may be awarded against the state. The court may award reasonable attorney fees, damages and all fees associated with the license application to a party that prevails in an action against the state for a violation of this section.
E. A state employee may not intentionally or knowingly violate this section. A violation of this section is cause for disciplinary action or dismissal pursuant to the agency’s adopted personnel policy.
F. This section does not abrogate the immunity provided by section 12-820.01 or 12-820.02.