All licensing update requests listed below must be submitted through the online forms or through NIPR, where applicable. Email submissions are no longer required.
Notification: NIPR – Phishing Scam Email Targeting Insurance Licensees
Use this link to access the State Based Systems (SBS) licensee portal to obtain proof of your Connecticut license standing.
Applicants may enter their information and view or print their Letter of Certification directly through SBS.
You may update your address online through the National Insurance Producer Registry (NIPR)
Note: You cannot use this online process if you are changing your resident state or if any part of your address change involves a change in state.
If your change involves Connecticut residency to or from, use the Residency Change Request online form.
If submission through NIPR is not available, complete the Address Change Request online form.
Use the online DHS form if you are:
You may update your name online through NIPR
Use the online form to add, remove, or update a Designated Responsible Licensed Person (DRLP) for a business entity license.
Use the online form to add, update, or remove a Doing Business As (DBA) name.
Use this online form if you are a former Connecticut resident producer applying for a resident license in another state.
Use this online form to remove lines of authority from a Producer or Fraternal Agent license only.
To cancel the entire license, submit the Voluntary Surrender online form.
Use this online form only when moving into or out of Connecticut residency.
Use this online form to voluntarily cancel your license.
This form is used by Connecticut insurance licensees to add or remove a voluntary business entity affiliation from their licensing record.
Business entity affiliations are not required by Connecticut statute or regulation for licensure. However, licensees may choose to record an affiliation (such as an employer, agency, or business relationship) for administrative or record-keeping purposes.
