Maryland Insurer Request For Change of Address

State:
Maryland
Control #:
MD-SKU-1501
Format:
PDF
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Description

Insurer Request For Change of Address

Maryland Insurer Request For Change of Address is a form used to update the mailing address for a Maryland insurance policy. It is required by the Maryland Insurance Administration when a policyholder changes their address. There are two types of Maryland Insurer Request for Change of Address forms, one for individuals and one for businesses. The individual form must be completed by the policyholder and the business form must be completed by a representative of the business. Both forms require the policyholder to provide the new address, policy number, and contact information. After the form is completed, it must be signed and mailed to the Maryland Insurance Administration.

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FAQ

Express authority is the authority that an agent has in writing in the contract with the insurer that the agent represents. Express authority spells out in contract form the activities that the agent has the power to perform on behalf of the insurer.

If adding a line of authority to an existing license, you may submit a licensing application online at .sircon.com/pennsylvania or .nipr.com).

A licensee must notify the Administration within 30 days of the change.

?The primary role of the Maryland Insurance Administration (MIA) is to protect consumers from illegal insurance practices by ensuring that insurers and producers that operate in Maryland act in ance with State insurance laws.

The decision by a producer to offer a lesser number of product variations than is possible.

An insurance producer doing business under any name other than his or her legal name is required to notify the commissioner prior to using the assumed name. this also applies to trade names, which must be registered. an insurance producer using a name that has not been approved will be fined up to $250.

A line of authority (LOA) is a general subject area of insurance that a producer can be licensed to sell.

More info

You must fill out and send us this form within 30 days of a change to your name or address. Submit licensee contact information changes - physical addresses, emails, phone, or fax information via NIPR's Contact Change Request tool.Individual address and email changes may also be submitted through the National Insurance Producer Registry (NIPR) using the Contact Change Request. A Change of Address (COA) request can be temporary or permanent. If you're moving, submit a permanent change-of-address request so your USPS® mail is properly rerouted to your new address. The process is simple and can be done online or over the phone. You can complete a change of address in person at any DMV office. The new license or ID will be mailed to you. If you are moving from one state to another, you are not able to complete your address change through SIRCON or NIPR. Print the full name of the licensee currently shown on the license.

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Maryland Insurer Request For Change of Address