Nebraska Department of Insurance

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Send all Surplus Lines correspondence to:

MAILING ADDRESS:	STREET ADDRESS (UPS/FedEx):
Nebraska Department of Insurance PO Box 82089 Lincoln, NE 68501-2089	NE Department of Insurance 941 O Street, Suite 400 Lincoln, NE 68508

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Quarterly Report Form
If you have a license, either individual or agency, you will be required to file a quarterly Report for each license separately, even if no business is written. Failure to file is subject to administrative action.


• Quarterly Report of Surplus Lines Business (Excel spreadsheet format with calculations)
• Quarterly Report of Surplus Lines Business (Adobe pdf format for manual preparation)



• Nebraska Supplemental Surplus Lines Reporting Form (Excel spreadsheet format with calculations)
  To be used for Multi-State Risks Effective Subsequent to July 20, 2011.
• Nebraska Supplemental Surplus Lines Reporting Form (Adobe pdf format for manual preparation)
  To be used for Multi-State Risks Effective Subsequent to July 20, 2011.

Applicable Tax Rates
• Tax Rates (effective for policies written after July 20, 2011)
These rates are being provided as a good faith effort to provide agents/brokers with the applicable rates by other states. Such amounts pertain to taxes only and do not include fees and assessments. Agents/brokers are encouraged to use the most current and accurate information available when completing the quarterly filing.
• Tax Rates (effective for policies written on or before July 20, 2011)


Statute References



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LICENSING MATTERS


• Individual Requirements to Effect Insurance in Non-Admitted Companies
• Corporate Requirements to Effect Insurance in Non-Admitted Companies
• Licensing Applications




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OTHER INFORMATION


• Surplus Lines Frequently Asked Questions
• NAIC's Quarterly Listing of Alien Insurers
• Unauthorized Insurer Act


Refer to NOTICES for recent and past information on important changes to surplus line issues.