The Mississippi Insurance Department offers the following additional types of entity
licenses. Click on the links (where available) for application instructions and forms.
Questions pertaining to the licensing process should be directed to
licensing@mid.ms.gov or by calling the
MID Licensing Division at 601-359-3582.
Entity Licensing Online Services
Entity Licensing Forms
- Managing General Agent -
instructions,
application, renewal information
- Supervising General Agent -
instructions,
application,
renewal information
- Third Party Administrator -
instructions,
application,
renewal information
- Reinsurance Intermediary Manager -
instructions,
application,
renewal information
- Viatical Settlement Provider -
application,
biographical affidavit,
form
guidelines
- Viatical Settlement Entity
Representative or Broker -
instructions,
applications
- Portable Electronics Insurance Producer Business Entity - application
- NAIC
Business Entity Form
-
NAIC Uniform Service of Process Form
