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Make Changes to a License

Signed Request to Cancel License or LOA

You may submit a signed request to cancel a license or line of authority. Please allow five working days for request to be processed.

Send to insurance@alaska.gov, our mailing address at bottom of page, or fax to 907-465-2816.  

Requirement to Notify the Division of Changes

You're required to notify the division, in writing, within 30 days of a change.

If you fail to notify us in time, you will incur a late fee, and your license could be suspended or revoked.

See AS 21.27.025.

Late Fee

  • 1 to 60 days late - $50.00
  • 61 to 120 days late - $100.00
  • More than 120 days late - $200.00

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