Membership Applications

Firms interested in NAPSLO membership must submit a completed application and two completed reference forms. Please select the appropriate application from the following section to download. Adobe Acrobat Reader, available free from Adobe is required to view the application. Please review the criteria pages of the website or the criteria section of the application packet.

Wholesale Brokers

Wholesale Brokers are sole proprietorships, partnerships or corporations licensed in at least one jurisdiction within the United States or Canada as a broker, agent or managing general agent engaged in an insurance business principally as a wholesaler.

Download Wholesale Broker Application

Reference forms must be submitted with each application. Reference forms must be signed by the individual submitting the form.

Company

Company members are risk-bearing insurer incorporated or organized in any state in the United States or in Canada and engaged in the writing of insurance principally through wholesale brokers/agents.

Download Company Application

Reference forms must be submitted with each application. Reference forms must be signed by the individual submitting the form.

Underwriting Managers

Underwriting Managers have specific underwriting authority for one or more companies in specified classes of business and in designated geographical areas.

Download Underwriting Manager Application

Reference forms must be submitted with each application. Reference forms must be signed by the individual submitting the form.

Associates

Associates are individuals, firms or organizations that do not qualify for voting membership, but supply services to voting members and supports the wholesale excess/surplus lines system, or a company or wholesale broker/agent who is not incorporated or organized in any state in the United States or in Canada.

Download Associate Application

Reference forms must be submitted with each application. Reference forms must be signed by the individual submitting the form.

Please review the entire application and note what additional items are required to be submitted to complete the application file. Incomplete files will not be reviewed.

Deadlines

Deadlines to submit completed application files are:
  • January 23rd for March 2017
  • May 5th for June 2017
  • July 28th for September 2017
  • September 29th for November 2017
  • January 19th for February 2018