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Este documento es una declaración anual y un retorno de impuestos para corredores de línea excedente y corredores de línea especial en California, destinado a reportar primas no admitidas gravables
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How to fill out SURPLUS LINE BROKER AND SPECIAL LINES SURPLUS LINE BROKER ANNUAL STATEMENT AND TAX RETURN

01
Gather all relevant information about the surplus lines transactions for the year.
02
Complete the identification section with broker and business details.
03
Accurately list all surplus lines policies written, including insurer details and premium amounts.
04
Calculate any applicable taxes based on the premiums and enter them in the designated section.
05
Review and verify all figures for accuracy and compliance with regulatory requirements.
06
Sign and date the statement to certify its accuracy and completeness.
07
File the completed statement with the appropriate regulatory body by the due date.

Who needs SURPLUS LINE BROKER AND SPECIAL LINES SURPLUS LINE BROKER ANNUAL STATEMENT AND TAX RETURN?

01
Surplus line brokers who conduct business in jurisdictions requiring the submission of an annual statement and tax return.
02
Insurance companies that engage in the surplus lines market and must report their activities for compliance purposes.
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What are examples of typical properties insured by Surplus Lines? Examples include multi-dwelling units such as condos or townhouses, mobile homes, expensive cars or boats, costly art collections, or extremely old or dangerously exposed homes. What are examples of typical risks insured by Surplus Lines?
Surplus lines tax/Stamping Fee: 3.0% payable by broker to the CDI; stamping fee of 0.18% (effective Jan. 1, 2023), payable by broker to The Surplus Line Association of California (SLA).
A Special Lines’ Surplus Line Broker is a person who places the following types of insurance with non- "'admitted insurers: A) Insurance against perils of navigation, transit or transportation upon hulls, freights or disbursements, or other shipowner interests; upon goods, wares, merchandise and all other personal
Surplus lines tax is a type of tax that is imposed on insurance policies that are not covered by the state's admitted insurance market. This means that the insurance policy is not regulated by the state's insurance department and is instead placed with a non-admitted insurance company.
Since surplus lines insurance is not state-regulated, homeowners should pay special attention to the terms and conditions of their policy. Rates for surplus insurance are typically much higher than traditional policies due to less regulation, increased exposure to loss and smaller risk pool.
Surplus lines tax: 3% on gross premiums less any returns, plus a non-refundable, annual stamping fee of $20 per original filing subject to additional stamping fees for late or incomplete filings.
A Surplus Line Broker is a person who places insurance with non-admitted insurers, covering risks other than aircraft and certain marine and transportation risks.

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A Surplus Line Broker and Special Lines Surplus Line Broker Annual Statement and Tax Return is a financial document that brokers in the surplus lines market are required to complete annually. It provides information on the broker's transactions, premium amounts, and taxes to be remitted to the state.
Surplus line brokers and special lines surplus line brokers who conduct business in a specific state are required to file this annual statement and tax return. This typically includes brokers who place insurance with non-admitted carriers.
To fill out the statement and tax return, brokers need to collect relevant financial data from their transactions throughout the year, including total premiums collected, taxes owed, and other necessary details as specified by state regulations. They must follow the provided forms and guidelines set by the insurance department of their state.
The purpose of this document is to ensure compliance with state regulations, provide transparency in the surplus lines insurance market, and collect taxes due on the premiums written by surplus line brokers. It helps regulatory bodies monitor the activities of surplus line insurers.
The information that must be reported includes details such as the total amount of premiums written, taxes collected, any applicable fees, the number of policies placed, and descriptions of coverage provided. Additionally, brokers may be required to report any claims information related to the policies.
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