Form preview

Get the free BUSINESS ENTITY REPORT OF AFFILIATED INDIVIDUAL SURPLUS LINES BROKERS - delawareinsu...

Get Form
This document serves as an annual report required for all business entities licensed for surplus lines in Delaware to report individual surplus lines brokers affiliated with the agency and the total
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign business entity report of

Edit
Edit your business entity report of form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your business entity report of form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing business entity report of online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Log in to your account. Start Free Trial and sign up a profile if you don't have one yet.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit business entity report of. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
It's easier to work with documents with pdfFiller than you could have believed. Sign up for a free account to view.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out business entity report of

Illustration

How to fill out BUSINESS ENTITY REPORT OF AFFILIATED INDIVIDUAL SURPLUS LINES BROKERS

01
Obtain the BUSINESS ENTITY REPORT OF AFFILIATED INDIVIDUAL SURPLUS LINES BROKERS form from your state insurance department website.
02
Fill in the business name and contact information at the top of the form.
03
List all affiliated individuals and their roles within the business.
04
Provide details of the surplus lines broker's license number and expiration date.
05
Include any additional required information as specified on the form.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form where required.
08
Submit the form to the relevant state insurance department by the specified deadline.

Who needs BUSINESS ENTITY REPORT OF AFFILIATED INDIVIDUAL SURPLUS LINES BROKERS?

01
Surplus lines brokers operating in the state who have affiliated individuals.
02
Businesses seeking to comply with state regulations regarding surplus lines insurance.
03
Insurance companies that require documentation of affiliated individuals for compliance.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.8
Satisfied
39 Votes

People Also Ask about

License Renewal Surplus lines insurance producer licenses expire on April 30 of every year. The renewal application and $25 fee can be submitted electronically through the National Insurance Producer Registry (NIPR) .
Surplus lines tax: 1.75% if the insured's home state is ND. Properties, risks, or exposures located or to be performed in this state or another state.
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.
Surplus lines tax: 1.75% if the insured's home state is ND. Properties, risks, or exposures located or to be performed in this state or another state.
License Renewal Surplus lines insurance producer licenses expire on April 30 of every year. The renewal application and $25 fee can be submitted electronically through the National Insurance Producer Registry (NIPR) .
Surplus lines tax: 2%, payable by broker. DC does not allow the formation of domestic surplus lines insurers in the state.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The BUSINESS ENTITY REPORT OF AFFILIATED INDIVIDUAL SURPLUS LINES BROKERS is a regulatory document that provides details about business entities and their affiliated individual brokers engaged in surplus lines insurance activities.
Entities that operate as surplus lines brokers and have affiliated individual brokers are required to file the BUSINESS ENTITY REPORT to ensure compliance with regulatory standards.
To fill out the report, one must provide accurate business entity information, details of affiliated individual brokers, and any relevant financial data as specified in the reporting guidelines.
The purpose of the report is to promote transparency and accountability in the surplus lines insurance market by tracking the relationships between entities and individual brokers.
Information that must be reported includes the business entity's name, address, details of affiliated individual brokers, licensing information, and any relevant financial data or operational activities.
Fill out your business entity report of online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.